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Participants with subacromial pain syndrome underwent shoulder exercises. In addition to the exercises, group A received thoracic extension exercise and group B received kinesio taping. All exercises were performed five days per week for three weeks. Thoracic extension exercise was performed once a week and remained in place for 5 days. Evaluations were performed one to three days before and one to three days after the three-week exercise program.
Seventy-five adults with subacromial pain syndrome were randomized into three groups. Group A and Group B received thoracal extension exersice and thoracal kinesiotaping in addition to shoulder exercise, respectively, while Group C received only shoulder exercise. All exercises were performed five days a week for three weeks. Thoracal extension exercise was applied once a week and remained in place for 5 days. Assessments were conducted one to three days before and one to three days after the three-week exercise program. Shoulder pain intensity, pressure pain threshold (PPT) of the upper trapezius and pectoralis major, self-reported function and health status, active range of motion (AROM), and isometric strength of the shoulder were assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | In addition to shoulder exercises, thoracic extension exercises were performed. |
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| Group B | Active Comparator | In addition to shoulder exercises, kinesio taping was applied. |
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| Group C | Active Comparator | Only shoulder exercises were performed. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Shoulder exercises + Thoracic extension exercise | Other | Shoulder exercises and thoracic extension exercises were performed 5 days a week for 3 weeks. |
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| Measure | Description | Time Frame |
|---|---|---|
| Shoulder function assessment | Disabilities of the Arm, Shoulder and Hand Questionnaire was used to assess the condition. It is a questionnaire used to evaluate upper extremity function status. The questionnaire consists of three sections, and the person marks the appropriate answer for each question on the Likert system with a score of 5 (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). According to the DASH questionnaire result; a result between 0-100 is obtained from each section. | At the beginning and after 3 weeks |
| Muscle strength assessment | Muscle strength will be measured with a digital hand dynamometer. Muscle strength measurements of the subjects' flexion, extension abduction, adduction, external and internal rotation movements will be made. The measurements made with the dynamometer will be based on the fine muscle test positions and method defined by Lovett. The tests will be repeated three times and at least one minute of rest will be given between repetitions. The highest of the 3 repetitions was accepted as the result. | At the beginning and after 3 weeks |
| Thoracic kyphosis assessment | For thoracic kyphosis measurement, inclinometers were placed at T1-T2 and T12-L1 to perform the evaluation. | At the beginning and after 3 weeks |
| Pain intensity assessment | It was evaluated using a visual analog scale. The scale is between 0 and 10 points, and increasing numbers indicate increased pain intensity. | At the beginning and after 3 weeks |
| Pressure pain threshold assessment | Pressure pain threshold measurement was measured with an algometer device. Algometers are a device that can be used to define pressure and pressure pain threshold. Upper trapezius and pectoralis major muscles were evaluated. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sevtap GUNAY UCURUM, Assoc. Dr. | Izmir Katip Çelebi University, Department of Physiotherapy and Rehabilitation | Principal Investigator |
| Müge KIRMIZI, dr. lecturer | Izmir Katip Çelebi University, Department of Physiotherapy and Rehabilitation | Principal Investigator |
| AyÅŸenur YUKSEL, PT | Department of Physiotherapy and Rehabilitation, Bakircay University Training and Research Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Izmir Bakircay University Cigli Training and Research Hospital | Izmir | Turkey (Türkiye) |
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This research was planned as a randomized controlled trial.
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The evaluator did not know the group to which the participants were assigned.
| Shoulder exercises + Thoracic kinesio taping | Other | In addition to shoulder exercises, thoracic kinesio taping was applied. Shoulder exercises were performed 5 days a week for 3 weeks. TKT was applied once a week and remained in place for 5 days. |
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| Shoulder exercises | Other | Shoulder exercises were performed. They were performed 5 days a week for 3 weeks. |
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| At the beginning and after 3 weeks |
| Quality of life assessment | Health-related quality of life (SF-36) was assessed with the questionnaire. It consists of 36 items in total and has eight sub-parameters. These eight sub-parameters consist of physical function, pain, social function, physical role limitations, mental health, emotional role limitations, vitality, and general health parameters. The sub-scales are scored between 0-100 and an increase of 26 points indicates an increase in the quality of life. | At the beginning and after 3 weeks |
| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
| D018771 | Arthralgia |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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