Dyspnea Ratings for Prescribing Exercise Intensity in Patients With COPD

Horowitz, Mitchell; Littenberg, Benjamin; Mahler, Donald A.

doi:10.1378/chest.109.5.1169

Cited by 137 publications

(61 citation statements)

References 18 publications

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“…A nurse periodically visited each patient at home and provided information on the role of the PR program. The overall training intensity was set at a dyspnea rating scale of 3, which corresponds to approximately 50% of the maximum oxygen consumption (Horowitz et al 1996). Age, height, weight, body mass index (BMI), and blood gas data were evaluated at baseline.…”

Section: Methodsmentioning

confidence: 99%

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Kagaya

Takahashi

Sugawara

et al. 2009

Tohoku J. Exp. Med.

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Section: Methodsmentioning

confidence: 99%

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Kagaya

Takahashi

Sugawara

et al. 2009

Tohoku J. Exp. Med.

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“…We used a Borg dyspnea or fatigue score of 4 -6 as the target. 29 Oxygen was routinely offered to patients who had S pO 2 Ͻ 90% during exertion.…”

Section: Exercise Training Programsmentioning

confidence: 99%

Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

et al. 2011

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“…Physiotherapists increased patients' work rates or duration on a weekly basis, guided by a schedule and Borg-symptom scores. A Borg score of 4-6 for dyspnoea or fatigue was set as a target [13]. Close supervision was provided during training, with a ratio of one physiotherapist for every four patients.…”

Section: Training Programmementioning

confidence: 99%

Cardiopulmonary stress during exercise training in patients with COPD

Probst¹

2006

Eur Respir J

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Exercise training is an essential component of pulmonary rehabilitation. However, the cardiopulmonary stress imposed during different modalities of exercise training is not yet known.In the present study, the cardiopulmonary stress of a 12-week exercise training programme in 11 chronic obstructive pulmonary disease (COPD) patients (forced expiratory volume in one second 42¡12%pred, age 69¡6 yrs) was measured. Pulmonary gas exchange and cardiac frequency (fC) of three training sessions were measured with a portable metabolic system at the beginning, mid-term and end of the programme. Symptoms were assessed with Borg scores.The exercise intensity was compared with the recommendations for exercise training by the American College of Sports Medicine (ACSM). Training effects were significant (maximum change in work: 14¡11 Watts, 6-min walk test: 44¡36 m). Whole body exercises (cycling, walking and stair climbing) consistently resulted in higher cardiopulmonary stress (oxygen uptake (V9O 2 ), minute ventilation and fC) than arm cranking and resistance training. Dyspnoea was higher during cycling than resistance training. Patients exercised for .70% (.20 min) of the total exercise time at .40% of the V9O 2 reserve and fC reserve (''moderate'' intensity according to the ACSM) throughout the programme.The cardiopulmonary stress resistance training is lower than during whole-body exercise and results in fewer symptoms. In addition, exercise testing based on guidelines using a fixed percentage of baseline peak performance and symptom scores achieves and sustains training intensities recommended according to the American College of Sports Medicine.

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Dyspnea Ratings for Prescribing Exercise Intensity in Patients With COPD

Cited by 137 publications

References 18 publications

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

Cardiopulmonary stress during exercise training in patients with COPD

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