Validity and reliability of the ‘Isometric Exercise Scale’ (IES) for measuring ratings of perceived exertion during continuous isometric exercise

Purpose: Isometric exercise (IE) interventions have been shown to be effective at reducing resting arterial blood pressure (BP). IE intensity is generally determined using force, electromyography (EMG), heart rate (HR), or knee joint angle. However, ratings of perceived exertion (RPE) may provide a more accessible means of determining exercise intensity. Therefore, the aim of this study was to assess the validity of a specific Isometric Exercise Scale (IES) during a continuous incremental isometric wall squat test. Methods: Twenty-nine male participants completed 4 incremental IE tests. Each test consisted of 5 isometric wall squat intensities, determined by knee joint angles from 135° to 95°, each held for up to 2 minutes. The tests were continuous until volitional fatigue or completion of the 5 work stages. Throughout the exercise protocol, RPE (IES and Borg’s CR-10), HR and blood pressure were recorded. Results: The IES produced a strong positive linear relationship with the CR-10 (r = 0.967) . Additionally, strong positive relationships between the IES and wall squat duration (r = 0.849), HR (r = 0.819) and BP (r = 0.841) were seen. Intra-class correlation coefficients and coefficients of variations for the IES ranged from r = 0.81 to 0.91 and 4.5% to 54% respectively, with greater reliability seen at the higher workloads. Conclusions: The IES is a valid and reliable measure of RPE, exercise intensity, and it accurately represents the changes in physiological measures of exertion during IE; as such, the IES can be used as a useful additional measure of exercise intensity during IET interventions

Validity and reliability of RPE as a measure of intensity during isometric wall squat exercise

Background and Aims: Isometric exercise (IE), including wall squat training, has been shown to be effective at reducing resting blood pressure (BP). Rating of perceived exertion (RPE) is also widely used as an accessible additional measure of IE intensity. Despite this, no RPE scales have been specifically designed for use with IE and it is not clear whether RPE is sensitive enough to distinguish between different lower limb IE workloads. Therefore, the aims of this study were to assess the validity and reliability of RPE as a measure of IE intensity (workload) and physiological exertion (Heart rate and BP), and to examine whether RPE is able to discern differences in wall squat workload (knee angle) at a resolution of 10-degrees, as was previous shown for heart rate (HR) and BP. Methods: Twenty-nine male participants completed 8 separate isometric wall squat testing sessions, separated by a minimum of 5-hours. Each session consisted of a single 2-minute isometric wall squat test, at one of five randomised workloads (knee joint angles). Three of the knee angles were repeated, a second time, to allow measurements of reliability. Throughout the exercise protocol, HR and BP were recorded continuously; values for each 30-second time-point were calculated as the mean of the proceeding 5-seconds, peak values for the 2-minute bout were taken as the mean results for the final 5- seconds of the bout. Additionally, mean results for the full 2-minute period were calculated. RPE was collected every 30 seconds. Concurrent validity was assessed by correlating RPE results with the criterion measures: Knee joint angle, HR and BP. Differences in RPE were assessed across consecutive workloads and time-points. Results: There were significant increases in RPE at each consecutive wall squat workload (p < 0.001) and between each consecutive 30-second time point (p < 0.001). Additionally, the RPE results produced a significant inverse relationship with knee angle (r = -0.79; p < 0.001) and significant positive relationships with HR (r = 0.53, p < 0.001) and BP (systolic: r = 0.77; diastolic: r = 0.62; mean arterial pressure: r = 0.70, p < 0.001). Conclusion: RPE provides a valid and reliable measure of isometric wall squat intensity, physiological exertion, and can discern between knee angles with a resolution of 10°. Relevance for patients: Patients and practitioners implementing isometric exercise training for arterial blood pressure reduction can use RPE to accurately monitor the intensity of the exercise and the physiological responses

Strongman training – Needs analysis and integration into strength and conditioning programming: part 2.

The article aims to evaluate the integration of strongman based exercises within the practice of strength and conditioning. It should give the reader a clear understanding of the specific physiological and biomechanical traits of each of the exercises discussed in the previous article. This information will then be used to discuss its amalgamation within traditional based exercises within the planning of a periodised programme for strength and conditioning practitioners

Strongman training – a rationale for its inclusion in strength & conditioning: part 1

This article, the first in a two-part series, aims to introduce the concepts of strongman-type training relative to some of the exercises adopted. It should give the reader a detailed background into the evolution of strongman training with a strong rationale for its inclusion within the practice of strength and conditioning

The effects of acute carbohydrate and caffeine feeding strategies on cycling efficiency

To assess the effect of carbohydrate and caffeine on gross efficiency (GE), 14 cyclists (V? O2max 57.6 ± 6.3 ml.kg?1.min?1) completed 4 × 2-hour tests at a submaximal exercise intensity (60% Maximal Minute Power). Using a randomized, counter-balanced crossover design, participants con- sumed a standardised diet in the 3-days preceding each test and subsequently ingested either caffeine (CAF), carbohydrate (CHO), caffeine+carbohydrate (CAF+CHO) or water (W) during exercise whilst GE and plasma glucose were assessed at regular intervals (~30 mins). GE progressively decreased in the W condition but, whilst caffeine had no effect, this was significantly attenuated in both trials that involved carbohydrate feedings (W = ?1.78 ± 0.31%; CHO = ?0.70 ± 0.25%, p = 0.008; CAF+CHO = ?0.63 ± 0.27%, p = 0.023; CAF = ?1.12 ± 0.24%, p = 0.077). Blood glucose levels were significantly higher in carbohydrate ingestion conditions (CHO = 4.79 ± 0.67 mmol·L?1, p < 0.001; CAF +CHO = 5.05 ± 0.81 mmol·L?1, p < 0.001; CAF = 4.46 ± 0.75 mmol·L?1; W = 4.20 ± 0.53 mmol·L?1). Carbohydrate ingestion has a small but significant effect on exercise-induced reductions in GE, indicat- ing that cyclists’ feeding strategy should be carefully monitored prior to and during assessment

Partial swing golf shots: scaled from full swing or independent technique?

During practice and competition, golfers are required to use submaximal effort to hit the ball a given distance, i.e. perform a partial shot. While the full golf swing has undergone extensive research, little has addressed partial shots and the biomechanical modifications golfers employ. This study investigates the biomechanical changes between full and partial swings, and determines if the partial swing is a scaled version of the full swing. Using a repeated measures design, thirteen male golfers completed a minimum of 10 swings in the full and partial swing conditions, whilst club, ball, kinematic and kinetic parameters were recorded. Large and statistically significant reductions in body motion (centre of pressure ellipse: 33%, p = 0.004 , d = 2.26), combined with moderate reductions in lateral shift (25.5%, p = 0.004, d = 0.332) and smaller reductions in trunk rotation (arm to vertical at top of backswing: 14.1%, p = 0.002, d = 2.58) indicate golfers favour larger reductions in proximal measures, combined with diminished reductions as variables moved distally. Furthermore, the partial swing was not found to be a scaled version of the full swing implying a new approach to coaching practices might be considered

The implementation of a home-based isometric wall squat intervention using ratings of perceived exertion to select and control exercise intensity: a pilot study in normotensive and pre-hypertensive adults.

Isometric exercise (IE) and isometric wall squat (IWS) training have been shown to be effective methods of reducing arterial blood pressure. However, most IE interventions require methodologies and equipment that could present a barrier to participation. Therefore, this study aimed to examine the effectiveness of an accessible RPE prescribed IWS intervention. Thirty normotensive and pre-hypertensive adults were randomly assigned to a control group or one of two 4-week home-based IWS intervention groups: the first group conducted IWS exercise where intensity was prescribed and monitored using RPE (RPE-EX), whilst the other used a previously validated HR prescription method (HR-EX). Resting and ambulatory heart rate (HR) and blood pressure (BP) were measured pre- and post-intervention. Minimum clinically important differences (MCID; - 5 mmHg) in SBP and/or DBP were shown in 100% of intervention participants. Statistically significant reductions were shown in resting seated BP (RPE-EX: SBP: - 9 ± 6, DBP: - 6 ± 4, MAP: - 6 ± 3 mmHg; HR-EX: SBP: - 14 ± 6, DBP: - 6 ± 4, MAP: - 8 ± 4 mmHg), supine BP (RPE-EX: SBP: - 8 (- 5), DBP: - 8 (- 7), MAP: - 8 (- 4) mmHg; HR-EX: SBP: - 5 (- 4), MAP - 5 (- 4) mmHg), and ambulatory SBP (RPE-EX: - 8 ± 6 mmHg; HR-EX: - 10 ± 4 mmHg) following the interventions. There were no statistically significant differences between intervention groups in the magnitude of BP reduction. RPE prescribed IWS exercise can provide an effective and more accessible method for reducing BP at home, providing reductions comparable to the current HR-based prescription method. [Abstract copyright: © 2023. The Author(s).

The safety of isometric exercise: rethinking the exercise prescription paradigm for those with stage 1 hypertension.

Few studies have investigated the relative safety of prescribing isometric exercise (IE) to reduce resting blood pressure (BP). This study aimed to ascertain the safety of the hemodynamic response during an IE wall squat protocol.Twenty-six hypertensive (BP of 120-139 mm Hg systolic and/or 80-90 mm Hg diastolic) males (45 ± 8 years; 1.78 ± 0.07 m; 89.7 ± 12.3 kg; mean ± SD), visited the laboratory on 2 separate occasions. Heart rate (HR) and BP were measured at rest and continuously throughout exercise. In visit 1, participants completed a continuous incremental isometric wall squat exercise test, starting at 135° of knee flexion, decreasing by 10° every 2 minutes until 95° (final stage). Exercise was terminated upon completion of the test or volitional fatigue. The relationship between knee joint angle and mean HR was used to calculate the participant-specific knee joint angle required to elicit a target HR of 95% HRpeak. This angle was used to determine exercise intensity for a wall squat training session consisting of 4 × 2 minute bouts (visit 2).Systolic BPs during the exercise test and training were 173 ± 21 mm Hg and 171 ± 19 mm Hg, respectively, (P > .05) and were positively related (r = 0.73, P  .05) and were positively related (r = 0.42, P  250 mm Hg. Diastolic BP values > 115 mm Hg were recorded in 12 participants during the incremental test and 6 participants during the training session. Peak rate pressure product was 20681 ± 3911 mm Hg bpm during the IE test and was lower (18074 ± 3209 mm Hg bpm) during the IE session (P = .002). No adverse effects were reported.Based on the current ACSM guidelines for aerobic exercise termination, systolic BP does not reach the upper limit during IE in this population. Diastolic BP exceeds 115 mm Hg in some during the IE protocol, which may suggest the need to individualise IE training prescription in some with suboptimal BP control. Future research is required to ascertain if IE requires modified BP termination guidelines

Detailed design of a quiet high flow fan

A single stage fan was designed to demonstrate the noise abatement properties of near-sonic inlet flow and long-chord stator vanes for the reduction of both upstream and downstream propagated fan source noise. It is designed to produce a pressure ratio of 1.653:1 with an adiabatic efficiency of 83.9%. The fan has a 508 mm inlet diameter with a hub/tip ratio of 0.426 and a design tip speed of 533.4 m/sec. The design inlet specific flow rate is 219.71 kg/sec sq m and there are 10 tandem stator vanes with a combined aspect ratio of 0.54