The concurrent use of heart rate and perceived exertion more accurately achieves targeted work rates than either measure alone, and RPE alone has been shown to be effective in achieving a training effect that does not differ significantly from that of heart rate alone [ 54].
The group average reading speed for trained words between t2 and t3 improved by 149 ms, a training effect of 11.5%.
Failure to meet minimal threshold values may result in lack of a training effect, while too high of an exercise intensity could lead to over-training and negatively impact adherence to an exercise program.
The improved motor function could result from a "training" effect as the patients got better at the tests over time, he suggests.
However, the change in heart rate was not great enough to suggest a training effect, despite their exertion scores implying high effort levels.
MacKay-Lyons MJ, Makrides L. Cardiovascular stress during a contemporary stroke rehabilitation program: is the intensity adequate to induce a training effect?
Conclusions: The PT and OT sessions between 2 and 14 weeks poststroke did not elicit adequate cardiovascular stress to induce a training effect.
Intraobserver correlation coefficients were high, and a training effect occurred when the time between measurements was 1 year, resulting in lower scores.
In the placebo group, a training effect was observed starting from the second test series as pre-values from the second (+3%) and the third test series (+5%) were higher compared to the pre-values from the first one.
The 3.4 and 10.4% improvements in running economy observed after the MFW transition [25, 34] were likely a training effect, given that the control or CRS group also improved running economy from pre- to post-transition (4.1% [25], 2.8% [34]).
Objectives: To investigate the level of cardiovascular stress of physical therapy (PT) and occupational therapy (OT) sessions of a contemporary stroke rehabilitation program and to identify therapeutic activities that elicit heart rate responses adequate to induce a training effect.
