In article <l03130300b2f72af481be@[205.165.55.23]>, dated Mon, 22 Feb 1999
at 09:44:59, Nancy G. Volk <[log in to unmask]> writes
>Has anyone on the list used the Borg Perceived Exhertion Scale. I checked
>the internet Borg has authored a book on this subject. Could someone just
>enlighten me about the general contents of this scale? It was brought up
>in regards to a post polio patient. You may email me personally an
>[log in to unmask] Nancy Volk
>
>
[Posted to the list as the information may be of interest to others]
"The Borg Rating of Perceived Exertion (RPE) [29] is a useful measure which
can be used to judge effort (Fig. 1). This 15 point scale with verbal
anchors progressing from 6 at the lowest level, or light; to 20 at the
highest, or very, very, hard level was originally developed for cardiac
patients. It is an indicator of physical strain integrating peripheral
muscle, joint, and cardiorespiratory signals that correlates well with heart
rate (r=0.90), blood pressure [30], and blood lactate levels (r=0.83) [31].
The RPE is routinely used as a limit of exercise capacity in other
conditions [32], and has been used more recently in PPS [18,33]. PPS
individuals, after one training session, reliably (r=0.83) used the RPE in
an exercise test to monitor their effort and finish the test [33]. This
ability to use and understand the safe levels of exertion improves with
intensity of activities and practise. Because the level of exertion can be
reliably identified with the RPE in a PPS population, it can be used as the
point at which to end any daily activity or exercise regime. Through the use
of a daily/weekly diary with the RPE to identify levels of fatigue, patients
can select their own appropriate level and pace their everyday activities.
An RPE level 14, with the anchor word 'hard,' is the top level of exertion
recommended. RPE levels with anchor words are more reproducible [34] and
level 14 has been used in other exercise limiting cases [18,33]. Clear and
early identification of fatigue, either at a local muscular level from
exercise, or at a global body fatigue level from daily activities, by using
RPE level 14 allows PPS patients to develop training strategies to prevent
or reduce injury and overuse syndromes."
>From "Management of post-polio syndrome"
Daria A. Trojan, Lois Finch
NeuroRehabilitation 8 (1997) 93-105
http://www.zynet.co.uk/ott/polio/lincolnshire/library/trojan/management.html
Chris
--
Chris Salter (Vice Chairman) Lincolnshire Post-Polio Network
Registered Charity No. 1064177
<URL:http://www.zynet.co.uk/ott/polio/lincolnshire/>
Web Site & Vice Chairman Email: [log in to unmask]
Honorary Secretary Email: [log in to unmask]
Member of the British Healthcare Internet Association
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|