3rdInternational Congress of Medical and Health Sciences Studies, Ankara, Türkiye, 13 - 14 Aralık 2024, ss.80, (Özet Bildiri)
This study aimed to investigate the clinical determinants of upper extremity functional exercise capacity in young
adults, assessed using the 6-Minute Pegboard and Ring Test (6PBRT).
A cross-sectional study was conducted with 53 young adults (31 women, 22 men; mean age: 22.81 ± 3.78 years).
Upper extremity functional exercise capacity was evaluated using the 6PBRT. Additional assessments included
the Quick Disabilities of the Arm, Shoulder, and Hand scale for upper extremity function; a digital dynamometer
for upper extremity and hand grip strength; a mouth pressure device for respiratory muscle strength; and an
inspiratory muscle training device for respiratory muscle endurance. Core muscle endurance was evaluated using
the trunk flexor test, trunk extensor (Sorensen) test, and bilateral side bridge tests, while deep core muscle
activation was assessed using a pressure biofeedback unit. The Upper Quarter Y Balance Test was used to measure
upper extremity balance, the SF-12 Short Form Health Survey for quality of life, and the International Physical
Activity Questionnaire (Short Form) for physical activity level. Correlation and regression analyses were
performed to identify significant predictors of 6PBRT performance.
The 6PBRT performance showed significant correlations with respiratory muscle strength, including maximal
inspiratory pressure (MIP) (r = 0.341, p = 0.013) and maximal expiratory pressure (MEP) (r = 0.417, p = 0.002).
Among core endurance measures, significant correlations were observed with the Sorensen test (r = 0.319, p =
0.021), right lateral bridge (r = 0.345, p = 0.012), and left lateral bridge (r = 0.364, p = 0.008). However, multiple
regression analysis revealed that only maximal expiratory pressure (MEP) was an independent predictor of 6PBRT
performance, accounting for 41.7% of the variance (R² = 0.174, p = 0.002).
The 6-Minute Pegboard and Ring Test is a reliable tool for assessing upper extremity functional exercise capacity
in young adults. Maximal expiratory pressure (MEP) emerged as the most significant clinical determinant,
emphasizing the critical role of respiratory muscle strength in functional upper extremity performance. These
findings highlight the importance of incorporating respiratory muscle strength assessments and targeted
interventions in clinical and rehabilitative practices to optimize upper extremity functionality.