PMID- 20068422
OWN - NLM
STAT- MEDLINE
DCOM- 20100325
LR  - 20191210
IS  - 1932-751X (Electronic)
IS  - 1932-7501 (Linking)
VI  - 30
IP  - 1
DP  - 2010 Jan-Feb
TI  - Standardized peak exercise perception score: validation of a new index of effort 
      perception.
PG  - 40-6
LID - 10.1097/HCR.0b013e3181c85a26 [doi]
AB  - PURPOSE: Standardized peak exercise perception score (SPEPS) is an index 
      representing patient effort perception defined as SPEPS = Borg/METs, where Borg 
      is the Borg CR-10 at maximal exercise intensity and METs is maximal metabolic 
      equivalents. The purpose of the study was to assess the validity of SPEPS in 
      different patient groups and to examine its applicability for evaluation of 
      exercise training outcomes. METHODS: Patients (n = 17) with chronic heart failure 
      (CHF, New York Heart Association [NYHA] II and III functional class; ejection 
      fraction= 31 +/- 14%), 16 patients with chronic obstructive pulmonary disease 
      (COPD, forced expiratory volume in 1 second - FEV(1)%= 51 +/- 14%), and 16 age- 
      and body mass index-matched controls formed the primary study group. An 
      additional 22 ambulatory patients with stable CHF (NYHA II-III) were randomized 
      to training and nontraining groups to test the effect of 8 weeks' exercise 
      training on SPEPS. RESULTS: Patients showed reduced exercise capacity (V(O)(2), 
      mL*kg(-1)* min(-1)) = 18.8 +/- 3.8 (CHF) vs 21.1 +/- 5.1 (COPD) vs 29.9 +/- 5.2 
      (control), corresponding to SPEPS values: 1.15 +/- 0.36 (CHF) vs 0.82 +/- 0.26 
      (COPD) vs 0.55 +/- 0.22 (control); P < .001. The reduction in SPEPS was the 
      largest compared with the other tested parameters after training and correlated 
      strongly with change in Minnesota Living with Heart Failure Questionnaire (rho= 
      0.75, P < .001). CONCLUSION: SPEPS is a reliable new index for discriminating 
      perceived exertion at the end of exercise test in different groups of patients, 
      presenting both construct and concurrent validity. It is a potent parameter for 
      evaluation of the outcomes in training programs.
FAU - Terziyski, Kiril
AU  - Terziyski K
AD  - Department of Pathophysiology, Medical University of Plovdiv, Bulgaria.
FAU - Marinov, Blagoi
AU  - Marinov B
FAU - Hodgev, Vladimir
AU  - Hodgev V
FAU - Tokmakova, Maria
AU  - Tokmakova M
FAU - Kostianev, S
AU  - Kostianev S
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Validation Study
PL  - United States
TA  - J Cardiopulm Rehabil Prev
JT  - Journal of cardiopulmonary rehabilitation and prevention
JID - 101291247
SB  - IM
MH  - Aged
MH  - Chronic Disease
MH  - *Exercise Tolerance
MH  - Female
MH  - Heart Failure/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oxygen Consumption
MH  - *Physical Exertion
MH  - Pulmonary Disease, Chronic Obstructive/*physiopathology
MH  - Respiratory Function Tests
EDAT- 2010/01/14 06:00
MHDA- 2010/03/26 06:00
CRDT- 2010/01/14 06:00
PHST- 2010/01/14 06:00 [entrez]
PHST- 2010/01/14 06:00 [pubmed]
PHST- 2010/03/26 06:00 [medline]
AID - 01273116-201001000-00007 [pii]
AID - 10.1097/HCR.0b013e3181c85a26 [doi]
PST - ppublish
SO  - J Cardiopulm Rehabil Prev. 2010 Jan-Feb;30(1):40-6. doi: 
      10.1097/HCR.0b013e3181c85a26.