Effectiveness of Telerehabilitation on Subacromial Pain Syndrome

The Effectiveness of Telerehabilitation With Self Mobilization in Patients With Subacromial Pain Syndrome

The aim of this study is to evaluate the effectiveness of supervised exercise therapy with active soft tissue and joint mobilization.

The effectiveness of telerehabilitation- active mobilization and exercises in the evaluation of pain and function in patients with subacromial pain syndrome will be examined and compared with face-to-face treatment, which is passive manual therapy.

Shoulder pain is common in the population. Various treatment modalities are used. Due to the Coronavirus disease (COVID-19), the problems in patients' access to hospitals and rehabilitation services caused telerehabilitation to be on the agenda. Telerehabilitation can be summarized as the delivery of rehabilitation services to those in need by using communication technologies. This method covers the steps of evaluation, monitoring, prevention, intervention, control, training, and consultation. In addition, as a new treatment application, its effectiveness will be measured in patients with shoulder pain.

Inclusion Criteria:

• Individuals between the ages of 18-50 who complain of shoulder pain
• Individuals diagnosed with a partial tear of the rotator cuff smaller than 1 cm and As a result of the examination performed by the physician stage 1 or 2 subacromial impingement syndrome.
• Two of the following tests are positive Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests
• Presence of shoulder pain lasting longer than 6 weeks that limits activity.
• Being literate and not having cognitive dysfunction.

Exclusion Criteria:

• Presence of other orthopedic, neurological and systemic problems affecting the neck, shoulder and back complex,
• Patients with heart failure and using a pacemaker,
• Labral tears and other intraarticular structural pathologies
• Signs of adhesive capsulitis
• Grade 3 or full thickness rotator cuff tear
• BMİ > 30 kg/m
• Having been included in a physical therapy program related to the same side shoulder joint in the last 1 year
• Using non-steroidal anti-inflammatory drugs.