Basecamp: Rating of Perceived Exertion (RPE)

Revised RPE Scale

0= nothing 0.5= very, very weak 1=very weak 2=weak 3=moderate 4=somewhat strong 5=strong 7=very strong 10=very, very strong

When using Borg's (20-point) Rating of Perceived Exertion Scale, what value would most often correlate with the intensity of the warm-up portion of an exercise program? 7 10 13 16

10 A rating of perceived exertion (RPE) scale is used to quantify a patient's overall sense of effort during activity. The warm-up and cool-down portions of the exercise program should occur at an RPE value of 9-11 using Borg's (20-point) Rating of Perceived Exertion Scale.

What RPE corresponds to the upper limit of the first phase in Cardiac Rehabilitation?

11-13

When using Borg's (20-point) Rating of Perceived Exertion Scale, which of the following values would be given to a patient who stated that the exercise was "somewhat hard"? 10 13 16 19

13 The Rating of Perceived Exertion (RPE) Scale is used to quantify the patient's overall sense of effort during activity. A subjective rating of "somewhat hard" is correlated with an RPE value of 13 on Borg's (20-point) Rating of Perceived Exertion Scale.

A patient reporting that the exercise is "very hard" would best correspond to which number on the 6-20 rate of perceived exertion scale? 11 13 17 19

17

The Borg's Rating of Perceived Exertion Scale rates a patient's perceived level of exertion subjectively according to which numbering system? 1-5 6-20 1-100 10-100

6-20 The Borg's Rating of Perceived Exertion (RPE) Scale consists of numbers ranging from 6-20 with which patients subjectively rate how hard they are working. Typically patients are asked to maintain exercise from very light (9) to somewhat hard (13). Borg created another scale, which rates RPE on a scale from 0-10.

RPE of 13-14 represents about _____% of max Heart Rate during exercise on a treadmill or cycle ergometer.

70%

Original RPE Scale

7= very, very light 9= very light 11=fairly light 13=somewhat hard 15=hard 17=very hard 19=very, very hard

According to Borg's (20-point) Rating of Perceived Exertion Scale, what level would be given to a patient that states the activity is very, very light? 8 11 13 17

8 Borg's Rating of Perceived Exertion Scale (RPE) may be used as an alternative means to monitor the intensity of exercise once the patient becomes familiar with the feeling of exertion associated with exercise at the appropriate target level. The 20-point RPE scale ranges from a minimum value of 6 to a maximum value of 20. A rating of 7 = very, very light; 11 = fairly light; 13 = somewhat hard; 17 = very hard. Next

A rating of perceived exertion value of 16 using Borg's (20-point) Rating of Perceived Exertion Scale correlates with which of the following maximum heart rate percentages? 25% 40% 60% 85%

85% A rating of perceived exertion (RPE) scale is used to quantify a patient's overall sense of effort during activity. An RPE value of 16 using Borg's (20-point) Rating of Perceived Exertion Scale correlates to roughly 85% of a patient's maximum heart rate.

A patient reporting that the exercise is "very light" would best correspond to which number on the 6-20 rate of perceived exertion scale? 9 14 17 20

9

What is the traditional measure assessed to quantify intensity of exercise?

Heart Rate

What is an anatomical indication to utilize the RPE scale?

Pacemaker

What type of deficit warrants the use of a RPE scale?

Sesnory

(T/F) In certain circumstances rate of perceived exertion can be substituted for HR

True

Which of the following patients would most likely need to use a rating of perceived exertion scale when self-monitoring exercise intensity? a patient taking diuretics a patient with neuropathy in the hands a patient with coronary artery disease a patient with bradycardia

a patient with neuropathy in the hands A patient with neuropathy in the hands would likely have sensory loss and therefore would have difficulty palpating a pulse to self-monitor exercise intensity. Other scenarios that would require use of a rating of perceived exertion scale include patients who have an altered heart rate response (e.g., after cardiac transplant, taking beta blockers) or patients who are starting an exercise program without a preliminary exercise test.

A rating of 19 using Borg's (20-point) Rating of Perceived Exertion Scale would correlate with which of the following subjective ratings? very light somewhat hard hard extremely hard

extremely hard A rating of perceived exertion (RPE) scale is used to quantify a patient's overall sense of effort during activity. The highest RPE value on Borg's (20-point) Rating of Perceived Exertion Scale is 20, therefore a rating of 19 would correlate with a subjective rating of "extremely hard."

The rating of perceived exertion scale is considered to be an acceptable method for determining exercise intensity because it correlates well with: heart rate respiratory rate systolic blood pressure diastolic blood pressure

heart rate A rating of perceived exertion scale is used to quantify a patient's overall sense of effort during activity. A strong correlation exists between rating of perceived exertion and heart rate.

What are the two widely used RPE scales?

original 6-20 scale and the revised 0-10 scale

What can influence the RPE ratings?

physiological state, environmental conditions, mode of exercise, and age

Which of the following assessment procedures require subjective information rather than objective data? breath sounds capillary refill rating of perceived exertion superficial reflexes

rating of perceived exertion Rating of perceived exertion is a subjective measure of exercise intensity that patients can use when heart rate response does not accurately reflect the intensity of exercise or is impractical to measure. Rating of perceived exertion corresponds with heart rate and as a result, patients can learn to exercise at a desired level of intensity based on their subjective feelings of exertion.

What method would be the most appropriate to determine a patient's response to exercise assuming that they recently began taking beta blockers? respiration rate blood pressure heart rate rating of perceived exertion

rating of perceived exertion Rating of perceived exertion is a useful guide for rating exercise intensity, especially when heart rate cannot be used to regulate intensity (e.g., after heart transplant, patients taking beta blockers, individuals who cannot feel their pulse).

What are the RPE scales referred to as?

the Borg Scale

What is the RPE scale used to quantify?

the subjects overall sense of effort during activity in order to provide the clinician with an idea of the amount of strain or level of exertion the patient is experiencing.

When can RPE substitute for HR in prescribing the intensity of exercise?

when the ability to monitor HR is compromised such as in sensory deficit patients When the patient begins an exercise based rehab program without a preliminary exercise test When the HR response to exercise is altered such as in cardiac transplant When the physical activities other than cardiorespiratory endurance activity are assessed. Clinical Status or medical therapy changes