Is It Possible to Individualize Intensity of Eccentric Cycling Exercise From Perceived Exertion on Concentric Test?

Objective: To assess the safety and acute effects of a procedure using perceived exertion during a prior submaximal concentric (CON) test to individualize eccentric (ECC) cycling exercise intensity. Design: Prospective, monocentric open study. Setting: Technological investigation platform at a physical medicine and rehabilitation department in a university hospital. Participants: Healthy subjects (N = 18; 15 men, 3 women) aged between 22 and 37 years. Interventions: The subjects performed 3 cycling exercises: (1) incremental CON test to determine the comfortable pedaling power (CPP) corresponding to a Borg scale rating of 12 (rate of perceived exertion); (2) steady-state CON exercise at the CPP workload to determine the corresponding plantar pressure; and (3) steady-state FCC exercise with an imposed resistance corresponding to the CPP plantar pressure. Main Outcome Measures: Rate of perceived exertion on Borg scale, oxygen uptake ((V) over dotO(2)), heart rate, cardiac output, and stroke volume using inert gas rebreathing techniques were measured during steady-state CON and ECC exercises. Muscle soreness was rated on a visual analog scale immediately, 24, and 48 hours after the tests. Results: No adverse effects were reported. (V) over dotO(2) was about 5 times the resting value during CON exercise, while it was twice that during FCC exercise. Cardiac output was lower during FCC exercise (P<.05). This moderate increase of cardiac output was exclusively linked to a greater increase in stroke volume during ECC exercise than during CON exercise (P<.05). Conclusions: Moderate-intensity ECC cycling exercise tailored according to perceived exertion during a prior CON test is well tolerated. It corresponds to a limited muscular use of oxygen and to an isolated increase in stroke volume. It appears to be a feasible procedure for preconditioning before ECC training. (c) 2013 by the American Congress of Rehabilitation Medicine