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Int J Environ Res Public Health · 2022

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Lopes TR, Pereira HM, Silva BM

Perceived Exertion: Revisiting the History and Updating the Neurophysiology and the Practical Applications

19(21). 14439.

DOI PMID: 36361320 Open original source
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Narrative review
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Full text reviewed

How can a feeling become a useful exercise measurement? Perceived exertion describes how hard a physical task feels, but recording it reliably requires more than asking for any number. The paper traces the development of the Borg scales and explains their physiological interpretation and practical use. The familiar 6–20 scale was designed partly around heart-rate patterns in young adults, while the category-ratio scale uses a different structure. Neither is simply an arbitrary list of numbers. Clear wording, consistent anchors and a shared understanding of effort are central to interpreting the resulting ratings.

The authors distinguish the effort involved in moving and breathing from other sensations such as pain or air hunger. These can occur together without being identical. They favour an important role for signals associated with the brain's motor commands, while proposing that feedback from working muscles may influence effort indirectly. This integrated explanation remains a model informed by experiments, rather than a fully resolved account.

How Does This Show Up in Real Life?

When a coach or practitioner asks how hard an exercise feels, the question and scale should stay consistent across sessions. Otherwise a rating might describe leg pain on one occasion and overall effort on another. The authors recommend using validated scale versions and explaining the descriptors, including an example of the person's maximal effort. They also advise taking ratings during exercise when possible and avoiding comparisons with other people. A lower heart rate at a familiar workload is not automatically evidence of improved fitness: in an athlete carrying accumulated fatigue, a lower heart rate can accompany greater perceived effort. Recording both can help interpretation. The paper therefore supports careful use of subjective information alongside other observations, rather than treating either a heart-rate reading or a single effort score as a complete assessment.

Definitions and proposed neural mechanisms remain debated. Some experiments used to discuss the origin of effort were not specifically designed to settle that question. Practical applications also depend on the protocol and population, so one scale value is not a universal prescription. The paper does not establish that routine ratings alone prevent injury, illness or overtraining, or predict every individual's response accurately.

An effort rating can carry useful information when the measurement has been explained and applied consistently. The strongest lesson is methodological: retain the meaning of the scale and the question being asked. Its simplicity is useful, but it does not make careful interpretation unnecessary.

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