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Completed

NCT Number: NCT06806527

Validity and Reliability of the Six-minute Peg Board and Ring Test in Chronic Neck Pain

The purpose of this study was to evaluate the validity and reliability of six-minute peg board and ring test (6-PBRT) in individuals with chronic neck pain and to determine the applicability of the test for this patient population.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Kırşehir Ahi Evran University, 63 / 5.000 Physical Therapy and Rehabilitation Center, Cardiopulmonary Unit

Kırşehir, Center, 40100, Turkey (Türkiye)

About this study

Neck pain is the fourth leading cause of disability worldwide and is a significant public health problem. Chronic neck pain is defined as the presence of pain in the neck region of individuals for more than twelve weeks. Chronic neck pain is a disorder that negatively affects the individual's daily life activities and causes labor force and economic losses by causing functional limitations, loss of work and disability. It is important to evaluate the physical fitness components in detail in individuals with chronic neck pain. It has been stated that neck pain reduces upper extremity performance.

Different measurement methods have been used to evaluate the upper extremity functions of individuals. Standard measurement tools are needed to evaluate the upper extremity exercise capacity in patients with chronic neck pain. The 6-PBRT is a valid, reliable, useful, practical and easy-to-apply test that evaluates the endurance of the upper extremity without support in healthy individuals and those with chronic obstructive pulmonary disease. The validity and reliability of 6-PBRT, which is used to evaluate functional upper extremity exercise capacity in different diseases, has not been investigated in individuals with chronic neck pain. The aim of this study was to evaluate the validity and reliability of 6-PBRT in individuals with chronic neck pain and to determine the applicability of the test for this patient population.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Individuals with neck pain that has lasted at least 3 months due to problems such as cervical strain or sprain, cervical disc lesions, cervical spondylosis, facet joint dysfunction and myofascial pain syndrome,
  • Those between the ages of 18-65,
  • Individuals who volunteer to participate in the study will be included in the study.

Exclusion criteria

  • Neck pain severity under 3 point during activity according to Visual Analog Scale
  • Motor deficit in upper extremity neurological examination
  • Undergone any surgery related to neck problem
  • Presence of cervical radiculopathy
  • Undergone any upper extremity surgery,
  • Presence of rheumatic and/or neurological disease or any disease affecting the vestibular system
  • Presence of carpal tunnel syndrome, rotator cuff syndrome, impingement syndrome, thoracic outlet syndrome, lateral and medial epicondylitis, hand osteoarthritis that will affect upper extremity and hand functions
  • Individuals with cognitive dysfunction who will understand and apply the exercise test instructions will be excluded from the study.

Treatment and study plan

Primary outcomes

  1. Six-minute pegboard and ring test

    Time frame: First day and second day

    The six minute pegboard and ring test (6-PBRT) will be used to assess upper extremity exercise capacity. The test will be repeated twice on the first and second day evaluations. One week later, the second 6-PBRT test will be performed for reliability analysis.

Secondary outcomes

  1. Maximal symptom-limited arm ergometer test

    Time frame: First day

    Maximal symptom-limited arm ergometer test will be performed to analyze the validity of the 6-PBRT. The test will be used as the criterion measure for the validity of the six minute peg board and ring test. For the test, the height of the ergometer will be adjusted to be at shoulder level and the test will be performed in a sitting position.

  2. Hand-grip strength

    Time frame: Second day

    For validity the correlation between 6-PBRT and hand grip strength will be examined. Hand grip strength will be assessed using a hand dynamometer. Patients will sit in a 90° upright position with their knees, wrists in neutral, elbows at 90° and the dynamometer attached to the body will be grasped with all their strength. Measurements will be repeated 3 times on the right and left extremities with 10 seconds intervals and the highest value will be recorded. The percentage of expected values determined according to age and gender will be used in the interpretation of the measurements.

  3. Disabilities of the arm, shoulder and hand (DASH) questionnaire

    Time frame: First day

    It will be used to evaluate the upper extremity functional status of patients. For validity, the correlation between 6-PBRT and functional status will be examined. Disabilities of the arm, shoulder and hand (DASH) questionnaire evaluates the functional status of the upper extremity subjectively according to the Likert scale. The scale consists of three parts. The questionnaire scores between 0 (no disability) and 100 (severe disability).

  4. Evaluation of pain severity

    Time frame: First day

    The severity of the individuals' resting activity and night pain will be questioned with the Visual Analog Scale. The visual analog scale is a scale consisting of a horizontal line of 100 mm length, 0 mm meaning no pain and 100 mm meaning unbearable pain. Individuals will be asked to place a mark on the horizontal line indicating the severity of the pain they feel. The results will be recorded in mm. Individuals will be asked about their resting activity and nighttime localization and will be recorded.

Sponsors and collaborators

Lead sponsor

Kirsehir Ahi Evran Universitesi

Other

Registry information

Official study title

Validity and Reliability of the Six-minute Peg Board and Ring Test in Patients With Chronic Neck Pain

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 4, 2025
Registry last updated
Apr 9, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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