Exercise intensity response and safety concerns of spot marching exercise in hypertensive older adults: a case report

Authors

  • Pichayanin Wongboot, MSc student, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0009-0000-1549-0290
  • Chatchaya Jaimanee, MSc, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0009-0009-1990-4599
  • Aung Aung New, PhD, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand
  • Buranut Audsavachulamanee, PhD, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0000-0002-2135-7717
  • Nimit Korsura, MSc, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand / Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand https://orcid.org/0000-0001-7660-8555
  • Aung Myo Htun, MPA School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0009-0005-5887-4186
  • Thiwaphon Chatprem, PhD, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0000-0002-3334-768X
  • Wilairat Namwong, PhD, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Improvement of Physical Therapy Performance and Quality of Life (IPQ), Khon Kaen, Thailand https://orcid.org/0000-0002-6739-5487
  • Chulee Ubolsaka-Jones, PhD, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0000-0002-4471-8220
  • Chatchai Phimphasak, PhD, PT School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand / Innovation to Improve Cardiopulmonary & Physical Performances research Group (IICP), Khon Kaen, Thailand https://orcid.org/0000-0001-6322-0746

Keywords:

hypertension, older individual, cardiopulmonary endurance exercise, spot marching exercise, exercise intensity, safety monitoring

Abstract

Background: To evaluate the exercise intensity and safety concerns in older adults with controlled hypertension during Spot Marching Exercise (SME).

Materials and Methods: Three older adults with controlled hypertension were instructed to perform SME at a constant individual step rate duration in 6 minutes. Exercise intensity was assessed using % maximum heart rate (%maxHR), % heart rate reserve (%HRR), and rate of perceived breathlessness (RPE) at the end of the exercise. Safety Monitoring: Heart rate (HR), electrocardiogram (ECG), oxygen saturation (SpO2), and respiratory rate (RR) were continuously monitored. Blood pressure (BP) was measured immediately before and after the exercise phase, as well as every two minutes during the resting and recovery phases.

Results: Participants performed SME at individualized step rates (80% of maximum step rate): 70 steps/min for Participant 1, 40 steps/min for Participant 2, and 74 steps/min for Participant 3. Participant 1 achieved moderate to vigorous intensity (86.88% HRmax, 72.45% HRR, and an RPE of 3). Participant 2 achieved light to moderate intensity (66.74% HRmax, 38.00% HRR, and an RPE of 4). Participant 3 achieved light to moderate intensity (61.09% HRmax, 35.17% HRR, and an RPE of 2). For safety concerns, the responses of HR, ECG, BP, RR, and SpO2 remained within the safe exercise range during and after SME. No adverse events were reported during or following SME.

Conclusion: 80 % of self-paced speed in 1 minute of SME maybe safe and alternative approach for cardiopulmonary endurance training in older adults with controlled hypertension.

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Published

2025-06-12

How to Cite

1.
Wongboot P, Jaimanee C, New AA, Audsavachulamanee B, Kosura N, Htun AM, Chatprem T, Namwong W, Ubolsaka-Jones C, Phimphasak C. Exercise intensity response and safety concerns of spot marching exercise in hypertensive older adults: a case report. Int. Phys. Ther. Res. Symp. 11th [Internet]. 2025 Jun. 12 [cited 2025 Jul. 11];11(1):138-4. Available from: https://conference.in.th/index.php/IPTRS2025/article/view/Wongboot_et_al.2025

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Vol. 11 No. 1 (2025): The 11th International Physical Therapy Research Symposium 2025 (IPTRS 2025)

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Oral Presentation (Full proceedings)

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