Format of Original
Elsevier (WB Saunders)
Archives of Physical Medicine and Rehabilitation
Original Item ID
doi: 10.1016/j.apmr.2016.01.013; Shelves: RM 845 .A8 2016, Memorial Periodicals; PubMed Central, PMCID: 26836954
Objective: To test the reliability and validity of using the Borg rating of perceived exertion (RPE) scale (ratings 6e20) in persons with multiple sclerosis (PwMS).
Design: Nonrandomized repeated measures.
Setting: Research laboratory.
Participants: Volunteer sample (N=27) comprised of 16 PwMS (10 women) and 11 age-matched persons without multiple sclerosis (MS) (6 women). Clinical measures included symptomatic fatigue, depression, and MS functional capacity.
Interventions: A submaximal cycling test was performed to estimate maximal capacity. Participants then pedaled for 2 minutes at 50% and 60% of predicted maximal oxygen consumption per unit time (V̇O2), and physiological measures and RPE were obtained (week 1: response protocol). One week later, participants replicated the prescribed V̇O2 using the RPE range from week 1 (week 2: reproduction protocol). V̇O2, heart rate, and respiratory quotient were measured continuously; RPE and workload were measured every minute; and blood lactate and mean arterial pressure were measured after exercise.
Main Outcome Measures: RPE, workload, V̇O2, and heart rate from week 1 to week 2.
Results: PwMS had greater fatigue (P2, and heart rate were similar between groups. Both groups had an intraclass correlation coefficient >.86 for RPE, workload, and V̇O2. The intraclass correlation coefficient was comparatively lower for heart rate for both groups (MS group: .72, non-MS group: .83). RPE was highly correlated with V̇O2(rZ.691, P
Conclusions: Results suggest that RPE can be reliably reproduced, is valid, and may be used in exercise prescription in mildly to moderately impaired PwMS during cycling exercise.