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Segmented session perceived exertion and affective responses to self-paced treadmill exercise. SPORT SCIENCES FOR HEALTH 2022. [DOI: 10.1007/s11332-022-01022-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Higuchi Y, Saijo N, Ishihara T, Usui T, Murakami T, Miyata M, Ono K, Usui S, Togo H. New Wearable Heart Rate Monitor for Contact Sports and Its Potential to Change Training Load Management. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2019:4121-4124. [PMID: 31946777 DOI: 10.1109/embc.2019.8857595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Athletes in all sports face injury or illness if they train too much. Therefore, it is crucial for them to manage their training load. Monitoring the heart rate is one way to estimate training load. However, there are limitations to a monitor's measurement ability in contact sports like rugby. Another method to estimate training load in contact sports is the rating of perceived exertion of a player, which is based on a questionnaire. It however takes a long time to obtain answers to questionnaires in team sports. As a solution to this problem, we developed a wearable heart rate monitor for rugby players. The garment-type monitor with flank electrodes can measure the heart rate even in rugby training situations. We also propose a method to estimate the training load from the measured heart rate. The method can be used instead of a questionnaire administered to the players and can reduce the labor in the estimation of the training load.
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Associations between Thermal and Physiological Responses of Human Body during Exercise. Sports (Basel) 2017; 5:sports5040097. [PMID: 29910457 PMCID: PMC5969038 DOI: 10.3390/sports5040097] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Revised: 12/12/2017] [Accepted: 12/12/2017] [Indexed: 12/17/2022] Open
Abstract
In this study, thermal behaviours of the athletes were investigated with respect to thermal comfort and exercise intensity. The relationship between an index for analysing thermal comfort (Predicted Mean Vote: PMV) and Rating of Perceived Exertion (RPE) which shows exercise intensity and exhaustion level was evaluated. Eleven moderately trained male athletes (V˙O2max 54 ± 9.9 mL∙min−1∙kg−1) had volunteered for the study (age: 22.2 ± 3.7 years; body mass: 73.8 ± 6.9 kg; height: 181 ± 6.3 cm; Body surface area (BSA): 1.93 ± 0.1 m2; body fat: 12.6% ± 4.2%; V˙O2max: 54 ± 9.9 mL∙min−1∙kg−1). Experiments were carried out by using a cycle ergometer in an air-conditioned test chamber which provided fresh air and had the ability to control the temperature and relative humidity. The study cohort was divided into two groups according to maximal oxygen consumption levels of the participants. Statistical analyses were conducted with the whole study cohort as well as the two separated groups. There was a moderate correlation between PMV and RPE for whole cohort (r: −0.51). When the whole cohort divided as low and high aerobic power groups, an average correlation coefficient at high oxygen consumption cohort decreased to r: −0.21, while the average correlation coefficient at low oxygen consumption cohort increased to r: −0.77. In conclusion, PMV and RPE have a high correlation in less trained participants, but not in the more trained ones. The case may bring to mind that thermal distribution may be better in high aerobic power group in spite of high RPE and thus the relation between PMV and RPE is affected by exercise performance status.
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Astorino TA, Schubert MM, Palumbo E, Stirling D, McMillan DW, Gallant R, Dewoskin R. Perceptual Changes in Response to Two Regimens of Interval Training in Sedentary Women. J Strength Cond Res 2016; 30:1067-76. [PMID: 26340468 DOI: 10.1519/jsc.0000000000001175] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
This study examined acute and chronic changes in perceptual measures (rating of perceived exertion [RPE], affect, and arousal) in response to 2 regimens of high-intensity interval training (HIIT). Twenty-three healthy sedentary women (mean ± SD age and V[Combining Dot Above]O2max = 23.0 ± 5.7 years and 30.1 ± 4.4 ml·kg·min, respectively) were randomized to complete 12 weeks of one of 2 HIIT regimes, whereas an additional 7 women served as sedentary controls. Training was performed 3 days per week on a cycle ergometer and consisted of up to ten 1-minute bouts at moderate (60-80%Wmax = moderate intensity [MOD]) or more intense (80-90%Wmax = HI) workloads separated by active recovery. At baseline and every 3 weeks, RPE, affect, and arousal were measured during training using validated scales. Repeated measures analysis of variance was used to examine acute and chronic changes in these variables to HIIT. Data revealed significant (p < 0.001) increases in RPE and arousal and decreases (p < 0.001) in affect during acute HIIT, with RPE responses differing (p ≤ 0.05) between HI and MOD. However, acute changes in affect and arousal were similar in HI and MOD. Training led to a significant reduction in RPE, whereas both affect and arousal were unchanged (p > 0.05) after HIIT. Completion of moderate or more intense interval training reduces perceptions of RPE during training yet does not alter arousal or affect. RPE was reduced via training, yet large dependence on anaerobic metabolism during HIIT may minimize training-induced changes in affect.
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Affiliation(s)
- Todd A Astorino
- 1Department of Kinesiology, California State University-San Marcos, San Marcos, California; 2University of Kansas Medical Center, Lawrence, Kansas; 3Department of Kinesiology, California State University-Los Angeles, Los Angeles, California; and 4Stanford University Medical Center, Palo Alto, California
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Casa DJ, DeMartini JK, Bergeron MF, Csillan D, Eichner ER, Lopez RM, Ferrara MS, Miller KC, O'Connor F, Sawka MN, Yeargin SW. National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses. J Athl Train 2016; 50:986-1000. [PMID: 26381473 DOI: 10.4085/1062-6050-50.9.07] [Citation(s) in RCA: 360] [Impact Index Per Article: 40.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
OBJECTIVE To present best-practice recommendations for the prevention, recognition, and treatment of exertional heat illnesses (EHIs) and to describe the relevant physiology of thermoregulation. BACKGROUND Certified athletic trainers recognize and treat athletes with EHIs, often in high-risk environments. Although the proper recognition and successful treatment strategies are well documented, EHIs continue to plague athletes, and exertional heat stroke remains one of the leading causes of sudden death during sport. The recommendations presented in this document provide athletic trainers and allied health providers with an integrated scientific and clinically applicable approach to the prevention, recognition, treatment of, and return-to-activity guidelines for EHIs. These recommendations are given so that proper recognition and treatment can be accomplished in order to maximize the safety and performance of athletes. RECOMMENDATIONS Athletic trainers and other allied health care professionals should use these recommendations to establish onsite emergency action plans for their venues and athletes. The primary goal of athlete safety is addressed through the appropriate prevention strategies, proper recognition tactics, and effective treatment plans for EHIs. Athletic trainers and other allied health care professionals must be properly educated and prepared to respond in an expedient manner to alleviate symptoms and minimize the morbidity and mortality associated with these illnesses.
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Affiliation(s)
| | | | | | | | - E Randy Eichner
- University of Oklahoma Health Sciences Center, Oklahoma City
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Casa DJ, DeMartini JK, Bergeron MF, Csillan D, Eichner ER, Lopez RM, Ferrara MS, Miller KC, O'Connor F, Sawka MN, Yeargin SW. National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses. J Athl Train 2015. [PMID: 26381473 DOI: 10.4085/1062-6050-50-9-07] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To present best-practice recommendations for the prevention, recognition, and treatment of exertional heat illnesses (EHIs) and to describe the relevant physiology of thermoregulation. BACKGROUND Certified athletic trainers recognize and treat athletes with EHIs, often in high-risk environments. Although the proper recognition and successful treatment strategies are well documented, EHIs continue to plague athletes, and exertional heat stroke remains one of the leading causes of sudden death during sport. The recommendations presented in this document provide athletic trainers and allied health providers with an integrated scientific and clinically applicable approach to the prevention, recognition, treatment of, and return-to-activity guidelines for EHIs. These recommendations are given so that proper recognition and treatment can be accomplished in order to maximize the safety and performance of athletes. RECOMMENDATIONS Athletic trainers and other allied health care professionals should use these recommendations to establish onsite emergency action plans for their venues and athletes. The primary goal of athlete safety is addressed through the appropriate prevention strategies, proper recognition tactics, and effective treatment plans for EHIs. Athletic trainers and other allied health care professionals must be properly educated and prepared to respond in an expedient manner to alleviate symptoms and minimize the morbidity and mortality associated with these illnesses.
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Affiliation(s)
| | | | | | | | - E Randy Eichner
- University of Oklahoma Health Sciences Center, Oklahoma City
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KILPATRICK MARCUSW, MARTINEZ NIC, LITTLE JONATHANP, JUNG MARYE, JONES ANDREWM, PRICE NICKW, LENDE DANIELH. Impact of High-Intensity Interval Duration on Perceived Exertion. Med Sci Sports Exerc 2015; 47:1038-45. [DOI: 10.1249/mss.0000000000000495] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Kilpatrick MW, Greeley SJ, Ferron JM. A comparison of the impacts of continuous and interval cycle exercise on perceived exertion. Eur J Sport Sci 2015; 16:221-8. [DOI: 10.1080/17461391.2015.1017538] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Kraft JA, Green JM, Gast TM. Work Distribution Influences Session Ratings of Perceived Exertion Response During Resistance Exercise Matched for Total Volume. J Strength Cond Res 2014; 28:2042-6. [DOI: 10.1519/jsc.0000000000000342] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Kilpatrick MW, Greeley SJ. Exertional Responses to Sprint Interval Training: A Comparison of 30-sec. and 60-sec. Conditions. Psychol Rep 2014; 114:854-65. [DOI: 10.2466/06.15.pr0.114k27w8] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of this study was to assess the effect of sprint interval training on rating of perceived exertion. 20 healthy participants (11 men, 9 women; M age = 23 yr.) completed a maximal cycle ergometer test and two high-intensity interval training cycling sessions. Each session utilized the same work-to-rest ratio (1:1), work intensity (90% max), recovery intensity (10% work intensity), and session duration (16 min.). Trials differed on duration of the interval segment, with a 30-sec. trial and a 60-sec. trial. Sessions required the same amount of total work over the duration of the trial. Rating of perceived exertion assessed before, during, and after exercise were higher for the 60-sec. trial than the 30-sec. trial despite no difference in total work. High intensity interval training trials utilizing the same total external work but differing in interval length produced different ratings of perceived exertion. Perceived exertion is significantly higher for sessions of exercise that utilize longer work intervals. These findings suggest that shorter intervals may produce more favorable exertional responses that could positively affect future behavior.
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Affiliation(s)
| | - Samuel J. Greeley
- School of Physical Education and Exercise Science, University of South Florida
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Hornsby JH, Green JM, O'Neal EK, Killen LL, McIntosh JR, Coates TE. Influence of terminal RPE on session RPE. J Strength Cond Res 2014; 27:2800-5. [PMID: 23302757 DOI: 10.1519/jsc.0b013e3182830d6c] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Session rating of perceived exertion (RPE; SRPE), a convenient model for monitoring the overall perceived exertion of an exercise bout, is not well understood. The SRPE may be linked to final acute RPE before exercise cessation. This study investigated the potential link between terminal acute RPE (TRPE) and the SRPE using cycling trials of equated work. Fifteen subjects (age: 24.3 ± 5.1 years) completed a maximal exertion cycle trial followed by 2 (counterbalanced) 40-minute cycling trials at approximately 75% of individualized V[Combining Dot Above]O2max. By manipulating warm-up and cooldown, the trials were designed to result in a high TRPE (HITRPE) and low TRPE (LOTRPE). The heart rate (HR) and RPE were recorded every 5 minutes during exercise, with the SRPE recorded 20 minutes postexercise. The mean RPE (MeanRPE) during exercise (min 10-40 HITRPE and minutes 5-35 for LOTRPE) was calculated by averaging all RPE responses recorded during exercise at 75% V[Combining Dot Above]O2max. Two-way (trial × time) repeated measures analysis of variance and Bonferroni post hoc tests were used to compare the MeanRPE, SRPE, and TRPE. MeanRPE, HR, and power output (using paired t-test) for exercise at 75% V[Combining Dot Above]O2max did not differ (p > 0.05) between HITRPE and LOTRPE. The TRPE at minute 40 was significantly lower (p < 0.05) for LOTRPE (3.1 ± 2.6) vs. HITRPE (8.2 ± 1.7), no significant difference was found for SRPE (LOTRPE: 7.6 ± 2.0 vs. HITRPE 7.4 ± 1.7). The findings indicate that the SRPE was not linked to TRPE. Further research is warranted using various modalities to extend the understanding of potential mediating factors of SRPE.
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Affiliation(s)
- Jared H Hornsby
- Department of Health, Physical Education, and Recreation, University of North Alabama, Florence, Alabama
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Kraft JA, Green JM, Thompson KR. Session Ratings of Perceived Exertion Responses During Resistance Training Bouts Equated for Total Work but Differing in Work Rate. J Strength Cond Res 2014; 28:540-5. [DOI: 10.1519/jsc.0b013e31829b569c] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Overall and differentiated session ratings of perceived exertion at different time points following a circuit weight training workout. J Exerc Sci Fit 2013. [DOI: 10.1016/j.jesf.2013.03.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Haile L, Goss FL, Robertson RJ, Andreacci JL, Gallagher M, Nagle EF. Session perceived exertion and affective responses to self-selected and imposed cycle exercise of the same intensity in young men. Eur J Appl Physiol 2013; 113:1755-65. [DOI: 10.1007/s00421-013-2604-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Accepted: 02/01/2013] [Indexed: 11/25/2022]
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Killen LG, Green JM, O'Neal EK, McIntosh JR, Hornsby J, Coates TE. Effects of caffeine on session ratings of perceived exertion. Eur J Appl Physiol 2012; 113:721-7. [PMID: 22926324 DOI: 10.1007/s00421-012-2480-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2011] [Accepted: 08/11/2012] [Indexed: 10/27/2022]
Abstract
This study examined effects of caffeine on session ratings of perceived exertion (RPE) following 30 min constant-load cycling. Individuals (n = 15) of varying aerobic fitness completed a [Formula: see text] max trial and two 30 min cycling bouts (double-blind, counterbalanced) following ingestion of 6 mL/kg of caffeine or matched placebo. RPE overall, legs and breathing were estimated every 5 min and session RPE was estimated 30 min post-exercise using the OMNI pictorial scale. Session RPE for caffeine and placebo trails were compared using paired t test. Between-trial comparisons of HR, RPE overall, RPE legs and RPE breathing were analyzed using an independent 2 (trial) × 6 (time point) repeated measures analysis of variance (ANOVA) for each dependent variable. Caffeine resulted in a significantly lower session RPE (p < 0.05) for caffeine (6.1 ± 2.2) versus placebo (6.8 ± 2.1). Acute perceptual responses were significantly lower for caffeine for RPE overall (15, 20, 25, and 30 min), RPE breathing (15, 20, 25, and 30 min) and RPE legs (20 and 30 min). Survey responses post-exercise revealed greater feelings of nervousness, tremors, restlessness and stomach distress following caffeine versus placebo. Blunted acute RPE and survey responses suggest participants responded to caffeine ingestion. Caffeine decreased acute RPE during exercise which could partially account for lower session RPE responses. However, decreased session RPE could also reveal a latent analgesic affect of caffeine extending into recovery. Extending the understanding of session RPE could benefit coaches in avoiding overtraining when adjusting training programs.
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Affiliation(s)
- L G Killen
- Department of Health and Human Performance, Middle Tennessee State University, MTSU, Murphy Center, P O Box 96, Murfreesboro, TN 37132, USA.
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Haddad M, Chaouachi A, Wong DP, Castagna C, Hue O, Impellizzeri FM, Chamari K. Influence of exercise intensity and duration on perceived exertion in adolescent Taekwondo athletes. Eur J Sport Sci 2012; 14 Suppl 1:S275-81. [PMID: 24444218 DOI: 10.1080/17461391.2012.691115] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The aim of this study was to examine the influence of exercise intensity and session duration on rating of perceived exertion (RPE) in adolescent Taekwondo (TKD) athletes. Twelve male youth competitive TKD athletes, aged between 13 and 18 years took part in this study. Training data (368 individual sessions) were collected during the 12 weeks of the pre-competitive TKD season. Daily training load was calculated using the heart rate and the session-RPE. Exercise intensity was also classified in five zones [i.e. 50-60%, 61-70%, 71-80%, 81-90% and 91-100% of maximal heart rate (HRmax)] and the time spent in each zone was expressed as percentage of total session time. The analysis of variance showed a significant main effect for zone (p<0.001) with most of the time (69%) spent at intensities between 61 and 90% of HRmax, and only 10% spent above 91% (mean differences compared to the other zones ranging from -6.6% versus zone 1 to -14.8% versus zone 3; p<0.0001). The individual correlation between session-RPE and HR-based methods were moderate to large. The stepwise multiple regression showed that RPE was influenced mainly by the time spent in the high intensity zone that explained 22.1% of the variance in RPE. Session duration accounted for only an additional 3.2%. The results suggest the time spent at high-intensity (i.e. between 91 and 100% HRmax) and only marginally the session duration influences the RPE referred to the whole training session. This seems to confirm that the determination of the TL multiplying the RPE and session duration is acceptable.
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Affiliation(s)
- Monoem Haddad
- a Tunisian Research Laboratory 'Sports Performance Optimisation' , National Center of Medicine and Science in Sports (CNMSS) , Tunis , Tunisia
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Kilpatrick MW, Bortzfield AL, Giblin LM. Impact of aerobic exercise trials with varied intensity patterns on perceptions of effort: An evaluation of predicted, in-task, and session exertion. J Sports Sci 2012; 30:825-32. [DOI: 10.1080/02640414.2012.671954] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Fluid balance, thermal stress, and post exercise response in women’s Islamic athletic clothing. Eur J Appl Physiol 2011; 112:725-34. [DOI: 10.1007/s00421-011-2026-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2010] [Accepted: 05/23/2011] [Indexed: 11/26/2022]
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Green JM, Laurent CM, Bacon NT, ONeal EK, Davis JK, Bishop PA. Crossmodal Session Rating of Perceived Exertion Response at Low and Moderate Intensities. J Strength Cond Res 2011; 25:1598-604. [DOI: 10.1519/jsc.0b013e3181ddf6a2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Laurent CM, Green JM, Bishop PA, Sjökvist J, Schumacker RE, Richardson MT, Curtner-Smith M. A Practical Approach to Monitoring Recovery: Development of a Perceived Recovery Status Scale. J Strength Cond Res 2011; 25:620-8. [DOI: 10.1519/jsc.0b013e3181c69ec6] [Citation(s) in RCA: 158] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Milanez V, Spiguel Lima M, Gobatto C, Perandini L, Nakamura F, Ribeiro L. Correlates of session-rate of perceived exertion (RPE) in a karate training session. Sci Sports 2011. [DOI: 10.1016/j.scispo.2010.03.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Laurent CM, Green JM, Bishop PA, Sjokvist J, Richardson MT, Schumacker RE, Curtner-Smith M. Stability of RPE Increase During Repeated Intermittent Sprints. J Exerc Sci Fit 2010. [DOI: 10.1016/s1728-869x(10)60001-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Effect of exercise duration on session RPE at an individualized constant workload. Eur J Appl Physiol 2009; 107:501-7. [DOI: 10.1007/s00421-009-1153-z] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2009] [Indexed: 10/20/2022]
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KILPATRICK MARCUSW, ROBERTSON ROBERTJ, POWERS JEREMYM, MEARS JENNIFERL, FERRER NICHOLASF. Comparisons of RPE before, during, and after Self-Regulated Aerobic Exercise. Med Sci Sports Exerc 2009; 41:682-7. [DOI: 10.1249/mss.0b013e31818a0f09] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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