Participants in this training group the will be set-up on the RT300 in the same manner as those in the FES training group, but they will not receive electrical stimulation nor wear stimulation pads; they will use the RT300 as an ergometer only. During the cycling-only phase, participants will cycle continuously for 45 minutes using an interval training protocol (5 minutes of active cycling: 1-minute passive cycling) at a set target speed of 45 rpm. This 5:1 cycle will repeat 7 times and then go into a 1-minute cool- down. Total active cycling time will be 35 minutes. If a participant needs a rest the cycle can go into passive mode and the motor of the cycle will provide full support. Once the participant is able to tolerate 45 minutes of cycling without rests at or above the specified target speed, the resistance will be increased in 5% increments every 3 sessions.
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Participants in both groups will receive feedback from the screen on the bike during and after their treatment sessions, including distance traveled, right to left cycling symmetry, heart rate and oxygen saturation.
The following instructions will be used prior to each training session:
“You will be cycling for 45 minutes. The first 2 minutes are a warm-up period in which the cycle is taking you through the cycling motion, so just relax and let the bike do the work. After the warm-up, start to actively cycle at a moderate effort level. You will cycle actively for 5 minutes and then receive a 1-minute break where the cycle will do all the work. This pattern of 5 minutes on, 1 minute off, will repeat 7 times during your training session. If at any time you experience fatigue, please let me know and you can take a break for up to 5 minutes and then continue where you left off. The cycle is set to go into a passive cycling mode if your speed falls 10 rpm below the set target speed of 45 rpm. If that occurs, will finish the remainder of the session allowing the bike to do all the work or you can stop the session.”
RT 300 Features
The RT300 has several features that will be utilized during this study. One feature is the “control speed offset.” If a participant’s cycling speed falls below the target speed the ergometer’s motor will take over for the remainder of the session and assist the participant. The control speed offset will be set at –10 rpm for all participants. The target speed for all participants will be 45 rpm and if a participant’s speed falls below 35 rpm the ergometer’s motor will take over and the cycle will finish the session in passive mode.
The SAGE stimulator also monitors electrode adherence and if an electrode falls off the system pauses and ceases stimulation and the motor turns off. An error message will be displayed on the screen telling the user which electrode needs to be checked. Once the electrode is secured, the session can continue.
If at any time a participant feels light-headed, nauseous, or dizzy during the training session or if their parameters fall outside the ACSM exercise guidelines, training will be discontinued for the remainder of the session.
All participants will be continuously monitored by a wireless heart rate and pulse oximeter with set parameters. Target HR goal for each participant will be set at 65% of their age-adjusted max HR (200 - age x .65). The maximum heart rate with set at 85% of age-adjusted max HR (220-age x .85). Participants will be encouraged to keep their HR within a 65% to 85% range. If a participant goes above their maximum heart for greater
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than 10 seconds, the ergometer and session will be paused, and the participant will be given a 3-minute rest until their HR comes down to their target heart rate. If their HR does not come down into the appropriate range, they will continue the remainder of the session in the passive cycling mode. The minimum heart rate will be set at 5 bpm below the participants resting baseline to allow for normal HR variability that can occur from day-to-day.
If oxygen saturation (SPO2) falls below 88% the session will be paused, and the
participant will be instructed to perform deep breathing. Once the participant is back to their baseline SPO2 saturation, they will be permitted to resume. They will be allowed a
maximum of 5 minutes to achieve baseline. If they do not achieve their baseline within 5 minutes, they will continue the remainder of the session in the passive cycling mode.
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Appendix H: Godin Leisure-Time Exercise Questionnaire
Date: ____________________ Participant #: _________________
Godin Leisure-Time Exercise Questionnaire
1. During a typical 7-Day period (a week), how many times on the average do you do the following kinds of exercise for more than 15 minutes during your free time (write on each line the appropriate number)?
Times Per Week a) STRENUOUS EXERCISE
(HEART BEATS RAPIDLY) __________
(e.g., running, jogging, hockey, football, soccer, squash, basketball, cross-country skiing, judo, roller skating, vigorous swimming,
vigorous long distance bicycling)
b) MODERATE EXERCISE
(NOT EXHAUSTING) __________
(e.g., fast walking, baseball, tennis, easy bicycling, volleyball, badminton, easy swimming, alpine skiing, popular and folk dancing)
c) MILD EXERCISE
(MINIMAL EFFORT) __________
(e.g., yoga, archery, fishing from river bank, bowling, horseshoes, golf, snow-mobiling, easy walking)
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2. During a typical 7-Day period (a week), in your leisure time, how often do you engage in any regular activity long enough to work up a sweat (heart beats rapidly)?
☐OFTEN
☐SOMETIMES ☐NEVER/RARELY INSTRUCTIONS
In this excerpt from the Godin Leisure-Time Exercise Questionnaire, the individual is asked to complete a self-explanatory, brief four-item query of usual leisure-time exercise habits.
CALCULATIONS
For the first question, weekly frequencies of strenuous, moderate, and light activities are multiplied by nine, five, and three, respectively, the total weekly leisure activity is calculated in arbitrary units by summing the products of the separate components, as shown in the following formula:
Weekly leisure activity score = (9 Strenuous) + (5 Moderate) + (3 Light)
The second question is used to calculate the frequency of weekly leisure-time activities pursued “long enough to work up a sweat” (see questionnaire).
EXAMPLE
Strenuous = 3 times/wk Moderate = 6 times/wk Light = 14 times/wk
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