Spinal Cord InjuryNCT06943040
Validity and Reliability of 6-minute Pegboard and Ring Test
An observational study of Spinal Cord Injury, run by Istinye University at 1 site in Turkey (Türkiye).
Trial summary
Spinal Cord Injury (SCI) is a severe neurological condition that occurs as a result of traumatic or non-traumatic causes and results in motor, sensory, and/or autonomic dysfunction. The daily life of individuals with SCI often consists of low activity levels, which can cause loss of physical condition. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Spinal Cord Injury
- How many people
- 34 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 28 Apr 2025to 15 Aug 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Individuals With Spinal Cord Injury
Who may be able to join
- At least one year since the spinal cord injury
- Being an adult (≥18 years old)
- Injury level between T1 and L5
- Being a full-time wheelchair (WD) user for mobility
Who cannot join
- Have additional medical conditions (upper extremity and shoulder injuries, etc.) that may affect their ability to perform the tests
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Yunus Emre TÜTÜNEKEN
Istanbul, Zeytinburnu, 34010
About this study
Official title: Validity and Reliability of 6-minute Pegboard and Ring Test in Individuals With Spinal Cord Injury
Spinal Cord Injury (SCI) is a severe neurological condition that occurs as a result of traumatic or non-traumatic causes and results in motor, sensory, and/or autonomic dysfunction. The daily life of individuals with SCI often consists of low activity levels, which can cause loss of physical condition. Therefore, the participation of individuals with SCI in exercise is necessary to improve cardiovascular health and function, as well as to increase life expectancy and quality. Determining the strength, endurance, and exercise capacity of the upper extremities in individuals with SCI is an important issue in the management of SCI. One of the tests that serves this purpose is the six-minute pegboard and ring test (6PBRT). Since 6PBRT is used in clinical and research applications in individuals with SCI, it is important to know its validity and reliability. This study aims to investigate the validity and reliability of 6PBRT in individuals with SCI.
Read the detailed description
Spinal Cord Injury (SCI) is a severe neurological condition that occurs as a result of traumatic or non-traumatic causes and results in motor, sensory, and/or autonomic dysfunction. Serious and long-term social, physical, and psychological problems that occur following the injury, a rapid decrease in the quality of life of patients, and economic problems such as loss of employment make SCI an important problem with both individual and societal dimensions. The annual SCI incidence is 12.7/million in our country, and the average age of injury is 35.5.
Secondary complications that occur in the short and long term following SCI play an important role in the continuity of care of individuals with SCI. According to the data of the National SCI Statistics Center (NSCISC), complications such as pneumonia, atelectasis, deep vein thrombosis, pulmonary embolism, pressure ulcers, autonomic dysreflexia, renal problems, and fractures are very common after SCI. It is thought that these complications resulting from SCI are a direct result of immobility. In addition, physical inactivity causes loss of functional independence, decreases quality of life, and significantly affects social participation. The daily life of individuals with SCI often consists of low activity levels and leads loss of physical condition. Therefore, the participation of individuals with SCI in exercise and improvement of cardiovascular health and function is necessary to increase life expectancy and quality. Various upper extremity exercises have been shown to improve the general condition of individuals with SCI. Determination of upper extremity strength, endurance, and exercise capacity in individuals with SCI is an important issue in the management of SCI. One of the tests that serves this purpose is the six-minute pegboard and ring test (6PBRT), which is valid and reliable in individuals with chronic obstructive pulmonary disease. Since 6PBRT is used in clinical and research applications in individuals with SCI, it is important to know its validity and reliability. This study aims to investigate the validity and reliability of 6PBRT in individuals with SCI.
- Conditions
- Spinal Cord Injury
- Being tested
- There will be no intervention on the participants within the scope of this study.
- Keywords
- Spinal cord injury, 6PBRT, Validity, Reliability
- Medical subject headings
- Spinal Cord Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
There will be no intervention on the participants within the scope of this study.Other
There will be no intervention on the participants within the scope of this study.
| Study group | Role | What they receive |
|---|---|---|
| Study group | Not described Receives: Other: There will be no intervention on the participants within the scope of this study. |
What is being measured
The primary outcome is the main question the study is designed to answer.
6-minute pegboard and ring test
The 6PBRT is an upper extremity exercise test that evaluates upper extremity functional capacity through unsupported arm activities. The 6PBRT apparatus consists of four bars placed horizontally on the wall, two at shoulder height and the other two 20 centimeters (cm) above shoulder height. Initially, 10 rings are placed on the lower two bars. Participants sit in a chair in front of the apparatus with back support and feet in full contact with the floor. Participants are instructed to move two rings at a time from the lower bar to the upper bar with both hands (one on each side). When 20 rings are placed from the lower bars to the upper levels, participants are asked to return the rings to the lower level. This sequence of movements is repeated for six minutes. The number of rings moved during the test is used as the final score representing performance. Participants are verbally encouraged every minute during the test, and the verbal command is standardized.
Measured: 1 week
Shoulder flexor muscle strength
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Measured: 1 week
Shoulder abductor muscle strength
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Measured: 1 week
Elbow extensor muscle strength
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Measured: 1 week
Elbow flexor muscle strength
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Measured: 1 week
Handgrip strength
The participant will be measured using a hand dynamometer in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Measured: 1 week
The 20-m propulsion test (MWPT 20m )
It will be used to evaluate the participants' ability to use a manual wheelchair. A 20-meter track was set up by drawing a line at the beginning and end. Patients were asked to drive their wheelchairs as fast as they could on this 20-meter track. During this time, the evaluator determined how many seconds it took to complete the 20-meter track with a stopwatch, and the results were recorded in seconds.
Measured: 1 week
Modified Functional Reach Test (mFUT)
This test is a quick and easy-to-use test that can be used to measure sitting balance in individuals with SCI. The test is performed while the patient is sitting in a wheelchair with their hips, knees, and ankles flexed at 90 degrees. Individuals place their upper extremities at 90 degrees of flexion in the starting position. After measuring with an inflexible tape measure in this position, patients extend as far as they can and measure again. The distance between them is measured and recorded in centimeters. Participants performed flexion and abduction extensions for the right and left upper extremities separately, and the results will be recorded in centimeters (cm).
Measured: 1 week
Secondary outcomes (1)
Barthel Index (BI)
BI is a scale that evaluates all steps of daily living activities. It is used to determine the level of independence of individuals in their activities. The scores of the Barthel index vary between 0-100, 0-20 points; completely dependent, 21-61 points; advanced dependent, 62-90 points; moderate dependent, 91-99 points; mild dependent, 100 points; independence.
Measured: 1 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2025
- Study start28 Apr 2025
- Primary completion15 Jun 2025
- Study completion15 Aug 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Spinal Cord InjuryStudies of the same condition, open and under way.
- More trials run by Istinye UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 34 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istinye University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yunus Emre Tutuneken, Istinye University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06943040
- Sponsor's protocol ID
- 1111
- Status last verified
- May 2026
- First submitted
- 17 Apr 2025
- Last updated
- 12 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Validity and Reliability of 6-minute Pegboard and Ring Test in Individuals With Spinal Cord Injury
- ClinicalTrials.gov ID
- NCT06943040
- Acronym / sponsor ID
- 1111
- Conditions
- Spinal Cord Injury
- Keywords
- Spinal cord injury, 6PBRT, Validity, Reliability
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 34 participants (actual)
- Lead sponsor
- Istinye UniversityUniversity, hospital or other
- Study start
- 28 Apr 2025 (actual)
- Primary completion
- 15 Jun 2025 (actual)
- Study completion
- 15 Aug 2025 (actual)
- First posted
- 24 Apr 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Spinal Cord Injury (SCI) is a severe neurological condition that occurs as a result of traumatic or non-traumatic causes and results in motor, sensory, and/or autonomic dysfunction. The daily life of individuals with SCI often consists of low activity levels, which can cause loss of physical condition. Therefore, the participation of individuals with SCI in exercise is necessary to improve cardiovascular health and function, as well as to increase life expectancy and quality. Determining the strength, endurance, and exercise capacity of the upper extremities in individuals with SCI is an important issue in the management of SCI. One of the tests that serves this purpose is the six-minute pegboard and ring test (6PBRT). Since 6PBRT is used in clinical and research applications in individuals with SCI, it is important to know its validity and reliability. This study aims to investigate the validity and reliability of 6PBRT in individuals with SCI.
Detailed description
Spinal Cord Injury (SCI) is a severe neurological condition that occurs as a result of traumatic or non-traumatic causes and results in motor, sensory, and/or autonomic dysfunction. Serious and long-term social, physical, and psychological problems that occur following the injury, a rapid decrease in the quality of life of patients, and economic problems such as loss of employment make SCI an important problem with both individual and societal dimensions. The annual SCI incidence is 12.7/million in our country, and the average age of injury is 35.5.
Secondary complications that occur in the short and long term following SCI play an important role in the continuity of care of individuals with SCI. According to the data of the National SCI Statistics Center (NSCISC), complications such as pneumonia, atelectasis, deep vein thrombosis, pulmonary embolism, pressure ulcers, autonomic dysreflexia, renal problems, and fractures are very common after SCI. It is thought that these complications resulting from SCI are a direct result of immobility. In addition, physical inactivity causes loss of functional independence, decreases quality of life, and significantly affects social participation. The daily life of individuals with SCI often consists of low activity levels and leads loss of physical condition. Therefore, the participation of individuals with SCI in exercise and improvement of cardiovascular health and function is necessary to increase life expectancy and quality. Various upper extremity exercises have been shown to improve the general condition of individuals with SCI. Determination of upper extremity strength, endurance, and exercise capacity in individuals with SCI is an important issue in the management of SCI. One of the tests that serves this purpose is the six-minute pegboard and ring test (6PBRT), which is valid and reliable in individuals with chronic obstructive pulmonary disease. Since 6PBRT is used in clinical and research applications in individuals with SCI, it is important to know its validity and reliability. This study aims to investigate the validity and reliability of 6PBRT in individuals with SCI.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Study group | – | Other: There will be no intervention on the participants within the scope of this study. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Individuals With Spinal Cord Injury
Key inclusion criteria (4 listed)
- At least one year since the spinal cord injury
- Being an adult (≥18 years old)
- Injury level between T1 and L5
- Being a full-time wheelchair (WD) user for mobility
Key exclusion criteria (1 listed)
- Have additional medical conditions (upper extremity and shoulder injuries, etc.) that may affect their ability to perform the tests
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| There will be no intervention on the participants within the scope of this study.There will be no intervention on the participants within the scope of this study. | Other | Study group |
Primary outcome
6-minute pegboard and ring test
Time frame: 1 week
The 6PBRT is an upper extremity exercise test that evaluates upper extremity functional capacity through unsupported arm activities. The 6PBRT apparatus consists of four bars placed horizontally on the wall, two at shoulder height and the other two 20 centimeters (cm) above shoulder height. Initially, 10 rings are placed on the lower two bars. Participants sit in a chair in front of the apparatus with back support and feet in full contact with the floor. Participants are instructed to move two rings at a time from the lower bar to the upper bar with both hands (one on each side). When 20 rings are placed from the lower bars to the upper levels, participants are asked to return the rings to the lower level. This sequence of movements is repeated for six minutes. The number of rings moved during the test is used as the final score representing performance. Participants are verbally encouraged every minute during the test, and the verbal command is standardized.
Shoulder flexor muscle strength
Time frame: 1 week
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Shoulder abductor muscle strength
Time frame: 1 week
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Elbow extensor muscle strength
Time frame: 1 week
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Elbow flexor muscle strength
Time frame: 1 week
Muscle strength will be measured using a digital dynamometer with the patient in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
Handgrip strength
Time frame: 1 week
The participant will be measured using a hand dynamometer in a sitting position. Muscle tests will be repeated three times for each side, and the highest value will be recorded in kg.
The 20-m propulsion test (MWPT 20m )
Time frame: 1 week
It will be used to evaluate the participants' ability to use a manual wheelchair. A 20-meter track was set up by drawing a line at the beginning and end. Patients were asked to drive their wheelchairs as fast as they could on this 20-meter track. During this time, the evaluator determined how many seconds it took to complete the 20-meter track with a stopwatch, and the results were recorded in seconds.
Modified Functional Reach Test (mFUT)
Time frame: 1 week
This test is a quick and easy-to-use test that can be used to measure sitting balance in individuals with SCI. The test is performed while the patient is sitting in a wheelchair with their hips, knees, and ankles flexed at 90 degrees. Individuals place their upper extremities at 90 degrees of flexion in the starting position. After measuring with an inflexible tape measure in this position, patients extend as far as they can and measure again. The distance between them is measured and recorded in centimeters. Participants performed flexion and abduction extensions for the right and left upper extremities separately, and the results will be recorded in centimeters (cm).
1 secondary outcome
Barthel Index (BI)
Time frame: 1 week
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 May 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Spinal Cord Injury, run by Istinye University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
6-minute pegboard and ring test (time frame: 1 week). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2026.