About this trial
The aim of this observational study was to evaluate the reliability and validity of the 6-minute pegboard and ring test (6PBRT) in patients with systemic sclerosis. The main question it aims to answer is:
\- Is 6PBRT a valid and reliable method to assess upper extremity functional capacity in patients with systemic sclerosis? Participants will repeat the 6PBRT 2 times 1 hour apart. In addition, respiratory muscle strength (MIP-MEP), upper extremity muscle strength (hand dynanometer and hand-held dynanometer), muscle oxygen saturation (Moxy Monitor Device) will be evaluated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Being between the ages of 18-75
2013 To be diagnosed with systemic sclerosis according to ACR/EULAR classification criteria
Being clinically stable
Ability to adapt to tests (visual, cognitive, cooperative)
Disqualifiers
Those with neurological and/or musculoskeletal problems that may affect the work
Presence of severe joint contracture or painful ulcers that may affect muscle strength measurement and walking
Presence of severe infection or sepsis
Being diagnosed with a known additional rheumatologic disease
Trial population
The study will be conducted at Selçuk University, Faculty of Health Sciences. The study will include volunteer individuals with systemic sclerosis who are eligible to participate in the study and who are being followed up and treated with a diagnosis of scleroderma in the Department of Rheumatology. \-- Purposive sampling
Trial design
Other
Cross-sectional
Treatments tested in this trial
validity and reliability study
Other interventionDetermination of strength, endurance and exercise capacity of the upper extremities is an important issue in scleroderma management. 6PBRT, which is one of the tests serving this purpose, has been found to be valid and reliable in patients with chronic obstructive pulmonary disease and asthma, but when the literature is reviewed, it is seen that 6PBRT has not been studied in patients with scleroderma. This study was planned as a non-interventional safety study. The study will investigate the validity and reliability of 6PBRT in patients with scleroderma. In this context, the test will be performed 2 times with a 1-hour rest break. Dyspnea and fatigue will be assessed using the Borg scale and muscle oxygenation, heart rate and blood pressure will be recorded before and after 6PBRT. The level of dyspnea and fatigue and baseline values of heart rate will be checked before the second trial to ensure patients are stable. All assessments will be performed by the same physiotherapist.
Treatment groups
Trial outcomes
Primary outcomes
6-Minute Pegboard and Ring Test
It is used to assess upper extremity exercise capacity.The 6PBRT will be performed using a pegboard with two upper and lower pegs placed at and above the participants\' shoulder level (20 cm). During the test, participants will use both hands simultaneously to move 10 lightweight wooden rings from the lower pegs to the upper pegs. Then, they will move the rings from the top pegs back to the bottom pegs. This activity will continue for six minutes. The aim is to move as many rings as possible during the six minutes. The score will be reported as the number of rings moved simultaneously. Every minute participants will be given standardized verbal encouragement. Heart rate, blood pressure, respiratory frequency, dyspnea and fatigue will be evaluated according to the Modified Borg Scale before and after the test.
Secondary outcomes
Demographic and Clinical Data
Information on age, height, body weight, body mass index, gender, educational status, occupation, medication use, exercise habits and disease will be evaluated.
Extremity Muscle Strength Measurement
Hand grip, elbow flexion, shoulder flexion and abduction muscle forces will be measured with a dynamometer.
Respiratory muscle strength measurement
Intraoral pressure will be measured with a measuring instrument. They are easily applicable and simple measurements. Maximal voluntary inspiratory and expiratory pressures (MIP and MEP) are the most commonly used noninvasive method to measure respiratory muscle strength. It is based on Müller (maximal inspiration) and Valsalva (maximal expiration).
Muscle Oxygen Saturation
Participants upper extremity muscle oxygen saturation will be assessed during 6PBRT.
Sponsors and contacts
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Yasemin GEDIKLI
Lead sponsor
Selcuk University
Sponsor institution
Scientific Research Projects
Collaborator
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