Differentiated perceived exertion and self-regulated wheelchair exercise

Abstract

Objective: To investigate the utility of the differentiated rating of perceived exertion (RPE) for the self-regulation of submaximal wheelchair propulsion in novice users.

Design: Each participant completed a submaximal incremental test and a graded test to exhaustion to determine peak oxygen consumption (Vo(2)peak) on a wheelchair ergometer. On a separate day, two 12-minute intermittent bouts consisting of three 4-minute stages were completed at individualized imposed power outputs equating to light (40% Vo(2)peak) and moderate (60% Vo(2)peak) intensity exercise. On a third occasion, participants were assigned to either the overall group or the peripheral group and were required to self-regulate 12-minute intermittent exercise according to either overall RPE or peripheral RPE reported during the corresponding imposed intensity trial.

Setting: Laboratory facilities at a university.

Participants: Preliminary population of able-bodied participants with no prior experience of wheelchair propulsion (N=18).

Interventions: Not applicable.

Main outcome measures: Differences in oxygen consumption (Vo(2)), heart rate, blood lactate concentration, and power output between the imposed and self-regulated exercise trials.

Results: No difference was found in physiological responses between the moderate-intensity imposed and RPE-regulated trials in the peripheral group, whereas a significant (P<.05) underproduction in Vo(2) (1.76±.31 vs 1.59±.25L/min) and blood lactate concentration (2.8±0.90 vs 2.21±.83mmol/L) was seen in the overall group. In contrast, a significant (P<.05) overproduction was seen in the peripheral group at a light exercise intensity, whereas no difference was found between all variables during the light-intensity imposed and RPE-regulated trials in the overall group.

Conclusions: Peripheral RPE enabled a more precise self-regulation during moderate-intensity wheelchair exercise in novice users. In contrast, overall RPE provided a more accurate stimulus when performing light-intensity propulsion.

Keywords: %Vo(2peak); ANOVA; BF; BLa; CI(diff); Exercise; ME; PO; Physical exertion; RPE; RPE(C); RPE(O); RPE(P); Rehabilitation; Ve; Vo(2peak); Wheelchairs; analysis of variance; blood lactate concentration; breathing frequency; central rating of perceived exertion; confidence interval of the difference; gross mechanical efficiency; minute ventilation; o(2); overall rating of perceived exertion; oxygen consumption; peak oxygen consumption; percentage of peak oxygen consumption; peripheral rating of perceived exertion; power output; rating of perceived exertion.