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Design and development of a universal OMNI exertion faces scale
Amy Schlessman1, Rick Wickstrom2, Chris Petrosino3
1Department of Rehabilitation Sciences, School of Medicine, Tufts University: 145 Harrison Avenue Boston, MA, USA.
Journal of Physical Therapy Science
|July 1, 2026
Summary
A new OMNI Exertion Faces Scale (OMNI Faces) was developed using universal design for better perceived exertion measurement in diverse populations. This inclusive tool aims for broader acceptability and application across various age groups and activities.
Area of Science:
- Exercise Physiology
- Human Factors Engineering
- Psychometrics
Background:
- Measuring perceived exertion is crucial for exercise prescription and monitoring.
- Existing scales may have limitations in universal applicability and consistency across diverse populations.
- The original OMNI Faces Scale is a widely used tool for assessing exertion.
Purpose of the Study:
- To design and develop a new OMNI Exertion Faces Scale (OMNI Faces) incorporating universal design principles.
- To enhance acceptability and usability for measuring perceived exertion across varied age groups, physical activities, and clinical populations.
- To create a more inclusive and versatile tool for monitoring exertion.
Main Methods:
- Collaborative development with the original OMNI creator.
- Refinement through consultations with educators, speech-language pathologists, clinicians, and user feedback from children and adults.
- Incorporation of universal design criteria, simplified instructions, and alignment with the Heart Rate Reserve method.
Main Results:
- The OMNI Faces Scale features five verbal descriptors and five pictorial images to minimize language and visual inconsistencies.
- The scale is non-gendered, non-activity-specific, and utilizes accessible fonts.
- Simplified instructions (71 words) are suitable for assessing perceived exertion in both aerobic and resistance activities.
Conclusions:
- The newly designed OMNI Faces Scale offers a versatile and inclusive approach to monitoring perceived exertion in children and adults.
- The scale is intended for broad application across diverse physical activity contexts.
- Future research will focus on validating its psychometric properties and exploring multilingual adaptations.