Determining the Anaerobic Threshold in Postpolio Syndrome: Comparison With Current Guidelines for Training Intensity Prescription Eric L. Voorn, MSc,

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Determining the Anaerobic Threshold in Postpolio Syndrome: Comparison With Current Guidelines for Training Intensity Prescription Eric L. Voorn, MSc, Karin H. Gerrits, PhD, Fieke S. Koopman, MD, Frans Nollet, MD, PhD, Anita Beelen, PhD Archives of Physical Medicine and Rehabilitation Volume 95, Issue 5, Pages 935-940 (May 2014) DOI: 10.1016/j.apmr.2014.01.015 Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Gas exchange plot from the submaximal exercise test of a representative participant to illustrate identification of the AT. With the V-slope method, the V˙co2/V˙o2 plot is used to identify the point at which the V˙co2 starts to increase more rapidly than V˙o2. The vertical dashed line represents the AT. Abbreviations: V˙co2, carbon dioxide production; V˙o2, oxygen consumption. Archives of Physical Medicine and Rehabilitation 2014 95, 935-940DOI: (10.1016/j.apmr.2014.01.015) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Heart rate corresponding to the 40% HRR (A) and 60% HRR (B) plotted against the heart rate attained at the AT for all individuals, except those using beta-blocking agents. The solid line represents the situation in which the recommended training heart rate based on the HRR exactly equals the heart rate attained at the AT. We considered training intensity prescription to correspond with the AT if the recommended heart rate fell within a range of 10 bpm around the heart rate attained at the AT (dashed lines represent +5 bpm (upper) and −5 bpm (lower), respectively). Archives of Physical Medicine and Rehabilitation 2014 95, 935-940DOI: (10.1016/j.apmr.2014.01.015) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Heart rate corresponding to an RPE of 12 plotted against the heart rate attained at the AT for individuals with (black circles) and without beta-blocking agents (open squares). The solid line represents the situation in which the recommended training heart rate based on RPE exactly equals the heart rate attained at the AT. We considered training intensity prescription to correspond with the AT if the recommended heart rate fell within a range of 10 bpm around the heart rate attained at the AT (dashed lines represent +5 bpm (upper) and −5 bpm (lower), respectively). Archives of Physical Medicine and Rehabilitation 2014 95, 935-940DOI: (10.1016/j.apmr.2014.01.015) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions