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Fulltext Effects of incremental cardiorespiratory exercise on the speech rate and the estimated exercise intensity using the counting talk test

Mahmod SR, Narayanan LT, Supriyanto E

J Phys Ther Sci, 2018 Jul;30(7):933-937.
PMID: 30034101 DOI: 10.1589/jpts.30.933

[Purpose] This study examined how incremental cardiorespiratory exercise may affect the speech rate and Counting Talk Test (CTT)-estimated exercise intensity. [Participants and Methods] Twenty-four healthy adults performed the CTT while exercising on a treadmill at 6 stages of incremental exercise ranging from 40% to 85% of heart rate reserve (HRR). Each participant started walking on the treadmill at 3 to 4 km/h and 0% elevation to warm up. The increments of treadmill grades were adjusted until targeted heart rates corresponding to the percentages of HRR were reached. Then, the participants were asked to rate their perceived exertion while the treadmill grades were maintained for 2-minutes bouts of each exercise stage. At the last minute of the exercise stage, the CTT was performed within a single breath. [Results] The speech rates in the CTT appeared to vary significantly during exercise. Moreover, the CTT-estimated exercise intensity showed significant reductions at several exercise stages. [Conclusion] The CTT estimates exercise intensity semi-quantitatively throughout incremental exercise. However, moderate and vigorous intensities could not be significantly delineated by the current CTT method. This could be due to the variability in speech rates that were indicated as the exercise progressed.
Fulltext Regulated Monosyllabic Talk Test vs. Counting Talk Test During Incremental Cardiorespiratory Exercise: Determining the Implications of the Utterance Rate on Exercise Intensity Estimation

Mahmod SR, Narayanan LT, Abu Hasan R, Supriyanto E

Front Physiol, 2022;13:832647.
PMID: 35422713 DOI: 10.3389/fphys.2022.832647

PURPOSE: When utilizing breathing for speech, the rate and volume of inhalation, as well as the rate of exhalation during the utterance, seem to be largely governed by the speech-controlling system and its requirements with respect to phrasing, loudness, and articulation. However, since the Talk Test represents a non-standardized form of assessment of exercise intensity estimation, this study aimed to compare the utterance rate and the estimated exercise intensity using a newly introduced time-controlled monosyllabic Talk Test (tMTT) versus a self-paced Counting Talk Test (CTT) across incremental exercise stages and examined their associations with the exercise physiological measures.
METHODS: Twenty-four participants, 10 males and 14 females (25 ± 4.0 yr; 160 ± 10 cm; 62 ± 14.5 kg) performed two sessions of submaximal cardiorespiratory exercise at incremental heart rate reserve (HRR) stages ranging from 40 to 85% of HRR: one session was performed with a currently available CTT that was affixed to a wall in front of the participants, and the other session was conducted with a tMTT with a 1-s inter-stimulus interval that was displayed from a tablet. In each session, the participants performed six stages of exercise at 40, 50, 60, 70, 80, and 85% HRR on a treadmill and were also asked to rate their perceived exertion based on Borg's 6 to 20 Rating of Perceived Exertion (RPE) at each exercise stage.
RESULTS: The newly designed tMTT significantly delineated all the six stages of incremental exercise (p ≤ 0.017), while CTT could only delineate exercise stages at 60, 80, and 85% HRR. However, in estimations of exercise intensity, the tMTT demonstrated only moderate associations with HRR and Borg's RPE, similarly to the CTT.
CONCLUSION: If the purpose of exercise monitoring is to detect the intensity of light, moderate, and vigorous exercise intensity, the tMTT could be more universally applicable. However, due to its larger variability of speech rate across exercise intensities, the time-regulated approach may alter the speech breathing characteristics of the exercising individuals in other ways that should be investigated in future research.

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