The Exertion Test Wall Chart featuring the Rate of Perceived Exertion (RPE) and Visual Analog Scale (VAS) is a practical clinical tool used to monitor and document a patient’s symptom response during physical activity or rehabilitation. This chart is especially valuable in concussion management, vestibular therapy, and return-to-play or return-to-learn protocols, where understanding exertional tolerance is essential for safe progression.

RPE (Rate of Perceived Exertion):
The RPE scale is a subjective measure that allows patients to rate how hard they feel they are working during an exercise or activity, typically on a scale from 6 to 20 or 0 to 10. This self-reporting method correlates well with physiological markers like heart rate and is especially helpful when monitoring exertion in individuals with post-concussion syndrome or autonomic dysfunction.

VAS (Visual Analog Scale):
The VAS is a straight line, usually 10 cm in length, where patients mark their current level of a particular symptom (such as headache, dizziness, nausea, or fatigue). It provides a quantitative measure of symptom intensity before, during, and after exertion, allowing clinicians to detect patterns of symptom exacerbation and adjust treatment accordingly.

How It’s Used:
Mounted visibly on a clinic or gym wall, the Exertion Test Wall Chart gives patients an easy, visual reference for tracking their effort and symptom severity. During exertion testing (e.g., treadmill walking, stationary cycling, or functional tasks), patients regularly indicate their RPE and symptom VAS scores. This consistent feedback guides clinicians in determining safe activity thresholds and in developing individualized rehabilitation plans.

This tool enhances patient safety, promotes self-awareness, and supports data-driven decisions in rehabilitation settings. It's ideal for physical therapists, athletic trainers, and rehabilitation specialists working with individuals recovering from concussion, vestibular disorders, or other neurologic conditions.