Prediction of peak oxygen uptake from differentiated ratings of perceived exertion during wheelchair propulsion in trained wheelchair sportspersons.

PURPOSE: To assess the validity of predicting peak oxygen uptake (VO(2peak)) from differentiated ratings of perceived exertion (RPE) obtained during submaximal wheelchair propulsion.

METHODS: Three subgroups of elite male wheelchair athletes [nine tetraplegics (TETRA), nine paraplegics (PARA), eight athletes without spinal cord injury (NON-SCI)] performed an incremental speed exercise test followed by graded exercise to exhaustion (VO(2peak) test). Oxygen uptake (VO₂), heart rate (HR) and differentiated RPE (Central RPE(C), Peripheral RPE(P) and Overall RPE(O)) were obtained for each stage. The regression lines for the perceptual ranges 9-15 on the Borg 6-20 scale ratings were performed to predict VO(2peak).

RESULTS: There were no significant within-group mean differences between measured VO(2peak) (mean 1.50 ± 0.39, 2.74 ± 0.48, 3.75 ± 0.33 L min(-1) for TETRA, PARA and NON-SCI, respectively) and predicted VO(2peak) determined using HR or differentiated RPEs for any group (P > 0.05). However, the coefficients of variation (CV %) between measured and predicted VO(2peak) using HR showed high variability for all groups (14.3, 15.9 and 9.7%, respectively). The typical error ranged from 0.14 to 0.68 L min(-1) and the CV % between measured and predicted VO(2peak) using differentiated RPE was ≤11.1% for TETRA, ≤7.5% for PARA and ≤20.2% for NON-SCI.

CONCLUSIONS: Results suggest that differentiated RPE may be used cautiously for TETRA and PARA athletes when predicting VO(2peak) across the perceptual range of 9-15. However, predicting VO(2peak) is not recommended for the NON-SCI athletes due to the large CV %s (16.8, 20.2 and 18.0%; RPE(C), RPE(P) and RPE(O), respectively).