Is the cardiovascular response equivalent between a supervised center-based setting and a self-care home-based setting when rating of perceived exertion is used to guide aerobic exercise intensity during a cardiac rehabilitation program?

Tang, L. H., Zwisler, A.-D., Berg, S. K., Doherty, P., Taylor, R. S. and Langberg, H. (2017) Is the cardiovascular response equivalent between a supervised center-based setting and a self-care home-based setting when rating of perceived exertion is used to guide aerobic exercise intensity during a cardiac rehabilitation program? American Journal of Physical Medicine and Rehabilitation, 96(6), pp. 381-387. (doi: 10.1097/PHM.0000000000000628) (PMID:27631388)

Abstract

Objectives: The aim of this study was to investigate if exercise intensity guided by rating of perceived exertion (RPE) results in an equivalent cardiovascular response when applied in either a center-based or a home-based setting. Design: Data from patients with heart disease (post–valve surgery and atrial fibrillation post–radiofrequency ablation) participating in exercise-based rehabilitation were included. Patients performed a 12-week program in either a center- or a home-based setting. Using RPE, patients recorded their exercise intensity 3 times during an aerobic training phase. Exercise intensity was objectively measured using heart rate (HR) monitors. Results: A total of 2622 RPE values with corresponding HR data were available. There was no difference in the level of association (interaction P = 0.51) between HR and RPE seen in the center-based setting (mean of 6.1 beats/min per 1.0 difference in RPE; 95% confidence interval, 4.8–7.5 beats/min) compared with the home-based setting (mean of 5.3 beats/min per 1.0 difference in RPE; 95% confidence interval, 4.0–6.5 beats/min). The level of patient familiarization, exercise intensity, and patient characteristics did not affect the level of association between RPE and HR. Conclusions: Independent of exercise setting, RPE appears to be equally effective in guiding exercise intensity of patients participating in cardiac rehabilitation.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Taylor, Professor Rod
• Authors: Tang, L. H., Zwisler, A.-D., Berg, S. K., Doherty, P., Taylor, R. S., and Langberg, H.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• Journal Name: American Journal of Physical Medicine and Rehabilitation
• Publisher: Lippincott, Williams and Wilkins
• ISSN: 0894-9115
• ISSN (Online): 1537-7385
• Published Online: 14 September 2016
• Copyright Holders: Copyright © 2016 Wolters Kluwer Health, Inc.
• First Published: First published in American Journal of Physical Medicine and Rehabilitation 96(6):381-387
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher