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The Bruce protocol is a standard test in cardiology and is comprised of multiple exercise stages of three minutes each. At each stage, the gradient and BUFFALO CONCUSSION TREADMILL TEST (BCTT) – INSTRUCTION MANUAL. John J Leddy, Mohammad N Haider, the return-to-play protocol. The BCTT is a supplementary In the standard Bruce protocol, the starting point (ie, stage 1) is 1.7 mph at a 10% grade (5 METs). Stage 2 is 2.5 mph at a 12% grade (7 METs). Stage 3 is 3.4Pre-test procedure: This treadmill tests begins at 1.7 mph and a 10% incline. BRUCE SUBMAXIMAL TREADMILL EXERCISE TEST PROTOCOL. Purpose of test: To assess cardio-respiratory endurance. before conducting the test. Note: See 'Heart Rate' test for calculations to predict maximum heart