Exercise Prescription Using a Group‐Normalized Rating of Perceived Exertion in Adolescents and Adults With Spina Bifida

People with spina bifida (SB) face personal and environmental barriers to exercise that contribute to physical inactivity, obesity, risk of cardiovascular disease, and poor aerobic fitness. The WHEEL rating of perceived exertion (RPE) Scale was validated in people with SB to monitor exercise intensity. However, the psycho‐physiological link between RPE and ventilatory breakpoint (Vpt), the group‐normalized perceptual response, has not been determined and would provide a starting point for aerobic exercise in this cohort.

[1]  R. Robertson,et al.  OMNI scale perceived exertion at ventilatory breakpoint in children: response normalized. , 2001, Medicine and science in sports and exercise.

[2]  Amy Rauworth,et al.  Physical activity participation among persons with disabilities: barriers and facilitators. , 2004, American journal of preventive medicine.

[3]  Michael J. Eckrich,et al.  Obesity across the lifespan among persons with spina bifida , 2009, Disability and rehabilitation.

[4]  P. Appelbaum,et al.  The MacCAT-T: a clinical tool to assess patients' capacities to make treatment decisions. , 1997, Psychiatric services.

[5]  Miriam Vollenbroek-Hutten,et al.  The Physical Activity Scale for Individuals with Physical Disabilities: test-retest reliability and comparison with an accelerometer. , 2007, Journal of physical activity & health.

[6]  E. McAuley,et al.  The physical activity scale for individuals with physical disabilities: development and evaluation. , 2002, Archives of physical medicine and rehabilitation.

[7]  Henk J Stam,et al.  Perceived barriers to and facilitators of physical activity in young adults with childhood-onset physical disabilities. , 2009, Journal of rehabilitation medicine.

[8]  B. Dicianno,et al.  Spina Bifida and Mobility in the Transition Years , 2009, American journal of physical medicine & rehabilitation.

[9]  B. Dicianno,et al.  Physical Activity, Exercise, and Health‐related Measures of Fitness in Adults With Spina Bifida: A Review of the Literature , 2013, PM & R : the journal of injury, function, and rehabilitation.

[10]  Peter W. Jones,et al.  Clinical and Radiographic Predictors of Scoliosis in Patients with Myelomeningocele , 2002, The Journal of bone and joint surgery. American volume.

[11]  C. Lavie,et al.  Understanding the basics of cardiopulmonary exercise testing. , 2006, Mayo Clinic proceedings.

[12]  C. Hsia Cardiopulmonary limitations to exercise in restrictive lung disease. , 1999, Medicine and science in sports and exercise.

[13]  R. Robertson,et al.  Response Normalized Omni Rating of Perceived Exertion at the Ventilatory Breakpoint in Division i Football Players , 2011, Perceptual and motor skills.

[14]  E. Barrett,et al.  Comparison of Borg- and OMNI-RPE as markers of the blood lactate response to exercise. , 2006, Medicine and science in sports and exercise.

[15]  Daniel J. Mundfrom,et al.  Sample Sizes When Using Multiple Linear Regression for Prediction , 2008 .

[16]  J. Truwit Pulmonary disorders and exercise. , 2003, Clinics in sports medicine.

[17]  H. Stam,et al.  Health-related physical fitness of adolescents and young adults with myelomeningocele , 2008, European Journal of Applied Physiology.

[18]  O. Mayer Scoliosis and the impact in neuromuscular disease. , 2015, Paediatric respiratory reviews.

[19]  Ewout W Steyerberg,et al.  The number of subjects per variable required in linear regression analyses. , 2015, Journal of clinical epidemiology.

[20]  R. Abresch,et al.  Effectiveness of an Upper Extremity Exercise Device Integrated With Computer Gaming for Aerobic Training in Adolescents With Spinal Cord Dysfunction , 2006, The journal of spinal cord medicine.

[21]  Behavioral Intervention, Exercise, and Nutrition Education to Improve Health and Fitness (BENEfit) in Adolescents With Mobility Impairment Due to Spinal Cord Dysfunction , 2007, The journal of spinal cord medicine.

[22]  C. Dixon,et al.  Self-regulated cycling using the Children's OMNI Scale of Perceived Exertion. , 2002, Medicine and science in sports and exercise.

[23]  Wim G. M. Janssen,et al.  Cardiovascular disease risk factors and the relationships with physical activity, aerobic fitness, and body fat in adolescents and young adults with myelomeningocele. , 2008, Archives of physical medicine and rehabilitation.

[24]  D. Styne,et al.  Aerobic Fitness and Upper Extremity Strength in Patients Aged 11 to 21 Years With Spinal Cord Dysfunction as Compared to Ideal Weight and Overweight Controls , 2007, Journal of Spinal Cord Medicine (JSCM).

[25]  B. Dicianno,et al.  The Frequency of Lymphedema in an Adult Spina Bifida Population , 2011, American journal of physical medicine & rehabilitation.

[26]  H. Stam,et al.  Triad of physical activity, aerobic fitness and obesity in adolescents and young adults with myelomeningocele. , 2008, Journal of rehabilitation medicine.

[27]  B. Dicianno,et al.  Young Adults with Spina Bifida May Have Higher Occurrence of Prehypertension and Hypertension , 2014, American journal of physical medicine & rehabilitation.

[28]  N. Jones,et al.  Exercise limitation in health and disease. , 2000, The New England journal of medicine.

[29]  D. Styne,et al.  Metabolic Syndrome in Adolescents With Spinal Cord Dysfunction , 2007, The journal of spinal cord medicine.

[30]  Brad E Dicianno,et al.  Rehabilitation and Medical Management of the Adult with Spina Bifida , 2008, American journal of physical medicine & rehabilitation.

[31]  T. Takken,et al.  Limiting factors in peak oxygen uptake and the relationship with functional ambulation in ambulating children with Spina Bifida , 2008, European Journal of Applied Physiology.

[32]  Brad E Dicianno,et al.  Hospitalizations of adults with spina bifida and congenital spinal cord anomalies. , 2010, Archives of physical medicine and rehabilitation.

[33]  P. Thompson,et al.  ACSM's Guidelines for Exercise Testing and Prescription , 1995 .

[34]  S. Effgen,et al.  Pulmonary dysfunction and reduced exercise capacity in patients with myelomeningocele. , 1997, The Journal of pediatrics.

[35]  R. Robertson Perceived Exertion for Practitioners: Rating Effort With the OMNI Picture System , 2004 .

[36]  R. Robertson,et al.  Omni Scale Rating of Perceived Exertion at Ventilatory Breakpoint by Direct Observation of Children's Kinematics , 2007, Perceptual and motor skills.

[37]  R. Robertson,et al.  Validity of a Wheelchair Perceived Exertion Scale (Wheel Scale) for Arm Ergometry Exercise in People with Spina Bifida , 2015, Perceptual and motor skills.

[38]  H. P. van der Ploeg,et al.  Sports participation in adolescents and young adults with myelomeningocele and its role in total physical activity behaviour and fitness. , 2008, Journal of rehabilitation medicine.