Shoulder and Neck Mobilization in Patients With Subacromial Impingement Syndrome

Effects of Shoulder and Neck Mobilization on Pain, Sensation and Functionality in Patients With Subacromial Impingement Syndrome

Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.

Inclusion Criteria:

• Being over 18 years of age
• Diagnosed with Subacromial Impingement
• Not having received any treatment for shoulder problems in the last 6 months
• The pain has been continuing for 3 months
• Initial pain must be 4 or higher on the Visual Analog Scale (VAS)

Exclusion Criteria:

• History of surgery in the shoulder, cervical and thoracic region
• Having a shoulder problem such as a frozen shoulder or instability
• Full-thickness rotator cuff tear
• Having systemic musculoskeletal disease
• Having systemic rheumatic disease
• History of upper extremity fracture
• Diagnosed with scoliosis
• Have neurological problems