ORIGINAL PAPER
Is rating of perceived exertion a valid method to monitor intensity during blood flow restriction exercise?
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1
Study and Research Group in Biomechanics and Psychophysiology of Exercise, Department of Physical Education and Sport, Federal Institute of Education, Science and Technology of Rio Grande do Norte, Currais Novos-RN, Brazil
2
Associate Graduate Program in Physical Education UPE/UFPB, Department of Physical Education, Federal University of Paraiba, João Pessoa-PB, Brazil
3
Center for Exercise and Health-Fitness Research, Department of Health and Physical Activity, University of Pittsburgh, Pittsburgh, USA
4
Exercise Physiology Laboratory, Department of Kinesiology, California State University, Fullerton, USA
5
Laboratory of Kinesiology and Biomechanics, Department of Physical Education, Integrated Colleges of Patos, Patos-PB, Brazil
Submission date: 2019-07-10
Acceptance date: 2020-04-01
Publication date: 2020-11-15
Hum Mov. 2021;22(2):68-77
KEYWORDS
TOPICS
ABSTRACT
Purpose:
To examine the concurrent validity of rating of perceived exertion (RPE) in resistance exercise with blood flow restriction (RE+BFR).
Methods:
Twelve trained men participated in an orientation session and 2 experimental sessions: RE+BFR and traditional resistance exercise (TRE). Arm curl and leg extension exercises were standardized by the total volume of 3 sets of 16 repetitions at 35% of 1RM for RE+BFR and 3 sets of 8 repetitions at 70% of 1RM for TRE. BFR was applied to proximal positions of both the upper and lower limbs using an elastic knee wrap with a width of 7.6 cm. The blood lactate concentration ([La]), RPE in the active muscles (RPE-AM), and in the overall body (RPE-O) were measured at rest and the end of each set using the OMNI-RES.
Results:
In RE+BFR, positive linear regression coefficients (p < 0.01) were found between [La] and RPE-AM (arm curl, r = 0.54; leg extension, r = 0.71) and between [La] and RPE-O (arm curl, r = 0.55; leg extension, r = 0.74). Similarly, in TRE, positive coefficients (p < 0.01) were observed between [La] and RPE-AM (arm curl: r = 0.63; leg extension: r = 0.63) and between [La] and RPE-O (arm curl: r = 0.60; leg extension: r = 0.59).
Conclusions:
The RPE scale was shown to be a valid method to monitor and regulate intensity during RE+BFR in the upper and lower limbs.
REFERENCES (48)
1.
Loenneke JP, Wilson GJ, Wilson JM. A mechanistic approach to blood flow occlusion. Int J Sports Med. 2010;31(1):1–4; doi: 10.1055/s-0029-1239499.
2.
Pope ZK, Willardson JM, Schoenfeld BJ. Exercise and blood flow restriction. J Strength Cond Res. 2013;27(10):2914–2926; doi: 10.1519/JSC.0b013e3182874721.
3.
Hollander DB, Reeves GV, Clavier JD, Francois MR, Thomas C, Kraemer RR. Partial occlusion during resistance exercise alters effort sense and pain. J Strength Cond Res. 2010;24(1):235–243; doi: 10.1519/JSC.0b013e3181c7badf.
4.
Loenneke JP, Balapur A, Thrower AD, Barnes JT, Pujol TJ. The perceptual responses to occluded exercise. Int J Sports Med. 2011;32(3):181–184; doi: 10.1055/s-0030-1268472.
5.
Loenneke JP, Kearney ML, Thrower AD, Collins S, Pujol TJ. The acute response of practical occlusion in the knee extensors. J Strength Cond Res. 2010;24(10):2831–2834; doi: 10.1519/JSC.0b013e3181f0ac3a.
6.
Loenneke JP, Pujol TJ. The use of occlusion training to produce muscle hypertrophy. Strength Cond J. 2009;31(3):77–84; doi: 10.1519/SSC.0b013e3181a5a352.
7.
Loenneke JP, Wilson JM, Marín PJ, Zourdos MC, Bemben MG. Low intensity blood flow restriction training: a meta-analysis. Eur J Appl Physiol. 2012;112(5):1849–1859; doi: 10.1007/s00421-011-2167-x.
8.
Yasuda T, Loenneke JP, Thiebaud RS, Abe T. Effects of blood flow restricted low-intensity concentric or eccentric training on muscle size and strength. PLoS One. 2012;7(12):e52843; doi: 10.1371/journal.pone.0052843.
9.
Yasuda T, Ogasawara R, Sakamaki M, Ozaki H, Sato Y, Abe T. Combined effects of low-intensity blood flow restriction training and high-intensity resistance training on muscle strength and size. Eur J Appl Physiol. 2011;111(10):2525–2533; doi: 10.1007/s00421-011-1873-8.
10.
Ewing Garber C, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in.
11.
apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334–1359; doi: 10.1249/MSS.0b013e318213fefb.
12.
Aniceto RR, Ritti-Dias RM, Dos Prazeres TM, Farah BQ, de Lima FFM, do Prado WL. Rating of perceived exertion during circuit weight training: a concurrent validation study. J Strength Cond Res. 2015;29(12):3336–3342; doi: 10.1519/jsc.0000000000000998.
13.
Robertson RJ, Goss FL, Rutkowski J, Lenz B, Dixon C, Timmer J, et al. Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Med Sci Sports Exerc. 2003;35(2):333–341; doi: 10.1249/01.mss.0000048831.15016.2a.
14.
Suminski RR, Robertson RJ, Arslanian S, Kang J, Utter AC, DaSilva SG, et al. Perception of effort during resistance exercise. J Strength Cond Res. 1997;11(4):261–265.
15.
Lagally KM, Robertson RJ. Construct validity of the OMNI resistance exercise scale. J Strength Cond Res.2006;20(2):252–256; doi: 10.1519/r-17224.1.
16.
Lagally KM, Robertson RJ, Gallagher KI, Goss FL, Jakicic JM, Lephart SM, et al. Perceived exertion, electromyography, and blood lactate during acute bouts of resistance exercise. Med Sci Sports Exerc. 2002;34(3):552–559; doi: 10.1097/00005768-200203000-00025.
17.
Gearhart Jr RF, Goss FL, Lagally KM, Jakicic JM, Gallagher J, Gallagher KI, et al. Ratings of perceived exertion in active muscle during high-intensity and low-intensity resistance exercise. J Strength Cond Res. 2002;16(1):87–91; doi: 10.1519/00124278-200202000-00013.
18.
Eston R, Evans HJL. The validity of submaximal ratings of perceived exertion to predict one repetition maximum. J Sports Sci Med. 2009;8(4):567–573.
19.
Robertson RJ, Goss FL, Aaron DJ, Nagle EF, Gallagher M Jr., Kane IR, et al. Concurrent muscle hurt and perceived exertion of children during resistance exercise. Med Sci Sports Exerc. 2009;41(5):1146–1154; doi: 10.1249/MSS.0b013e3181930321.
20.
Loenneke JP, Balapur A, Thrower AD, Barnes J, Pujol TJ. Blood flow restriction reduces time to muscular failure. Eur J Sport Sci. 2012;12(3):238–243; doi: 10.1080/17461391.2010.551420.
21.
Pinto RR, Karabulut M, Poton R, Polito MD. Acute resistance exercise with blood flow restriction in elderly hypertensive women: haemodynamic, rating of perceived exertion and blood lactate. Clin Physiol Funct Imaging. 2018;38(1):17–24; doi: 10.1111/cpf.12376.
22.
Wernbom M, Järrebring R, Andreasson MA, Augustsson J. Acute effects of blood flow restriction on muscle activity and endurance during fatiguing dynamic knee extensions at low load. J Strength Cond Res. 2009;23(8):2389–2395; doi: 10.1519/JSC.0b013e3181bc1c2a.
23.
Yasuda T, Abe T, Brechue WF, Iida H, Takano H, Meguro K, et al. Venous blood gas and metabolite response to low-intensity muscle contractions with external limb compression. Metabolism. 2010;59(10):1510–1519; doi: 10.1016/j.metabol.2010.01.016.
24.
Yasuda T, Fukumura K, Iida H, Nakajima T. Effect of low-load resistance exercise with and without blood flow restriction to volitional fatigue on muscle swelling. Eur J Appl Physiol. 2015;115(5):919–926; doi: 10.1007/s00421-014-3073-9.
25.
Beck TW. The importance of a priori sample size estimation in strength and conditioning research. J Strength Cond Res. 2013;27(8):2323–2337; doi: 10.1519/JSC.0b013e318278eea0.
26.
Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149–1160; doi: 10.3758/brm.41.4.1149.
27.
Aniceto RR, Ritti-Dias RM, Scott CB, Matrins de Lima FF, dos Prazeres TMP, do Prado WL. Acute effects of different weight training methods on Energy expenditure in trained men. Rev Bras Med Esporte. 2013;19(3):181–185.
28.
Jackson AS, Pollock ML. Generalized equations for predicting body density of men. Br J Nutr. 1978;40(3):497–504; doi: 10.1079/bjn19780152.
29.
Kraemer WJ, Ratamess NA, Fry AC, French DN. Strength testing: development and evaluation of methodology. In: Maud PJ, Foster C (eds.), Physiological assessment of human fitness. Champaign: Human Kinetics; 2006; 119–150.
30.
Gearhart RE, Goss FL, Lagally KM, Jakicic JM, Gallagher J, Robertson RJ. Standardized scaling procedures for rating perceived exertion during resistance exercise. J Strength Cond Res. 2001;15(3):320–325; doi: 10.1519/1533-4287(2001)015<0320:SSPFRP>2.0.CO;2.
31.
Lagally KM, Costigan EM. Anchoring procedures in reliability of ratings of perceived exertion during resistance exercise. Percept Mot Skills. 2004;98(3 Pt 2):1285–1295; doi: 10.2466/pms.98.3c.1285-1295.
32.
Jessee MB, Buckner SL, Dankel SJ, Counts BR, Abe T, Loenneke JP. The influence of cuff width, sex, and race on arterial occlusion: implications for blood flow restriction research. Sports Med. 2016;46(6):913–921; doi: 10.1007/s40279-016-0473-5.
33.
Loenneke JP, Allen KM, Mouser JG, Thiebaud RS, Kim D, Abe T, et al. Blood flow restriction in the upper and lower limbs is predicted by limb circumference and systolic blood pressure. Eur J Appl Physiol. 2015;115(2):397–405; doi: 10.1007/s00421-014-3030-7.
34.
Loenneke JP, Fahs CA, Rossow LM, Sherk VD, Thiebaud RS, Abe T, et al. Effects of cuff width on arterial occlusion: implications for blood flow restricted exercise. Eur J Appl Physiol. 2012;112(8):2903–2912; doi: 10.1007/s00421-011-2266-8.
35.
Wilson JM, Lowery RP, Joy JM, Loenneke JP, Naimo MA. Practical blood flow restriction training increases acute determinants of hypertrophy without increasing indices of muscle damage. J Strength Cond Res. 2013;27(11):3068–3075; doi: 10.1519/JSC.0b013e31828a1ffa.
36.
Cohen J. A power primer. Psychol Bull. 1992;112(1):155–159; doi: 10.1037//0033-2909.112.1.155.
37.
Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41(1):3–13; doi: 10.1249/MSS.0b013e31818cb278.
38.
Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med. 1970;2(2):92–98; doi: 10.2340/1650197719702239298.
39.
Kraemer WJ, Noble BJ, Clark MJ, Culver BW. Physiologic responses to heavy-resistance exercise with very short rest periods. Int J Sports Med. 1987;8(4):247–252; doi: 10.1055/s-2008-1025663.
40.
Bellezza PA, Hall EE, Miller PC, Bixby WR. The influence of exercise order on blood lactate, perceptual, and affective responses. J Strength Cond Res. 2009;23(1):203–208; doi: 10.1519/jsc.0b013e3181889156.
41.
Denegar CR, Ball DW. Assessing reliability and precision of measurement: an introduction to intraclass correlation and standard error of measurement. J Sport Rehabil. 1993;2(1):35–42; doi: 10.1123/jsr.2.1.35.
42.
Lamb KL. Children’s ratings of effort during cycle ergometry: an examination of the validity of two effort rating scales. Pediatr Exerc Sci. 1995;7(4):407–421; doi: 10.1123/pes.7.4.407.
43.
Takada S, Okita K, Suga T, Omokawa M, Kadoguchi T, Sato T, et al. Low-intensity exercise can increase muscle mass and strength proportionally to enhanced metabolic stress under ischemic conditions. J Appl Physiol. 2012;113(2):199–205; doi: 10.1152/japplphysiol.00149.2012.
44.
Mihevic PM. Sensory cues for perceived exertion: a review. Med Sci Sports Exerc. 1981;13(3):150–163.
45.
Harris RC, Edwards RH, Hultman E, Nordesjö LO, Nylind B, Sahlin K. The time course of phosphorylcreatine resynthesis during recovery of the quadriceps muscle in man. Pflugers Arch. 1976;367(2):137–142; doi: 10.1007/BF00585149.
46.
Loenneke JP, Thrower AD, Balapur A, Barnes JT, Pujol TJ. Blood flow-restricted walking does not result in an accumulation of metabolites. Clin Physiol Funct Imaging. 2012;32(1):80–82; doi: 10.1111/j.1475-097X.2011.01059.x.
47.
Loenneke JP, Wilson JM, Balapur A, Thrower AD, Barnes JT, Pujol TJ. Time under tension decreased with blood flow-restricted exercise. Clin Physiol Funct Imaging. 2012;32(4):268–273; doi: 10.1111/j.1475-097X.2012.01121.x.
48.
Loenneke JP, Young KC, Wilson JM, Andersen JC. Rehabilitation of an osteochondral fracture using blood flow restricted exercise: a case review. J Bodyw Mov Ther. 2013;17(1):42–45; doi: 10.1016/j.jbmt.2012.04.006.