Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
from September 2014
©Journal of Sports Science and Medicine (2004) 03, 1 - 7

Young Investigator Special Issue 1: Research article
The Physiological Responses of Chronic Heart Failure Patients to Maximal Strength Test and a Balke Incremental Test
Itamar Levinger1, , Roger Bronks1, David V. Cody2, Ian Linton2, Allan Davie1
Author Information
1 Southern Cross University, Lismore NSW 2480, Australia
2 John Flynn Private Hospital-Gold Coast, TUGUN QLD 4224, Australia

Itamar Levinger
✉ Southern Cross University. PO Box 157 Lismore NSW 2480 Australia.
Publish Date
Received: 17-03-2004
Accepted: 22-07-2004
Published (online): 01-11-2004
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It has been demonstrated that resistance exercises may improve chronic heart failure (CHF) patients’ functional ability and quality of life, however, physicians do not recommend this form of exercise because of a concern for reported increases in afterload and blood pressure (BP) during the exercise. This study compared the heart rate (HR), BP and rate pressure product (RPP) of CHF patients for a Balke incremental test and a maximal strength test (MS). Fifteen men diagnosed with CHF participated in the study. All subjects performed both a Balke incremental test and MS test for eight different resistance exercises. The subjects’ HR and BP were monitored during the incremental test and immediately after each resistance exercise. HR, systolic BP and RPP were significantly lower during the MS test than during both the peak Balke incremental test and during exercise at 80% of peak VO2 (p < 0.05). No significant RPP differences were found between upper and lower body resistance exercises (p > 0.05). The physiological responses in this study were less severe during a MS test than those reported during an incremental Balke treadmill test. Also the finding suggests that MS tests may be an acceptable method to assess the maximal strength of patients with moderate heart failure.

Key words: Chronic heart failure, incremental test, rate pressure product

           Key Points
  • The physiological responses of CHF patients to maximal strength test were less severe than those reported during a walking incremental test.
  • There were similar hemodynamic responses during upper and lower resistance exercises.
  • Maximal strength test appears to be an acceptable method to assess the maximal strength of patients with moderate CHF.
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