What is the recommended maximum intensity for resistance exercises in MND?

What is the recommended maximum intensity for resistance exercises in MND?

• A. ≤65% 1RM, 6/10 RPE
• B. ≤85% 1RM, 9/10 RPE
• C. ≤40% 1RM, 3/10 RPE
• D. ≤75% 1RM, 5/10 RPE

Answer: (A)

Resistance work in motor neuron disease is dosed at submaximal, moderate intensity to protect fatigable neuromuscular systems while still providing a meaningful strength stimulus. The best choice uses roughly two-thirds of the one-repetition maximum with a perceived effort around 6 out of 10. This level offers enough load to help maintain or slowly improve strength without pushing into near-maximal effort, which can increase fatigue, soreness, or risk in MND. The other options either prescribe too high an intensity that could be unsafe, or too light a load that may not sustain strength gains, making the moderate, submaximal approach the most appropriate and effective.

Resistance work in motor neuron disease is dosed at submaximal, moderate intensity to protect fatigable neuromuscular systems while still providing a meaningful strength stimulus. The best choice uses roughly two-thirds of the one-repetition maximum with a perceived effort around 6 out of 10. This level offers enough load to help maintain or slowly improve strength without pushing into near-maximal effort, which can increase fatigue, soreness, or risk in MND. The other options either prescribe too high an intensity that could be unsafe, or too light a load that may not sustain strength gains, making the moderate, submaximal approach the most appropriate and effective.