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Rate of Perceived Exertion Based on Repetitions in Reserve Versus Percentage of One-Repetition Maximum for Resistance Training Prescription in Cardiac Rehabilitation: A Pilot Study.

Journal of cardiovascular development and disease
December 27, 2024
Alessandro Gismondi et al. (12 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to compare the efficacy of RPE-based resistance training (using RIR) versus %1RM-based resistance training for strength gains in cardiac rehabilitation.

Results Summary

Both RPE and %1RM methods resulted in significant strength gains across all exercises, with no statistically significant differences between groups and trivial effect sizes favoring either method. RPE-based training was found to be similarly effective to %1RM-based training.

Population

Sixteen male patients (age 60 ± 8) with a history of coronary artery disease.

Effective Dosage

Three resistance training sessions per week, with the same exercise selection, sets, repetitions, and rest periods.

Duration

Nine weeks.

Interactions

None mentioned.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
RPE based on RIR resistance training prescription method
increase
strength across all the exercises of the protocol
male patients with history of coronary artery disease
leg press 24.25 ± 17.07 kg; chest press 7.25 ± 3.41 kg; seated row 13.88 ± 7.57 kg; leg extension 14.24 ± 4.53 kg; shoulder press 5.75 ± 4.06 kg; lat pulldown 7.50 ± 4.66 kg
showed significant increases
#1
RPE based on RIR resistance training prescription method
no change
strength gains
male patients with history of coronary artery disease
leg press p = 0.955; chest press p = 0.965; seated row p = 0.763; leg extension p = 0.565; shoulder press p = 0.868; lat pulldown p = 0.780
showed no differences
#2
RPE based on RIR resistance training prescription method
no change
strength gains
male patients with history of coronary artery disease
leg press ES = -0.03; chest press ES = 0.00; seated row ES = 0.10; leg extension ES = -0.29; shoulder press ES = 0.18; lat pulldown ES = 0.05
showed trivial effect sizes
#3
RPE based on RIR resistance training prescription method
increase
resistance training in cardiac rehabilitation
male patients with history of coronary artery disease
-
seems to be an effective prescription method
#4
RPE based on RIR resistance training prescription method
no change
resistance training in cardiac rehabilitation
male patients with history of coronary artery disease
-
showing similar efficacy
#5
Abstract

The aims of this study were to assess the efficacy of the rate of perceived exertion (RPE) scale based on the number of repetitions in reserve (RIR) before exhaustion for the prescription of resistance training in cardiac rehabilitation and to compare it to the percentage of estimated one-repetition maximum (1RM) prescription method. Sixteen male patients (age 60 ± 8) with history of coronary artery disease were randomly assigned to two resistance training rehabilitation protocols lasting nine weeks and consisting of three sessions per week, with the same exercise selection, number of sets and repetitions, and rest periods, but different load prescription method (RPE vs. %1RM). Patients' strength was evaluated pre- and post-intervention. Patients in the RPE group showed significant increases in strength across all the exercises of the protocol (leg press 24.25 ± 17.07 kg; chest press 7.25 ± 3.41 kg; seated row 13.88 ± 7.57 kg; leg extension 14.24 ± 4.53 kg; shoulder press 5.75 ± 4.06 kg; lat pulldown 7.50 ± 4.66 kg). Post-intervention between-group analysis showed no differences in strength gains (leg press p = 0.955; chest press p = 0.965; seated row p = 0.763; leg extension p = 0.565; shoulder press p = 0.868; lat pulldown p = 0.780) and trivial effect sizes (ES) for one prescription method over the other (leg press ES = -0.03; chest press ES = 0.00; seated row ES = 0.10; leg extension ES = -0.29; shoulder press ES = 0.18; lat pulldown ES = 0.05). RPE based on RIR seems to be an effective prescription method for resistance training in cardiac rehabilitation, showing similar efficacy to the standardized practice of percentage of 1RM.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.34
Normalized Score0.69
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