Investigation of the Effect of Respiratory Exercises on Pain and Functionality in Individuals With Rotator Cuff Syndrome
Condition: Rotator Cuff Syndrome
MeSH terms: Syndrome; Rotator Cuff Injuries
Study type: Interventional

Summary: 
      As it causes pain and disability in individuals with rotator cuff lesions, which is one of
      the most common causes of shoulder pain, it affects performance in activities of daily
      living. Shoulder pain significantly affects the quality of life of individuals. The aim of
      conventional treatment in Rotator Cuff injuries is to reduce the inflammation in the area and
      to enable the shoulder to perform its normal functions. Conventional treatment is to restore
      muscle balance in the shoulder area. Muscle balance is achieved by strengthening the teres
      minor, infraspinatus, and subscapularis, which are also the humeral head depressors, and by
      strengthening the serratus anterior, levator scapula. For strengthening, the shoulder must
      have a full range of motion. In our study, stretching exercises, cold pack, Ultrasound, TENS,
      wand, and Codman exercises, which are classical physiotherapy methods, will be applied to all
      three groups. There are also studies in the literature investigating the effects of
      traditional physiotherapy methods on individuals with shoulder Rotator Cuff syndrome. The
      benefits of breathing exercises on pain, shoulder joint range of motion, and balance have all
      been researched in the literature. Increased diaphragm activity also guarantees that posture
      and body positions are maintained healthily. Diaphragm activity generally alters how an
      individual perceives pain. Diaphragmatic breathing is a therapeutic approach for
      musculoskeletal disorders.
    

Detailed description: 
      Breathing techniques have been demonstrated to reduce shoulder pain and increase ROM at the
      literature. However, no study has been found on the effectiveness of breathing exercises
      applied in addition to conventional physiotherapy in individuals with Rotator Cuff syndrome.

      Based on all of this knowledge, it was designed for this study to examine the efficacy of
      breathing exercises used in combination with traditional physiotherapy in patients with
      Rotator Cuff syndrome.
    

Intervention name(s): Conventional Treatment; Respiratory Exercises
Intervention type(s): Other; Other
Intervention description(s): Cold pack, ultrasound, TENS, finger ladder, Codman, shoulder wheel, and Wand exercises, as well as stretching and capsule exercises, will be used in addition to conventional physiotherapy. Exercises with a wand will be performed 10 times in each direction. There will be 30 repetitions in each direction of the Codman exercises. 5 days a week, for a total of 30 sessions, the afflicted shoulder will get 6 minutes of daily US treatment, with complete contact to the shoulder area and at a right angle. All patients will receive manual stretching in the shoulder flexion, abduction, extension, external rotation, and internal rotation directions. The physiotherapist will perform these stretches 5 times in each direction, pausing for 20 seconds at the conclusion of each repeat. TENS will be applied for 20 minutes. In addition, a 15-minute cold pack application will be made to the shoulder region. The application of theraband strengthening exercises will depend on the patients' state.; Diaphragmatic breathing and thoracic expansion breathing exercises will be applied 5 days a week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: respiratory exercises; rotator cuff syndrome; pain