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

Validity and Reliability of the Six-minute Peg Board and Ring Test in Patients With 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.

Study Overview

• Status: Completed
• Conditions: Chronic Neck Pain

Detailed Description

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.

• Study Type: Observational
• Enrollment (Actual): 49

Contacts and Locations

Study Locations

• Turkey
  • Center
    • Kırşehir, Center, Turkey, 40100
      • Kırşehir Ahi Evran University, 63 / 5.000 Physical Therapy and Rehabilitation Center, Cardiopulmonary Unit

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

Individuals who are followed up in the Physical Therapy Polyclinic of the Physical Medicine and Rehabilitation Department of Kırşehir Ahi Evran University, between the ages of 18-65, who have neck pain for at least 12 weeks, and who meet the specified inclusion and exclusion criteria will be included in the study.

Description

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.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Chronic Neck Pain Group; Individuals between the ages of 18-65 who have had neck pain for at least 12 weeks and are being followed up at the Physical Therapy Polyclinic of the Physical Medicine and Rehabilitation Department of Kırşehir Ahi Evran University will be included in the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Six-minute pegboard and ring test	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.	First day and second day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Maximal symptom-limited arm ergometer test	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.	First day
Hand-grip strength	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.	Second day
Disabilities of the arm, shoulder and hand (DASH) questionnaire	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).	First day
Evaluation of pain severity	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.	First day

Collaborators and Investigators

• Sponsor: Kirsehir Ahi Evran Universitesi
• Investigators: Principal Investigator: Başak KAVALCI KOL, PhD, PT, Kirsehir Ahi Evran Universitesi; Study Chair: Merve FIRAT, PhD, PT, Kirsehir Ahi Evran Universitesi; Study Chair: Figen TUNCAY, Prof. Dr., Kirsehir Ahi Evran Universitesi

Study record dates

Study Major Dates

• Study Start (Actual): January 20, 2025
• Primary Completion (Actual): March 28, 2025
• Study Completion (Actual): April 7, 2025

Study Registration Dates

• First Submitted: January 17, 2025
• First Submitted That Met QC Criteria: January 28, 2025
• First Posted (Actual): February 4, 2025

Study Record Updates

• Last Update Posted (Actual): April 9, 2025
• Last Update Submitted That Met QC Criteria: April 8, 2025
• Last Verified: April 1, 2025

More Information

Terms related to this study

• Keywords: exercise capacity; chronic neck pain; six-minute peg board and ring test
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: AhiEvranU527

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: We will not share individual participant data as we store it securely in a locked cabinet and cloud database

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No