Lactat in der kardialen Rehabilitation

Heitkamp, Hans-Christian; Hipp, Arno

doi:10.1007/pl00002047

Cited by 12 publications

(3 citation statements)

References 33 publications

(50 reference statements)

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“…Measurement of BLC allows optimization of the effectiveness of rehabilitation programs, determining their structure and maximizing health benefits while minimizing the risk of adverse events [52]. Mean resting BLC in both groups was within the normal range (0.6-2.0 mmol/l) developed by the laboratory where analyses were carried out.…”

Section: Discussionmentioning

confidence: 88%

Two early rehabilitation training models in male patients after coronary artery bypass surgery: application of continuous walking training as an alternative to interval cycle ergometer training

Dolecińska

Przywarska

Podgórski³

et al. 2020

kitp

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Introduction: Walking training is a good alternative to the commonly used cycle ergometer training. It is still necessary to develop rehabilitation programs based on walking characterized by a high degree of safety and effectiveness. Aim: Application of continuous walking training as an alternative to interval cycle ergometer training in men after coronary artery bypass graft (CABG) surgery, using the 6-minute walk test (6-MWT) to determine the initial training load. Material and methods: Forty-four men aged 45 to 76 years, up to 3 months after CABG surgery, were randomly assigned to continuous training on a treadmill (study group) or interval training on a cycle ergometer (control group), performed 6 times per week (12-15 sessions). Participants underwent the treadmill exercise stress test (TEST) and 6-MWT at the begining and after completion of the rehabilitation program. Before and 3 minutes after the 6 th and 12 th training session blood lactate concentration was determined. Results: Energy expenditure in TEST increased from 4.4 to 6.3 MET in the study group and from 5.0 to 6.5 MET in the control group. Distance walked in 6-MWT increased from 420 to 519 m and from 438 to 510 m, respectively. Resting heart rate (HR) and double product (DP) decreased only in the study group as well as systolic blood pressure (SBP), HR and DP at peak exercise load in baseline TEST. Mean energy expenditure during training sessions was 2.6 MET in the study group and 2.8 MET in the control group (NS). Exercise blood lactate concentration did not exceed 2.0 mmol/l in both groups. Conclusions: Both rehabilitation programs were of similar effectiveness and their intensity did not exceed the anaerobic threshold.

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Section: Discussionmentioning

confidence: 88%

Two early rehabilitation training models in male patients after coronary artery bypass surgery: application of continuous walking training as an alternative to interval cycle ergometer training

Dolecińska

Przywarska

Podgórski³

et al. 2020

kitp

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“…The Borg RPE method consists of a vertical scale from 6-20 with corresponding verbal expressions of progressively increasing sensation intensity [3]. Current cardiac rehabilitation guidelines recommend a "low to moderate exercise intensity" for this population which corresponds with a Borg RPE of 10-13/20 [4,5].Based on the close correlations shown between the Borg RPE scale and heart rate and heart rate variability [6][7][8][9], VO 2 max [6,10], and lactate threshold [11,12], the Borg RPE scale has been readily adopted in clinical practice under the assumption that subsequent health adaptations will also correlate in a rehabilitation setting [13,14].In rural cardiac rehabilitation programs, the Borg RPE scale is also a more viable option as it does not require expensive equipment, lengthy testing procedures, and is unaffected by medications that commonly alter heart-rate responses to exercise [2,15]. However the Borg RPE scale needs to be reviewed for its ability to be used to assess an appropriate level of exercise, which promotes a positive physiological health outcome.…”

Section: Introductionmentioning

confidence: 99%

Assessment of a Cardiac Rehabilitation Program Based on the Borg RPE Scale by Six-minute Walk Test: A Pilot Study

Jelinek

Collins

Smith

et al. 2014

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“…The determination of lactate threshold (LT) is of critical interest to appropriately set training intensity for rehabilitation 1 or for athletes interested in enhancing endurance. 2 As an easy and inexpensive tool that can be used in daily routine, some authors have proposed using the ratings of perceived exertion (RPE) 6-20 Scale 3 or the Category Ratio 10 (CR-10) Scale 4 to obtain LT.…”

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confidence: 99%

A Novel Approach for Lactate Threshold Assessment Based on Rating of Perceived Exertion

Fabre

Mourot

Zerbini³

et al. 2013

International Journal of Sports Physiology and Performance

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This study tested the hypothesis that the DMAX (for maximal distance) method could be applied to ratings of perceived exertion (RPE), to propose a novel method for individual detection of the lactate threshold (LT) using RPE alone during an incremental test to exhaustion. Twenty-one participants performed an incremental test on a cycle ergometer. At the end of each stage, lactate concentration was measured and the participants estimated RPE using the Borg CR100 scale. The intensity corresponding to the fixed lactate values of 2 or 4 mmol · L−1(2mM and 4mM), the ventilatory threshold (VT), the respiratory-compensation point (RCP), and the instant of equality of pulmonary gas exchange (RER=1.00) were determined. Lactate (DMAX La) and RPE (DMAX RPE) thresholds were determined using the DMAX method. Oxygen uptake (VO2), heart rate, and power output measured at DMAX RPE and at DMAX La were not statistically different. Bland-Altman plots showed small bias and good agreements when DMAX RPE was compared with the DMAX La and RER=1.00 methods (bias = −0.05% and −2% of VO2max, respectively). Conversely, VO2 from the DMAX RPE method was lower than VO2 at 4 mM and at RCP and was higher than VO2 at 2 mM and at VT. VO2 at DMAX RPE was strongly correlated with VO2 at DMAX La (r = .97), at RER=1.00 (r = .97), at 2 mM (r = .85), at 4 mM (r = .93), at VT (r = .95), and at RCP (r = .95). The combination of the DMAX method with the RPE responses permitted precise and individualized estimates of LT using the DMAX method.

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Lactat in der kardialen Rehabilitation

Cited by 12 publications

References 33 publications

Two early rehabilitation training models in male patients after coronary artery bypass surgery: application of continuous walking training as an alternative to interval cycle ergometer training

Two early rehabilitation training models in male patients after coronary artery bypass surgery: application of continuous walking training as an alternative to interval cycle ergometer training

Assessment of a Cardiac Rehabilitation Program Based on the Borg RPE Scale by Six-minute Walk Test: A Pilot Study

A Novel Approach for Lactate Threshold Assessment Based on Rating of Perceived Exertion

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