Inclusion Criteria:  18-65 years old  Exclusion Criteria:  Presence of additional disease affecting upper extremity and hand functions (carpal tunnel syndrome, trigger finger, impingement syndrome,thoracic outlet syndrome, lateral and medial epicondylitis, hand osteoarthritis, etc.), having undergone upper extremity or cervical region surgery cervical radiculopathy, rheumatic disease, presence of neurological symptoms According to the Visual Analogue Scale (VAS), neck pain intensity in activity is less than 3, Acute or chronic respiratory illness Cardiac disease Problem recognizing verbal commands Pregnancy