Document Detail

Standardized peak exercise perception score: validation of a new index of effort perception.
MedLine Citation:
PMID:  20068422     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Standardized peak exercise perception score (SPEPS) is an index representing patient effort perception defined as SPEPS = Borg/METs, where Borg is the Borg CR-10 at maximal exercise intensity and METs is maximal metabolic equivalents. The purpose of the study was to assess the validity of SPEPS in different patient groups and to examine its applicability for evaluation of exercise training outcomes. METHODS: Patients (n = 17) with chronic heart failure (CHF, New York Heart Association [NYHA] II and III functional class; ejection fraction= 31 +/- 14%), 16 patients with chronic obstructive pulmonary disease (COPD, forced expiratory volume in 1 second - FEV(1)%= 51 +/- 14%), and 16 age- and body mass index-matched controls formed the primary study group. An additional 22 ambulatory patients with stable CHF (NYHA II-III) were randomized to training and nontraining groups to test the effect of 8 weeks' exercise training on SPEPS. RESULTS: Patients showed reduced exercise capacity (V(O)(2), mL*kg(-1)* min(-1)) = 18.8 +/- 3.8 (CHF) vs 21.1 +/- 5.1 (COPD) vs 29.9 +/- 5.2 (control), corresponding to SPEPS values: 1.15 +/- 0.36 (CHF) vs 0.82 +/- 0.26 (COPD) vs 0.55 +/- 0.22 (control); P < .001. The reduction in SPEPS was the largest compared with the other tested parameters after training and correlated strongly with change in Minnesota Living with Heart Failure Questionnaire (rho= 0.75, P < .001). CONCLUSION: SPEPS is a reliable new index for discriminating perceived exertion at the end of exercise test in different groups of patients, presenting both construct and concurrent validity. It is a potent parameter for evaluation of the outcomes in training programs.
Kiril Terziyski; Blagoi Marinov; Vladimir Hodgev; Maria Tokmakova; S Kostianev
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Validation Studies    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  30     ISSN:  1932-751X     ISO Abbreviation:  J Cardiopulm Rehabil Prev     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-01-13     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-6     Citation Subset:  IM    
Department of Pathophysiology, Medical University of Plovdiv, Bulgaria.
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MeSH Terms
Chronic Disease
Exercise Tolerance*
Heart Failure / physiopathology*
Middle Aged
Oxygen Consumption
Physical Exertion*
Pulmonary Disease, Chronic Obstructive / physiopathology*
Respiratory Function Tests

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