A component that appears to integrate many variables during wholebody exercise is the rating of perceived exertion rpe 15. It was originally a 21point category scale for measuring perceived exertion during exercise, later was reduced to 15 points 4. Longterm reproducibility of borg scale estimates of. The scale may be used during exercise at pulmonary rehabilitation or at home. In all subjects there was a significant correlation p 0. This scale measures perceived respiratory disability 1, the mrc dyspnoea scale is simple to administer as it allows the patients to indicate the extent to which their breathlessness. The 6 mwt has shown good reproducibility and could be used as a fitness indicator in clinical studies in the obese popula. Although this is a subjective measure, your exertion rating based on a 6 to 20 rating scale, may provide a fairly good estimate of your actual heart rate during physical activity borg, 1998. Use of the modified borg scale and numerical rating scale.
Please use this scale to indicate how breathless you felt during the test you have just completed. Modified borg dyspnea scale scale, physical therapy, therapy. Troubled by shortness of breath when hurrying on the level or walking up a slight hill. Versions of the modified borg scale used to evaluate dy. We thus decided to examine a tool called the modified borg scale mbs that had the potential to provide quick, easy, and rapid information about a patients subjective state of dyspnea. A frequently used scale for quantifying breathlessness is the modified borg scale. We also observed that the clinical scales for dyspnea correlated with each other, as did the vas and borg scale, but that there was no correlation between the two types of measurement. Pulmonary rehabilitation uses exercise to reduce dyspnea. The borg scale is a tool to measure a persons perception of their effort and exertion, breathlessness, and fatigue during physical work. Borg scale instructions while exercising we want you to rate your perception of exertion, that is, how heavy and strenuous the exercise feels to you. Borg rpe scale this is the original 6 20 scale for ratings of perceived exertion.
An index for breathlessness and leg fatigue borg 2010. Re liabili ty and validi ty of dyspnea measures in. Modified borg dyspnoea scale pulmonary rehabilitation. This 0 to 10 rated scale gave our ed patients a device they could use to measure and evaluate their dyspnea. It helps you evaluate your internal comfort zone, or how you feel during exercise.
Nrs scales using different time frames now and average have been validated 1, 4, 5, but not for the mborg. Perceived exertion borg rating of perceived exertion scale. An index for breathlessness and leg fatigue article in scandinavian journal of medicine and science in sports 204. Perceived exertion scale modified borg scale x36565bc 0211 ahc acegeneral information perceived exertion is simply how hard this activity feels to you. In sports and particularly exercise testing, the rating of perceived exertion rpe, as measured by the borg rating of perceived exertion scale rpe scale, is a frequently used quantitative measure of perceived exertion during physical activity. The modified medical research council mmrc dyspnea scale does not quantify breathlessness itself. The american thoracic society defines it as a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity, and recommends evaluating dyspnea by assessing the intensity of the distinct sensations, the degree of distress involved. Evan matthews explaining how to use the 620 borg rpe rating of perceived exertion scale. Look at the scale and the expressions and indicate one of the numbers. Ratings on this scale are related to heart rate how hard your heart is working to move blood through your body. In medicine this is used to document the patients exertion during a test, and sports coaches use the scale to assess the intensity of training and. Most healthy subjects appear to have a lag or delay below which they report minimal changes in dyspnea or perceived exertion during incremental exercise, whereas most pulmonary patients do not, particularly for dyspnea. This scale is often times used when assessing exercise intensity.
There are a number of measurement tools available for assessing dyspnoea, including. Use this scale to rate the difficulty of your breathing. Dalhousie dyspnea and perceived exertion scales offer an alternative to borg cr10 scale in adults and were preferred by half our healthy subjects. The standardized version of the modified borg scale mb. In a prior study, we evaluated the moderateterm 8 weeks reproducibility of vas measurements of dyspnea during exercise in patients with copd. Usefulness of the modified 010 borg scale in assessing. Not troubled with breathlessness except with strenuous exercise. As you exercise you can rate your perceived exertion using several anchors. Shortness of breath sob, also known as dyspnea, is a feeling of not being able to breathe well enough. Mrc dyspnoea scale mrc breathlessness scale the dyspnoea scale has been in use for many years for grading the effect of breathlessness on daily activities. It was further modified to produce a 12point scale and was adapted to estimate breathlessness 5. Mrc dyspnoea scale mrc breathlessness scale research. A dyspnea scale is a way to describe shortness of breath you feel during exercise. Other tools such as the borg dyspnea scale is used for quantitative assessment 10.
The intensity of breathlessness during exercise was measured in ten normal subjects using a visual analogue scale vas and a borg scale to compare the use of the scales and their repeatability, both within the duration of a period of exercise and between tests. Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level. A primary goal of pulmonary rehabilitation is to reduce the patients perception of shortness of breath. It was originally measured with a scale that was developed by swedish psychologist gunnar borg and is therefore often referred to as drumroll the borg scale. Usefulness of the modified 010 borg scale in assessing the degree of dyspnea in patients with copd and asthma article in journal of emergency nursing 263. Breathlessness b and leg fatigue l were assessed using the borg cr10 scale and the borg cr100 centimax scale, during a standardized exercise test in 38 healthy subjects 2471 years. The rate of perceived exertion rpe scale is a psychophysiological scale it reflects the interaction between body physiological events and mind perception of exertion. It takes into account your feelings of exertion, physical stress and fatigue. It refers to the total amount of effort you put forth. A 15point scale with verbal descriptors to standardize perceived exertion across tasks and individuals. It starts at number 0 where your breathing is causing you no difficulty at all and progresses through to number 10 where your breathing difficulty is maximal. Dyspnea management across the palliative care continuum. Given the complexity of the symptom and the various approaches to measurement, the choice of dyspnea measures should be based on information about their reliability and validity.
Perceived exertion scale the perceived exertion scale is a simple way for you to recognize how hard you are working while you exercise exercise intensity, especially when measuring your heart rate. It is constructed to give interval data that grows linearly with oxygen consumption and heart rate at steady state exercise borg, g. It is your own feelings of breathlessness that is important, not what other people think. The numerical rating scale nrs 1 and modified borg scale mborg 2 are recommended measures for breathlessness 3. To present dyspnoea descriptors, which may help in the understanding of the language of dyspnoea, and to relate these to specific diseases.
Likert scales for psychosocial measurements dan hasson, rn, phd. The borg rating of perceived exertion rpe scale will help you estimate how hard youre working your activity intensity. Borg rating scale of perceived exertion rehabmeasures. Versions of the modified borg scale used to evaluate dyspnea. Modified medical research council mmrc dyspnoea scale. Dyspnoea severity should be assessed before and after pr see patient reassessment section. The perception of exertion depends mainly on the strain and fatigue in your muscles and on your feeling of breathlessness. Correlation of selfreported breathlessness with post. Arnetz, md, phd authors are affiliated with uppsala universityceos, department of health and caring sciences, section for social medicine. To describe some of the methods available for the measurement of dyspnoea. A comparison of the visual analogue scale and modified. The borg cr10 scale is a general method for measuring most kinds of perceptions and experiences, including pain and also perceived exertion. Gunnar borg in the 70s, building on these premises, elaborated a categorical scale, the rating of perceived exertion rpe 35, and the subsequent modified version of the 10 categoryratio cr 10 36, both used to assess the sensation of exertional.
Subjects were 143 patients 74 women and 69 men with obstructive lung disease, ages 40 to 86, fevi. However, their use has extended beyond their initial validation. Intensity of breathlessness modified borg scale mod. The subjective nature of the experience of chronic breathlessness dyspnoea creates challenges for patients who need to communicate its intensity, and for clinicians and researchers who need to measure the symptom in order to plan management and assess the effect of interventions. This article describes the validation of a new dyspnea measure, the university of california, san diego ucsd shortness of breath questionnaire sobq. Three patientreported outcome scales commonly cited for rating dyspnea during exercise are the modified borg scale mbs, numerical rating scale for dyspnea nrsd, and visual analogue scale for dyspnea vasd. Measuring dyspnea and perceived exertion in healthy adults.
Borg rating of perceived exertion scale healthlink bc. What do i need to know about exercise and lung disease. Despite the stabilization in the prevalence of asthma in some countries, mortality due to this disease is still high. An index for breathlessness and leg fatigue request pdf. Reproducibility of visual analog scale measurements of dyspnea in patients with chronic obstructive pulmonary disease. This is a scale that asks you to rate the difficulty of your breathing. Perceived exertion is how hard you think your body is exercising. The intensity of breathlessness in normal subjects during exercise was measured on seven occasions over a 40week study period to assess the longterm repeat ability of borg scale estimates of breathlessness. Reproducibility of borg scale measurements of dyspnea.
866 1368 1109 33 1034 565 620 101 902 1490 259 716 144 1282 1262 720 755 428 155 1509 739 856 804 1529 503 1262 265 96 1177 791 445 1220 1053