Focused Clinical Question Does precooling (PC) with whole-body cold water immersion (CWI) affect thermal sensation (TS) or rating of perceived exertion (RPE) during exercise in the heat? Summary of Search, “Best Evidence” Appraised, and Key Findings • We searched for studies that compared subjects
Timothy M. Wohlfert and Kevin C. Miller
Avish P. Sharma, Philo U. Saunders, Laura A. Garvican-Lewis, Brad Clark, Jamie Stanley, Eileen Y. Robertson and Kevin G. Thompson
To determine the effect of training at 2100-m natural altitude on running speed (RS) during training sessions over a range of intensities relevant to middle-distance running performance.
In an observational study, 19 elite middle-distance runners (mean ± SD age 25 ± 5 y, VO2max, 71 ± 5 mL · kg–1 · min–1) completed either 4–6 wk of sea-level training (CON, n = 7) or a 4- to 5-wk natural altitude-training camp living at 2100 m and training at 1400–2700 m (ALT, n = 12) after a period of sea-level training. Each training session was recorded on a GPS watch, and athletes also provided a score for session rating of perceived exertion (sRPE). Training sessions were grouped according to duration and intensity. RS (km/h) and sRPE from matched training sessions completed at sea level and 2100 m were compared within ALT, with sessions completed at sea level in CON describing normal variation.
In ALT, RS was reduced at altitude compared with sea level, with the greatest decrements observed during threshold- and VO2max-intensity sessions (5.8% and 3.6%, respectively). Velocity of low-intensity and race-pace sessions completed at a lower altitude (1400 m) and/or with additional recovery was maintained in ALT, though at a significantly greater sRPE (P = .04 and .05, respectively). There was no change in velocity or sRPE at any intensity in CON.
RS in elite middle-distance athletes is adversely affected at 2100-m natural altitude, with levels of impairment dependent on the intensity of training. Maintenance of RS at certain intensities while training at altitude can result in a higher perceived exertion.
Stephen Seiler and Øystein Sylta
The purpose of this study was to compare physiological responses and perceived exertion among well-trained cyclists (n = 63) performing 3 different high-intensity interval-training (HIIT) prescriptions differing in work-bout duration and accumulated duration but all prescribed with maximal session effort. Subjects (male, mean ± SD 38 ± 8 y, VO2peak 62 ± 6 mL · kg–1 · min–1) completed up to 24 HIIT sessions over 12 wk as part of a training-intervention study. Sessions were prescribed as 4 × 16, 4 × 8, or 4 × 4 min with 2-min recovery periods (8 sessions of each prescription, balanced over time). Power output, HR, and RPE were collected during and after each work bout. Session RPE was reported after each session. Blood lactate samples were collected throughout the 12 wk. Physiological and perceptual responses during >1400 training sessions were analyzed. HIIT sessions were performed at 95% ± 5%, 106% ± 5%, and 117% ± 6% of 40-min time-trial power during 4 × 16-, 4 × 8-, and 4 × 4-min sessions, respectively, with peak HR in each work bout averaging 89% ± 2%, 91% ± 2%, and 94% ± 2% HRpeak. Blood lactate concentrations were 4.7 ± 1.6, 9.2 ± 2.4, and 12.7 ± 2.7 mmol/L. Despite the common prescription of maximal session effort, RPE and sRPE increased with decreasing accumulated work duration (AWD), tracking relative HR. Only 8% of 4 × 16-min sessions reached RPE 19–20, vs 61% of 4 × 4-min sessions. The authors conclude that within the HIIT duration range, performing at “maximal session effort” over a reduced AWD is associated with higher perceived exertion both acutely and postexercise. This may have important implications for HIIT prescription choices.
Romain Meeusen and Lieselot Decroix
limited or only circumstantial evidence to suggest that exercise performance in humans can be altered by nutritional manipulation with BCAA supplements ( Meeusen, 2014 ). While there is some evidence of BCAA ingestion influencing ratings of perceived exertion (RPE) and mental performance, the results of
Katrina G. Ritter, Matthew J. Hussey and Tamara C. Valovich McLeod
Concussion Treadmill test, Balke protocol, or Borg rating of perceived exertion (RPE). Patients with a concussion are not able to achieve maximum exertion. Symptom exacerbation occurs at a submaximum level. 6 , 12 – 14 • Athletes responded to subsymptomatic threshold training faster than nonathletes. 13
Sean Williams, Grant Trewartha, Matthew J. Cross, Simon P.T. Kemp and Keith A. Stokes
Numerous derivative measures can be calculated from the simple session rating of perceived exertion (sRPE), a tool for monitoring training loads (eg, acute:chronic workload and cumulative loads). The challenge from a practitioner’s perspective is to decide which measures to calculate and monitor in athletes for injury-prevention purposes. The aim of the current study was to outline a systematic process of data reduction and variable selection for such training-load measures.
Training loads were collected from 173 professional rugby union players during the 2013–14 English Premiership season, using the sRPE method, with injuries reported via an established surveillance system. Ten derivative measures of sRPE training load were identified from existing literature and subjected to principal-component analysis. A representative measure from each component was selected by identifying the variable that explained the largest amount of variance in injury risk from univariate generalized linear mixed-effects models.
Three principal components were extracted, explaining 57%, 24%, and 9% of the variance. The training-load measures that were highly loaded on component 1 represented measures of the cumulative load placed on players, component 2 was associated with measures of changes in load, and component 3 represented a measure of acute load. Four-week cumulative load, acute:chronic workload, and daily training load were selected as the representative measures for each component.
The process outlined in the current study enables practitioners to monitor the most parsimonious set of variables while still retaining the variation and distinct aspects of “load” in the data.
Training quantification is basic to evaluate an endurance athlete’s responses to training loads, ensure adequate stress/recovery balance, and determine the relationship between training and performance. Quantifying both external and internal workload is important, because external workload does not measure the biological stress imposed by the exercise sessions. Generally used quantification methods include retrospective questionnaires, diaries, direct observation, and physiological monitoring, often based on the measurement of oxygen uptake, heart rate, and blood lactate concentration. Other methods in use in endurance sports include speed measurement and the measurement of power output, made possible by recent technological advances such as power meters in cycling and triathlon. Among subjective methods of quantification, rating of perceived exertion stands out because of its wide use. Concurrent assessments of the various quantification methods allow researchers and practitioners to evaluate stress/recovery balance, adjust individual training programs, and determine the relationships between external load, internal load, and athletes’ performance. This brief review summarizes the most relevant external- and internal-workload-quantification methods in endurance sports and provides practical examples of their implementation to adjust the training programs of elite athletes in accordance with their individualized stress/recovery balance.
David M. Shaw, Fabrice Merien, Andrea Braakhuis, Daniel Plews, Paul Laursen and Deborah K. Dulson
be maintained above 60 rpm. Ratings of perceived exertion (RPE; Borg 6–20 scale; Borg, 1982 ) and heart rate (HR) using short-range telemetry (Garmin Fenix 3; Garmin Ltd., Olathe, KS) were noted during the final 30 s of each stage. The expired gas was collected and analyzed continuously using a
Zachary R. Weber, Divya Srinivasan and Julie N. Côté
Muscular fatigue is a natural and daily occurring phenomenon, which is associated with many changes to an individual’s physiology. Muscular fatigue is described as a temporary decrease in the ability to produce maximal force, accompanied by an increased level of perceived exertion ( Enoka & Stuart
Michael Kellmann, Maurizio Bertollo, Laurent Bosquet, Michel Brink, Aaron J. Coutts, Rob Duffield, Daniel Erlacher, Shona L. Halson, Anne Hecksteden, Jahan Heidari, K. Wolfgang Kallus, Romain Meeusen, Iñigo Mujika, Claudio Robazza, Sabrina Skorski, Ranel Venter and Jürgen Beckmann
recovery. Commonly applied psychological measures of individual responses to acute and chronic training load encompass the rating of perceived exertion (RPE 16 ), the Profile of Mood States, 17 and the Recovery-Stress Questionnaire for Athletes. 18 RPE and its derivative, session RPE, 19 represent