The Borg CR-10 scale is suitable to quantify aerobic exercise intensity in women with fibromyalgia syndrome
DOI:
https://doi.org/10.1590/1809-2950/16558824032017Keywords:
Pain, Physical Fitness, Physical Exertion, FibromyalgiaAbstract
Patients with Fibromyalgia syndrome (FMS) report higher ratings of perceived exertion (RPE) compared to healthy individuals for the same exercise intensity; however, to our knowledge, no studies have evaluated RPE at the ventilatory anaerobic threshold (VAT) for this population. This study aimed to assess RPE using the Borg CR-10 scale during a cardiopulmonary exercise test (CPET) in women with FMS. Twenty-four women with FMS and twenty healthy control subjects (HC) voluntarily participated in this study. Near the end of every 1-minute period during CPET, subjects were asked to report their RPE for fatigue in the lower limbs (RPE-L) and dyspnea (RPE-D), respectively, according to the Borg CR-10 scale. FMS subjects showed higher RPE-L and RPE-D compared to HC subjects at free wheel and at the first load increment. However, no significant difference was observed between groups for power output. There was no significant difference between groups for RPE-L and RPE-D reported at VAT and peak CPET. However, FMS subjects showed lower power output compared to HC subjects. The present results showed that FMS subjects present higher RPE compared to HC subjects. However, RPE reported at VAT and at peak CPET was not different between groups. The Borg CR-10 scale scores obtained at VAT can be used as an additional parameter for prescribing exercise intensity in aerobic training protocols for women with FMS.Downloads
References
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C,
Goldenberg DL, et al. The american college of rheumatology
criteria for the classification of fibromyalgia. Arthritis
Rheum. 1990;33(2):160-72. doi: 10.1002/art.1780330203.
Homann D, Stefanello JMF, Góes SM, Leite N. Redução
da capacidade funcional e exacerbação da dor durante o
esforço do teste de caminhada de 6 minutos em mulheres
com fibromialgia. Rev Bras Fisioter. 2011;15(6):474-80.
doi: 10.1590/S1413-35552011000600008.
Furlan R, Colombo S, Perego F, Atzeni F, Diana A, Barbic
F, et al. Abnormalities of cardiovascular neural control and
reduced orthostatic tolerance in patients with primary
fibromyalgia. J Rheumatol. 2005;32(9):1787-93.
Abeles AM, Pillinger MH, Solitar BM, Abeles
M. Narrative review: the pathophysiology of
fibromyalgia. Ann Intern Med. 2007;146(10):726-34.
doi: 10.7326/0003-4819-146-10-200705150-00006.
Valim V, Oliveira LM, Suda AL, Silva LE, Faro M, Neto TL, et al.
Peak oxygen uptake and ventilatory anaerobic threshold in
fibromyalgia. J Rheumatol. 2002;29(2):353-7.
Zamunér AR, Andrade CP, Forti M, Marchi A, Milan J, Avila
MA, et al. Effects of a hydrotherapy programme on symbolic
and complexity dynamics of heart rate variability and aerobic
capacity in fibromyalgia patients. Clin Exp Rheumatol.
;33(1 Suppl 88):S73-81.
Soriano-Maldonado A, Ortega FB, Munguía-Izquierdo D.
Association of cardiorespiratory fitness with pressure pain
sensitivity and clinical pain in women with fibromyalgia.
Rheumatol Int. 2015;35(5):899-904. doi: 10.1007/
s00296-014-3203-z.
Hofmann P, Tschakert G. Special needs to prescribe
exercise intensity for scientific studies. Cardiol Res Pract.
;2011:209302. doi: 10.4061/2011/209302.
Purvis JW, Cureton KJ. Ratings of perceived exertion at
the anaerobic threshold. Ergonomics. 1981;24(4):295-300.
doi: 10.1080/00140138108924852.
Zamunér AR, Moreno MA, Camargo TM, Graetz JP, Rebelo
ACS, Tamburús NY, et al. Assessment of subjective perceived
exertion at the anaerobic threshold with the Borg CR-10
Scale. J Sports Sci Med. 2011;10(1):130-6.
Forti M, Zamunér AR, Kunz VC, Salviati MR, Nery TAG, Silva
E. Percepção subjetiva do esforço no limiar anaeróbio em
pacientes com doença arterial coronariana. Fisioter Pesqui.
;21(2):113-9. doi: 10.1590/1809-2950/37321022014.
Borg G. An introduction to Borg’s RPE scale. Ithaca:
Movement Publications; 1985.
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth
ML, Ainsworth BE, et al. International physical activity
questionnaire: 12-country reliability and validity. Med
Sci Sports Exerc. 2003;35(8):1381-95. doi: 10.1249/01.
MSS.0000078924.61453.FB.
Wasserman K, Hansen JE, Sue DY, Casaburi R, Whipp BJ.
Principles of exercise testing and interpretation: including
pathophysiology and clinical applications. 3. ed. Philadelphia:
Lippincott Williams and Wilkins; 1999.
Zamunér AR, Catai AM, Martins LEB, Sakabe DI, Silva
E. Identification and agreement of first turn point by
mathematical analysis applied to heart rate, carbon
dioxide output and electromyography. Braz J Phys Ther.
;17(6):614-22. doi: 10.1590/S1413-35552012005000129.
Borg, G. Borg’s perceived exertion and pain scales.
Champaign: Human Kinetics; 1998.
Nielens H, Boisset V, Masquelier E. Fitness and perceived
exertion in patients with fibromyalgia syndrome. Clin J Pain.
;16(3):209-13.
Pierrynowski MR, Tiidus PM, Galea V. Women with fibromyalgia
walk with an altered muscle synergy. Gait Posture.
;22(3):210-8. doi: 10.1016/j.gaitpost.2004.09.007.
Tamburús NY, Kunz VC, Salviati MR, Castello Simões V, Catai
AM, Silva E. Interval training based on ventilatory anaerobic
threshold improves aerobic functional capacity and metabolic
profile: a randomized controlled trial in coronary artery disease
patients. Eur J Phys Rehabil Med. 2016;52(1):1-11.
Borg, G. Psychophysical bases of perceived exertion. Med Sci
Sports Exerc. 1982;14(5):377-81.
Robertson RJ, Falkel JE, Drash AM, Swank AM, Metz KF,
Spungen SA, et al. Effects of blood pH on peripheral and
central signals of perceived exertion. Med Sci Sports Exerc.
;18(1):114-22.
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