Validity and Reliability of the 6-Minute Pegboard and Ring Test in Patients With Coronary Artery Disease

NCT07163741 | Not Yet Recruiting

• 1 other identifier: 2025-1418
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Coronary artery disease, a cardiovascular disease, causes significant mortality and morbidity. Due to the impairment of arterial blood flow in coronary artery disease, the heart muscle cannot receive an adequate blood supply during exercise, resulting in symptoms such as chest pain, shortness of breath, and fatigue, which can lead to a decrease in exercise capacity. The 6-Minute Pegboard and Ring Test is a simple, rapid, and inexpensive assessment tool used to evaluate upper extremity exercise capacity. The purpose of this study was to assess the validity and reliability of the 6-Minute Pegboard and Ring Test in patients with coronary artery disease.

Conditions

Coronary Artery Disease (CAD)

Keywords

coronary artery disease; 6 minute pegboard and ring test; functional upper extremity exercise capacity

Outcome Measures

Primary Outcomes (2)

• Upper Limb Functional Exercise Capacity

  The 6-minute pegboard ring test will be performed using two wooden blocks, each set at shoulder level and 20 cm above, for a total of 20 rings. Before the test, participants are instructed to simultaneously place wooden rings from the lower blocks onto the upper blocks using both hands and to continue the same process in reverse for 6 minutes. The goal of the test is to move as many rings as possible from bottom to top and top to bottom within six minutes. The total number of rings is recorded. Participants receive standard verbal encouragement each minute. Heart rate, blood pressure, shortness of breath, upper extremity fatigue, and overall fatigue are measured before and immediately after the test.

  Through study completion, an average of 1 year

• Maximal Exercise Capacity

  Maximal Exercise capacity will be evaluated with Cardiopulmonary Exercise testing. The Cardiopulmonary Exercise Testing will be applied according to American Thoracic Society (ATS) and European Respiratory Society (ERS) criteria.

  Through study completion, an average of 1 year

Secondary Outcomes (6)

• Respiratory Muscle Strength Assessment

  Through study completion, an average of 1 year

• Respiratory Function Assessment

  Through study completion, an average of 1 year

• Peripheral Muscle Strength Assessment

  Through study completion, an average of 1 year

• Assessment of Shortness of Breath and Fatigue

  Through study completion, an average of 1 year

• Assessment of Chronotropic Response

  Through study completion, an average of 1 year

Study Arms (1)

Patient with coronary artery disease group

The maximal exercise capacity for the upper limb will be evaluate by CPET and performed on the arm ergometer in addition to the upper limb functional exercise capacity will be evaluate by 6 minute pegboard and ring test.

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

32 patients diagnosed with coronary artery disease will be recruited.

You may qualify if:

• Individuals diagnosed with coronary artery disease by conventional angiography or computed tomography coronary angiography,
• Clinically stable,
• Ages between 18 and 85,
• Volunteering to participate in the study will be included in the study.

You may not qualify if:

• Individuals diagnosed with heart failure,
• Those diagnosed with moderate-to-severe valvular disease,
• Those with a history of orthopedic, neurological, or pulmonary disease that could affect exercise testing and exercise capacity,
• Those with contraindications to exercise testing according to the American College of Sports Medicine (ACSM) criteria,
• Those with a history of coronary artery bypass surgery will not be included in the study.

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University Faculty of Health Sciences Department of Cardiopulmonary Physiotherapy and Rehabilitation, Ankara, Çankaya 06490

Ankara, Turkey (Türkiye)

Location

Related Publications (3)

• Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. General considerations for lung function testing. Eur Respir J. 2005 Jul;26(1):153-61. doi: 10.1183/09031936.05.00034505. No abstract available.

  PMID: 15994402 BACKGROUND

• Evans JA, Whitelaw WA. The assessment of maximal respiratory mouth pressures in adults. Respir Care. 2009 Oct;54(10):1348-59.

  PMID: 19796415 BACKGROUND

• Nashef SA, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, Lockowandt U. EuroSCORE II. Eur J Cardiothorac Surg. 2012 Apr;41(4):734-44; discussion 744-5. doi: 10.1093/ejcts/ezs043. Epub 2012 Feb 29.

  PMID: 22378855 BACKGROUND

MeSH Terms

Conditions

Coronary Artery Disease

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases

Study Officials

• Aslınur ÇAKIR, MSc.

  Gazi University

  STUDY CHAIR

• Naciye Sevim, Pt.

  Gazi University

  PRINCIPAL INVESTIGATOR

• Meral Boşnak Güçlü, Prof. Dr.

  Gazi University

  STUDY DIRECTOR

Central Study Contacts

Meral Boşnak Güçlü, Prof. Dr.

CONTACT

+90(312)2162647; meralbosnak@gazi.edu.tr

Aslınur Çakır, MSc.

CONTACT

+905442350236; aslinur.cakir@gazi.edu.tr

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof. Dr.

Study Record Dates

• First Submitted: September 2, 2025
• First Posted: September 9, 2025
• Study Start: September 15, 2025
• Primary Completion (Estimated): June 6, 2026
• Study Completion (Estimated): September 25, 2026
• Last Updated: September 9, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)