Investigation The Efficacy of Manual Therapy and Exercise in Patients With Glenohumeral Arthritis

Istanbul University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation

The aim of the investigator's study is to compare the efficacy of manual therapy and exercise practices compared to exercise practice in patients with Glenohumeral Arthritis. Thirty volunteer patients will include into the study.

Patients will randomly divide into two groups. A common exercise program was applied to both groups during 15 sessions. Manual therapy techniques will apply to the manual therapy group in addition to exercise practices. Patients will evaluate in terms of functional status, pain, range of motion, muscle strength and health-related quality before and after 5 weeks of treatment. Also, patient's satisfaction from treatment will evaluate at the 5th week of the treatment. DASH and ASES forms for functional status, VAS for pain, digital goniometer for range of motion, manual muscle test for muscle strength, SF-12 for health-related quality of life, and Global Rating of Change (GRC) Scale for patient satisfaction will be used as evaluation criteria.

Inclusion Criteria:

• 40 years and older patients
• To be diagnosed with GHOA by specialist physician via MRI, US or radiography and physical examination
• Unilateral shoulder pain lasting more than 2 months seen during daily living activities and at rest

Exclusion Criteria:

Patients with:

• Severe arthrosis
• Tumor
• Cervical radiculopathy
• Emotional or cognitive problems
• A neurological disease that causes muscle weakness on the shoulder
• A skin disease that may affect upper extremity assessment.
• Frozen shoulder
• Thoracic outlet syndrome