A Cycling Movement Based System for Real-Time Muscle Fatigue and Cardiac Stress Monitoring and Analysis

PLoS One. 2015 Jun 26;10(6):e0130798. doi: 10.1371/journal.pone.0130798. eCollection 2015.

Abstract

In this study, we defined a new parameter, referred to as the cardiac stress index (CSI), using a nonlinear detrended fluctuation analysis (DFA) of heart rate (HR). Our study aimed to incorporate the CSI into a cycling based fatigue monitoring system developed in our previous work so the muscle fatigue and cardiac stress can be both continuously and quantitatively assessed for subjects undergoing the cycling exercise. By collecting electrocardiogram (ECG) signals, the DFA scaling exponent α was evaluated on the RR time series extracted from a windowed ECG segment. We then obtained the running estimate of α by shifting a one-minute window by a step of 20 seconds so the CSI, defined as the percentage of all the less-than-one α values, can be synchronously updated every 20 seconds. Since the rating of perceived exertion (RPE) scale is considered as a convenient index which is commonly used to monitor subjective perceived exercise intensity, we then related the Borg RPE scale value to the CSI in order to investigate and quantitatively characterize the relationship between exercise-induced fatigue and cardiac stress. Twenty-two young healthy participants were recruited in our study. Each participant was asked to maintain a fixed pedaling speed at a constant load during the cycling exercise. Experimental results showed that a decrease in DFA scaling exponent α or an increase in CSI was observed during the exercise. In addition, the Borg RPE scale and CSI were positively correlated, suggesting that the factors due to cardiac stress might also contribute to fatigue state during physical exercise. Since the CSI can effectively quantify the cardiac stress status during physical exercise, our system may be used in sports medicine, or used by cardiologists who carried out stress tests for monitoring heart condition in patients with heart diseases.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Electromyography
  • Exercise Test / instrumentation*
  • Female
  • Healthy Volunteers
  • Heart Rate / physiology
  • Humans
  • Male
  • Models, Biological
  • Monitoring, Physiologic / instrumentation
  • Muscle Fatigue / physiology*
  • Physical Exertion

Grants and funding

This research was supported by Taiwanese Ministry of Science and Technology (MOST) under the Grant 102-2221-E-182-023 and by Chang Gung Memorial Hospital (CGMH) under the Grant CMRPD2D0091 and CMRPD3E0321. The URLs of Taiwanese MOST and CGMH are http://www.most.gov.tw and http://www.cgmh.org.tw, respectively. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.