Omuz Sıkışma Sendromunda Manuel Tedavi ve Bantlamanın Ağrı ve Fonksiyon Üzerine Etkinliğinin Karşılaştırılması
Aydoğan Arslan, Saniye
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This study investigates the effectiveness of manual therapy and taping on pain and function for patients with Shoulder Impingement Syndrome (SIS). This study was carried out on 42 patients who were diagnosed with SIS. Patients were randomly divided into three groups by using online random allocation software program; Kinesio Tape (KT) group, McConnell Tape (MC) group, manual therapy (MT) group. Cold Pack, transcuteneal electric stimulation and pulsed ultrasound were applied to the patients in all groups. Groups were treated 5 days a week for 4 weeks, then for 4 weeks with home exercise only. Patients were assessed before and after treatment for pain (with Visual Analogue Scale), range of motion (with goniometer), special tests for SIS (Neer and Hawkins), manual muscle strength, muscle tightness and pain and functionality level in daily life activities (DASH). The patients were assessed; before treatment, after 1st, 2nd, 3rd, 4th weeks of treatment, and one month after the end of treatment. After treatment, while no statistically significant difference was found regarding external rotation and internal rotation joint motion range in MC group (p>0.05), improvement was observed in all three groups regarding; pain, normal joint movement, muscle strength, daily life activities pain and functionality assessments (p<0.05). However, when comparing the three groups, there was no statistically significant difference regarding; pain, normal joint movement, manual muscle strength, daily life activities pain and functionality assessments (p>0.05). During 4th week and 1st month control assessments, statistically significant difference was found merely; between MC and MT group regarding change in shoulder external rotation motion range, and between KT and MC group regarding change in muscle strength values of shoulder flexion and external rotation (p <0.05).