Endurance Time Research Articles

Examining the Independent and Interactive Carryover Effects of Cognitive and Physical Exertions on Physical Performance.

This study compared the effects of prior cognitive, physical, and concurrent exertion on physical performance. Fatiguing cognitive and physical exertions have been shown to negatively affect subsequent task performance. However, it is not clearly understood if concurrent physical and cognitive effort may exaggerate the negative carryover effects on physical task performance when compared to cognitive or physical exertion alone. Twenty-five participants completed four isometric handgrip endurance trials on different days. The endurance trials were preceded by four, 15-minute experimental manipulations (cognitive, physical, concurrent, control). Electromyography (EMG) and force tracing performance were monitored, with handgrip strength measured pre and post. Subjective ratings of mental and physical fatigue, as well as affect, motivation, and task self-efficacy, were also assessed. Handgrip strength decreased following both physical (-14.4% MVC) and concurrent (-12.3% MVC) exertion manipulations, with no changes being observed for the cognitive and control conditions. No differences were observed across conditions for endurance time, EMG, nor tracing performance. When compared to the control conditions, perceptions of mental and physical fatigue were higher following the experimental manipulation. Endurance trial self-efficacy was lower for the mental, physical and concurrent conditions compared to control. The concurrent condition resulted in similar decreases in strength as the physical fatigue condition, but otherwise resulted in similar carryover effects on endurance performance across all conditions. Further study is required at higher exposure levels, or for longer exposure durations, to further probe the influence of concurrent physical and cognitive effort on task performance. Concurrent cognitive and physical effort resulted in similar physical performance decrements to physical effort alone.

Effects of inhaled beclometasone dipropionate/formoterol fumarate/glycopyrronium vs. beclometasone dipropionate/formoterol fumarate and placebo on lung hyperinflation and exercise endurance in chronic obstructive pulmonary disease: a randomised controlled trial

BackgroundThe single-inhaler triple combination of beclometasone dipropionate, formoterol fumarate, and glycopyrronium (BDP/FF/G) is available for maintenance therapy of chronic obstructive pulmonary disease (COPD). Cardinal features of COPD are lung hyperinflation and reduced exercise capacity. TRIFORCE aimed to evaluate the effect of BDP/FF/G on lung hyperinflation and exercise capacity in patients with COPD.MethodsThis double-blind, randomised, active- and placebo-controlled, crossover study recruited adults with COPD aged ≥ 40 years, who were hyperinflated and symptomatic, and were receiving mono- or dual inhaled maintenance COPD therapy. In the three treatment periods, patients were randomised to receive BDP/FF/G, BDP/FF, or placebo, each for 3 weeks, with a 7–10-day washout between treatment periods. Assessments included slow inspiratory spirometry (for resting inspiratory capacity [IC]) and constant work-rate cycle ergometry (for dynamic IC and exercise endurance time). The primary objective was to compare BDP/FF/G and BDP/FF vs. placebo for resting IC at Week 3. Key secondary objectives were to compare BDP/FF/G and BDP/FF vs. placebo for dynamic IC and exercise endurance time during constant work rate cycle ergometry at Week 3.ResultsOf 106 patients randomised, 95 completed the study. Resting IC adjusted mean differences vs. placebo were 315 and 223 mL for BDP/FF/G and BDP/FF, respectively (p < 0.001 for both). Adjusted mean differences vs. placebo for the key secondary endpoints were: 245 mL for dynamic IC (p < 0.001) and 69.2 s for exercise endurance time (nominal p < 0.001) with BDP/FF/G, and 96 mL (p = 0.053) and 70.1 s (nominal p < 0.001) with BDP/FF. Differences between BDP/FF/G and BDP/FF for resting and dynamic IC were 92 and 149 mL (p < 0.01 for both). All three treatments were generally well tolerated, with 27.3%, 25.3% and 19.0% of patients reporting adverse events with BDP/FF/G, BDP/FF and placebo, respectively, all mild or moderate.ConclusionsIn patients with COPD, BDP/FF/G provided significant and clinically relevant improvements vs. placebo and BDP/FF in static and dynamic hyperinflation, with an improvement vs. placebo in exercise endurance.Trial registrationClinicalTrials.gov (NCT05097014), registered 27th October 2021.

Nebulized fentanyl does not improve exercise capacity or dyspnoea in fibrosing interstitial lung disease.

Exercise intolerance and exertional dyspnoea are hallmarks of fibrosing interstitial lung disease (FILD) and are associated with worse prognosis and quality of life. Activation of pulmonary vagal afferents influences the ventilatory pattern and contributes to the sensation of dyspnoea. We tested the hypothesis that nebulized fentanyl, which might attenuate aberrant pulmonary afferent activity in FILD, reduces ventilation and dyspnoea while extending exercise endurance time (EET). In this randomized, single-blind, placebo-controlled study, eight FILD patients (two males, 71±6years of age) performed incremental cardiopulmonary cycle exercise tests following nebulization of either fentanyl citrate (100 µg) or 0.9% saline. Previous work indicated that this dose was unlikely to produce central effects. Comparisons between treatment conditions at rest were undertaken using Student's paired t-test, and exercise data were evaluated with two-way ANOVA with repeated measures. Dyspnoea was assessed using the Borg dyspnoea scale. Resting respiratory variables were not different following treatment with fentanyl and saline; however, resting heart rate was lower following fentanyl (P=0.002) and remained lower throughout exercise compared with placebo (P=0.008). Fentanyl did not increase EET (placebo 334±117s vs. fentanyl 348±126s, P=0.250) although overall minute ventilation was reduced slightly (mean difference: -0.97 L/min, P=0.022). There were no differences in ratings of dyspnoea intensity or unpleasantness between the conditions either at rest or at end-exercise. Nebulized fentanyl did not improve EET or exercise dyspnoea but did decrease minute ventilation during exercise, although the extent of this reduction appears clinically insignificant. These findings suggest that nebulized fentanyl is unlikely to offer significant benefits for enhancing exercise capacity in FILD.

Secular trends of physical fitness in Austrian children attending sports schools: An analysis of repeated cross-sections from 2006 to 2023

BackgroundPhysical fitness (PF) offers numerous physical and mental health benefits, especially during childhood. Previous studies investigating trends in children's PF over the years reported contradictory findings. ObjectiveTo identify and analyse secular trends in PF among Austrian schoolchildren from 2006 to 2023. MethodA repeated cross-sections design was used to examine the PF of children enrolling in sports schools between 2006 and 2023. During this period, a standardized eight-item motor performance testing battery was administered yearly to capture markers of strength, speed, endurance, agility and reaction time in Austrian schools. ResultsA total of n = 3827 children (996 girls) with a mean age of 9.9 ± 1.0 years were included. Linear mixed models indicated significant declines in sprint performance (5, 10, 20 m), tapping, jump (long jump and drop jump), throwing (medicine ball), and agility (snake run). No changes were observed in cardiorespiratory fitness (8 min run) or reaction time. ConclusionThere has been a steady decline in PF among Austrian children attending sports schools. This finding underscores the need for enhanced PF monitoring and training in schools to improve public health outcomes.

Design and test on high-gap wheeled agricultural chassis for harvesting broccoli

Abstract According to the planting mode of broccoli and the growth characteristics of broccoli, a kind of high-gap agricultural chassis with structural reliability and strong stability was designed for broccoli picking. Firstly, the dynamics and kinematics of the chassis were analyzed, and then we analyzed the stability and completed the finite element analysis of the key components. Finally, the simulation and field test were carried out. Thus, the main performance parameters of the chassis are determined. The overall power, driving power consumption, maximum endurance time, maximum driving distance, maximum power storage, and maximum battery power were 5.959kw, 1.84kw, 3h, 21km, 5.63kwh, and 6.552kw respectively. The results of the slope climbing and ridge driving test were better than those of the simulation test. The actual slope climbing effect of the chassis accords with the calculation of theoretical value, and it can climb the soil slope of 25°. These findings proved the stability of the high-gap agricultural chassis in the field and indicated that the chassis can be applied to small fields in hilly and mountainous regions.

Comparison of oven drying and freeze drying methods for the production of fast melt films containing quetiapine fumarate

Background Quetiapine fumarate (QTP) is commonly prescribed for schizophrenic patient, typically available in tablet or oral suspension form, presenting challenges such as administration difficulties, fear of choking and distaste for its bitter taste. Fast melt films (FMF) offer an alternative dosage form with a simple development process, ease of administration and rapid drug absorption and action onset. Objective This study aims to prepare FMF with different formulations using solvent casting methods and to compare the effects of different drying methods, including oven drying and freeze drying, on the properties of the films. Methods Various formulations were created by manipulating polymer types (starch, hydroxypropyl methylcellulose (HPMC) and guar gum) at different concentrations, along with fixed concentrations of QTP and other excipients. Characterisation tests including surface morphology, weight, thickness, pH, tensile strength, elongation length, Young’s modulus, folding endurance and disintegration time were conducted. The optimal FMF formulation was identified and further evaluated for moisture and drug content, dissolution behaviour, accelerated stability, X-ray diffraction (XRD), and palatability. Results FMF containing 10 mg guar gum/film developed using oven drying emerged as the optimum choice, exhibiting desirable film appearance, ultra-thin thickness (0.453 ± 0.002 mm), appropriate pH for oral intake (pH 5.0), optimal moisture content of 11.810%, rapid disintegration (52.67 ± 1.53 seconds), high flexibility (folding endurance > 300 times) and lower Young’s modulus (1.308 ± 0.214). Conclusion Oven drying method has been proven to be favourable for developing FMF containing QTP, meeting all testing criteria and providing an alternative option for QTP prescription.

Hand Tool Intervention for Rubber Tappers Using Modified Michie Golledge Knife

ABSTRACT Background and Objectives Rubber tapping is a physically demanding and skilled agricultural operation that can cause musculoskeletal disorders (MSDs). This research investigated the impact of using an ergonomically modified rubber tapping knife on the hand posture of rubber tappers. Methods Initially, a postural assessment was conducted using CATIA V6 modelling software followed by a non-randomized longitudinal study with 32 rubber tappers. In the second phase, the study used a custom-modified Standard Nordic Questionnaire, video recordings, and direct observations. The study compared the results of the ergonomically modified rubber tapping knife with the traditional tapping knife, evaluating hand grip strength, endurance time chip thickness, time required to complete 300 trees, and posture using the Rapid Upper Limb Assessment (RULA) tool. Results Compared to pre-tapping values, the mean reduction in grip strength after tapping was significantly less with the modified rubber tapping knife than with the traditional tapping knife (2.96 kg, SD 0.85 kg vs 7.31 kg SD 2.13 kg). Similarly, the reduction in hand endurance time was less with the modified knife than with the traditional knife (1.78 seconds, SD 0.47 seconds vs 3.34 seconds, SD 0.87 seconds). The study also indicated that the modified knife did not significantly affect chip thickness. Additionally, a slight increasing in tapping time was observed with the ergonomically modified knife, which may be attributed to a learning curve phenomenon. This suggests that as rubber tappers become more accustomed to the new tool, their efficiency may improve over time. Conclusion The hand grip strength and endurance time was significantly lower with the ergonomically modified tapping knife. The study concluded that using an ergonomically modified tapping knife led to a significant improvement in hand posture among rubber tappers.

Sex differences in the adaptations in maximal strength and anaerobic power to upper body plyometric training

This study aimed to compare the effects of a 6-week upper body plyometric training (UBPT) on maximal strength and anaerobic power performance of male and female subjects. Forty collegiate physically active male and female subjects participated in the study and were assigned to either UBPT group (M-UBPT, n = 10, F-UBPT, n = 10) or control group (M-CON, n = 10; F-CON, n = 10). The training groups performed 6 weeks of progressive overload UBPT three times per week using six exercises and were evaluated for upper-body anaerobic power and maximal strength, 3-kg medicine ball throw (MBT), push-up endurance, and reaction time at pre- and post-intervention. After the training intervention, the M-CON and F-CON groups did not show significant (p > 0.05) changes in the variables, while both the M-UBPT and F-UBPT groups demonstrated significant (p = 0.001) medium to very large improvements in their performance as follows: maximal strength (effect size [ES] = 0.55, 0.92), MBT (ES = 1.96, 0.89) peak power output (ES = 2.31, 1.52), mean power output (ES = 2.19, 1.11), push-up endurance (ES = 1.26, 0.70), and reaction time (ES = − 2.16, − 1.56), respectively. Nevertheless, the male group experienced more significant improvements in the MBT (p = 0.001), peak (p = 0.001) and mean power output (p = 0.01), as well as reaction time (p = 0.01) compared to the female group when utilizing UBPT. In conclusion, it is imperative to take sex into account as a crucial factor when incorporating UBPT, particularly if the objective is to enhance anaerobic power output, muscular power, and reaction time.

Efficacy of respiratory support therapies during pulmonary rehabilitation exercise training in chronic obstructive pulmonary disease patients: a systematic review and network meta-analysis

BackgroundExercise training is fundamental in pulmonary rehabilitation (PR), but patients with chronic obstructive pulmonary disease (COPD) often struggle with exercise intolerance. Respiratory support during exercise in COPD patients may be a beneficial adjunct therapy. In this study, the effect of different respiratory support therapy during pulmonary rehabilitation exercise training in COPD patients was assessed through a network meta-analysis.MethodsFive databases were searched to obtain randomized controlled trials involving different respiratory support therapies during PR exercise training in COPD patients. The Cochrane Handbook tool was employed to assess the risk bias of included studies. Network meta-analysis was performed using the STATA software. The study protocol was registered at PROSPERO (CRD42023491139).ResultsA total of 35 studies involving 1321 patients and 6 different interventions were included. Network meta-analysis showed that noninvasive positive pressure ventilation (NPPV) is superior in improving exercise capacity (6-Minute Walk Test distance, peak work rate, endurance time), dyspnea, and physiological change (peak VO2, tidal volume, minute ventilation and lactate level) in stable COPD patients who were at GOLD stage III or IV during PR exercise training. The final surface under the cumulative ranking curve value indicated that NPPV therapy achieved the best assistive rehabilitation effect.ConclusionsThe obtained results indicate that NPPV is most powerful in assisting exercise in severe COPD patients under stable condition. Researchers should focus more on the safety, feasibility, and personalization of interventions. Furthermore, there is a need for additional high-quality trials to assess the consistency of evidence across various respiratory support approaches.Trial registrationThe study was registered at PROSPERO (CRD42023491139).

Comparison of trunk muscle endurance between women with and without chronic neck pain

PurposeTo compare trunk flexor, extensor, and lateral flexor muscle endurance between women with moderate to severe disability due to chronic neck pain (CNP) and asymptomatic women. DesignObservational case-control study. MethodsThirty women with CNP and Neck Disability Index scores ranging from 30% to 70% and 28 asymptomatic women were included. The visual analog scale was used to assess neck pain intensity at rest and during activity. To assess trunk muscles endurance, trunk flexor endurance test, Sorensen test, and side bridge endurance test were performed. ResultsAnalysis of covariance indicated that neck pain group had lower body mass index-adjusted endurance times of trunk flexor, extensor, and lateral flexor muscles with large effect sizes (p < .001, η2 = 0.378-0.696). Trunk flexor endurance time showed a moderately negative correlation with neck pain intensity at rest and a weakly negative correlation with neck disability score (r = –460 and –365, p < .05). ConclusionsWomen with moderate to severe disability due to CNP exhibited decreased trunk muscle endurance, which may be a predisposing factor for low back pain. Also, trunk flexor endurance was related to neck pain complaints. A holistic approach, addressing the entire spine rather than focusing solely on the cervical region, might be useful for managing CNP. Clinical ImplicationsThe findings of reduced endurance in trunk muscles should be considered when incorporating interventions in the management of CNP to effectively address pain and disability.

Differential response to preoperative exercise training in patients candidates to cardiac valve replacement

BackgroundThere is lack of evidence regarding safety, effectiveness and applicability of prehabilitation on cardiac surgery population, particularly in patients candidates to cardiac valve replacement. The aim of the study is to assess and compare the effect of a multimodal prehabilitation program on functional capacity in patients with severe aortic stenosis (AoS) and severe mitral regurgitation (MR) proposed for valve replacement surgery.MethodsSecondary analysis from a randomised controlled trial whose main objective was to analyze the efficacy of a 4–6 weeks multimodal prehabilitation program in cardiac surgery on reducing postoperative complications. For this secondary analysis, only candidates for valve replacement surgery were selected. The primary outcome was the change in endurance time (ET) from baseline to preoperative assessment measured by a cycling constant work-rate cardiopulmonary exercise test.Results68 patients were included in this secondary analysis, 34 (20 AoS and 14 MR) were allocated to the prehabilitation group and 34 (20 AoS and 14 MR) to control group. At baseline, patients with AoS had better left systolic ventricular function and lower prevalence of atrial fibrillation compared to MR (p = 0.022 and p = 0.035 respectively). After prehabilitation program, patients with MR showed greater improvement in ET than AoS patients (101% vs. 66% increase from baseline). No adverse events related to the prehabilitation program were observed.ConclusionsA 4–6 week exercise training program is safe and overall improves functional capacity in patients with severe AoS and MR. However, exercise response is different according to the cardiac valve type disfunction, and further studies are needed to know the factors that predispose some patients to have better training response.Trial registrationThe study has been registered on the Registry of National Institutes of Health ClinicalTrials.gov (NCT03466606) (05/03/2018).

Seismic Design of Structures by Sequential Quadratic Programming with Trust Region Strategy and Endurance Time Method

Seismic Design of Structures by Sequential Quadratic Programming with Trust Region Strategy and Endurance Time Method

A Review of Structural Seismic Vulnerability Research Based on Endurance Time Method

A Review of Structural Seismic Vulnerability Research Based on Endurance Time Method

Anti-fatigue activity on male mice of 70% ethanol and aqueous extract of Rusa unicolor antler from East Kalimantan

Energy supply issues, ATP+PC, anaerobic glycolysis, product accumulation, lactic acid, mechanical failure of muscles to contractions and nervous system changes contribute to fatigue. The goal of this study was to determine whether 70% ethanol and aqueous extracts of Rusa unicolor antler from East Kalimantan, Indonesia, can reduce fatigue in male mice. A total of sixty-four male mice aged 2-3 months (20-30 g) were randomly assigned to eight groups (negative control, positive control and 3 doses of treatments for each extract). After that, the swimming endurance time was assessed, and blood glucose levels were measured before and after the test. Mice's tiredness is demonstrated by their head remaining submerged for 4-7 s while their tails and legs are stretched. One-way ANOVA was used to statistically analyze the data. The results showed that there were significant differences between all treatments with the negative control group (p&lt;0.05). At a dose of 1.3 mg/kg BW of 70% ethanol and aqueous extract of Rusa unicolor antlers were able to maintain the stamina of male mice in swimming for 2 hrs 37 mins. Both extracts improve endurance training, delay tiredness, and promote recovery after exercise. Hence, Rusa unicolor antler extract can significantly improve athletic ability and facilitate recovery after exercise in male mice by increasing endurance training capacity and delaying tiredness.

Between-day reliability of common muscle fatigue measures during a repeated upper limb fatigue protocol

Neuromuscular fatigue manifestation is of interest in both basic neurophysiological and applied (e.g. sporting, ergonomics) contexts. A unique challenge in fatigue research is that experimental sessions often need to be collected across many days to allow for adequate recovery. The purpose of this study was to examine the between-day reliability of several surface electromyography- and strength-based fatigue measures in response to a repeated fatigue protocol. Twenty participants (10 M, 10 F) performed an isometric elbow flexion fatigue protocol on three different days. The reliability of commonly used amplitude- and frequency-based myoelectric and performance-based indicators of fatigue were assessed using traditional reliability assessment methods. Baseline MVC strength (N) demonstrated excellent between-day reliability (ICCA, 1: 0.96, 95%CI[0.92, 0.98]) with good absolute reliability (SEM: 5.10%, MD95: 14.1%). The absolute reliability of all slope-based fatigue measures was low. However, %MVC Slope (ICC: 0.67, [49, .82]), %MnPF Slope (ICC: 0.75, [.60, .87]), and endurance time (ICC: 0.60, [0.39, 0.77]) had poor/moderate to good relative reliability. Baseline MVC strength was shown to be very repeatable between days. Caution is recommended when using slope-based fatigue measures for cyclic repetitive upper limb tasks, as slope-based measures of muscle fatigue were shown to have low between-session reliability.

Thermal regulation enhancement in multi-story office buildings: Integrating phase change materials into inter-floor void formers

Addressing the thermal loss from building envelopes is a crucial challenge and requires the exploration of various mitigation strategies. This study employs comprehensive 3D computational fluid dynamics simulations to investigate the incorporation of various bio-based Phase Change Materials (PCMs) including CrodaTherm (CT) 19, CT21, and CT24W, within inter-floor void formers between the roof-floor boundary in multi-story office buildings to optimize energy management during inactive periods in one of the adjacent units. Aside from the PCM type, the void former shape, its placement, and the combinations of PCMs and insulating layers are examined through heat flux and solid fraction plots as well as liquid fraction contours. Results highlight the exceptional performance of CT24W-integrated void formers, achieving a remarkable 36.74 % reduction in the 48-h average heat flux in comparison with the case without void formers, and offering lower heat flux values than the scenario with insulating layers for 89.38 h (endurance time). Based on the findings, with identical PCM volumes, the semi-ellipsoid PCM-integrated void former provides 11.07 % lower heat flux and 27.56 % longer endurance time compared to the one with a spherical shape. The results underscore PCM integration as a superior strategy over standalone insulation for managing thermal loss between apartment floors.

Profit analysis of a two-unit similar cold standby system with endurance time and preventive maintenance

Profit analysis of a two-unit similar cold standby system with endurance time and preventive maintenance

Integrating Electroencephalography with Motophysic training: Assessing the shift in fitness and cognitive functions in elite youth soccer players

Motor and physical fitness play a crucial role to optimize the player performance in the soccer game. Implementing a customized workout schedule targeting Motophysic Fitness (MPF) helps to elevate their on-field performance. The present study was aimed to assess the impact of a 12-week MPF Training program targeted to have improvements in physical fitness for elite soccer players. MPF training program was implemented during the off-season for youth soccer players with average age (20 ± 1 years), height (1.75 ± 0.5 m) weight (64.3 ± 5.7 kg). Soccer-related fitness traits were assessed to evaluate performance levels, while Electroencephalography (EEG) was utilized for cognitive assessment. Statistical analysis was performed to evaluate the outcome of the fitness traits. Significant improvements were observed across diverse fitness traits, with mean values increasing by a minimum of 2 % and a maximum of 5 %. Speed emerged as a predominant contributor, showing a robust correlation (Adjusted R2 = 0.84), while agility, strength, power, endurance, balance, coordination, and reaction time also displayed substantial improvements. Despite observable gains in flexibility, its impact on overall fitness appeared comparatively modest (Adjusted R2 = 0.23). Z-test confirmed the statistical significance of all fitness assessments post-MPF, with p-values less than 0.05 for each test. Features extracted from EEG highlighted the improvement in cognitive ability before and after training.

Multi-Objective Optimization in Support of Life-Cycle Cost-Performance-Based Design of Reinforced Concrete Structures

Surveys on the optimum seismic design of structures reveal that many investigations focus on minimizing initial costs while satisfying performance constraints. Although reducing initial costs while complying with earthquake design codes significantly ensures occupant safety, it may still cause considerable economic losses and fatalities. Therefore, calculating potential earthquake damages over the structure’s lifetime is essential from an optimal Life-Cycle Cost (LCC) design perspective. LCC analysis evaluates economic feasibility, including construction, operation, occupancy, maintenance, and end-of-life costs. The population-based, meta-heuristic Ideal Gas Molecular Movement (IGMM) algorithm has proven effective in solving highly nonlinear mono- and multi-objective engineering problems. This paper investigates the LCC-based mono- and multi-objective optimum design of a 3D four-story concrete building structure using the Endurance Time (ET) method, which is employed for its efficiency in estimating structural responses under varying seismic hazard levels. The novelty of this work lies in integrating the ET method with the IGMM algorithm to comprehensively address both economic and performance criteria in seismic design. The results indicate that the proposed technique significantly reduces minor injury costs, rental costs, and income costs by 22%, 16%, and 16%, respectively, achieving a total reduction of 10% in all structural Life-Cycle Costs, which is considered significant.

Reliability and construct validity of the Craniocervical Flexion Test in patients with migraine

BackgroundMigraine may be accompanied by several cervical musculoskeletal dysfunctions, for example an altered performance on the Craniocervical Flexion Test (CCFT). However, CCFT measurement properties are still unclear in patients with migraine. ObjectivesTo determine intra- and inter-examiner reliability, construct validity, standard measurement error (SEM), and minimal detectable change (MDC) of the CCFT in patients with migraine. MethodsWomen diagnosed with migraine were considered eligible for this study. Participants were assessed by two examiners for the inter-examiner reliability, and with 7–10 days interval for the intra-examiner reliability. Construct validity was assessed considering headache and neck pain frequency and intensity, and self-reported questionnaires, including the Headache Impact Test – 6 items (HIT-6), the 12-item Allodynia Symptom Checklist/Brazil (ASC-12), and the Neck Disability Index (NDI). In addition, participants performed cervical endurance and maximal voluntary isometric contraction of the cervical flexors. ResultsA total of 103 women with migraine were recruited. The intra-examiner reliability was rated as good (ICC= 0.81, 95% CI: 0.73, 0.87), while the inter-examiner reliability was rated as moderate (ICC= 0.55, 95% CI: 0.40, 0.67). The intra and inter-examiner SEM were 1.31 and 1.36 mmHg respectively, and MDC were 3.63 and 3.77 mmHg. The HIT-6 and the cervical endurance flexion test were associated with the CCFT in a multiple linear regression model (p = 0.004, R = 0.35). ConclusionThe CCFT presents adequate intra- and inter-examiner reliability. Better performance on the CCFT test was associated with better HIT-6 scores and greater cervical endurance time, which was not influenced by the presence of neck pain.