PTOtherInternational journal of sports physical therapy2026

Perceived Exertion, Neuromuscular Activation, and Training Volume in Older Adults: Validating RPE-1 in Moderate-Velocity Elastic Band Resistance Training.

Juan C Colado, Javier Gene-Morales, Iván Chulvi-Medrano and 3 others

PMID 41488376

WHAT IT FOUND

In active older adults, rating effort at the first repetition of a band military press predicted how many reps they could do and tracked muscle activation.

Higher first-rep effort meant fewer reps, but heart rate and blood pressure were similar when sets went to failure.

Key findings

01Each unit increase in first-rep RPE predicted 2.45 fewer repetitions.

02Higher first-rep RPE was associated with greater measured muscle activation.

03Heart rate and blood pressure did not differ across first-rep RPE levels when sets were taken to failure.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 12 participants were studied, and the authors say the findings are preliminary and need confirmation in larger trials. All participants were healthy, physically active older adults with prior experience using elastic bands and RPE scales, so the results may not apply to frail, clinical, or new users. Only the standing military press was tested, in a controlled laboratory setting, so other exercises, body regions, and real-world settings may not behave the same way. The protocol required sets to volitional failure, which may not be safe or practical for many older adults. Surface EMG can vary with electrode placement and skin impedance.

Declared interests

The authors declared no conflicts of interest. The study was funded by public grants from the Generalitat Valenciana, including a predoctoral grant supported by the European Social Fund.

The easy way to misread this

Do not read this as evidence that elastic band training improves long-term strength or function. It validated first-rep perceived exertion for acute load monitoring in 12 experienced older adults, and the paper states the activation findings refer to acute effort, not long-term adaptation.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →