COMPARISON OF MANUELTERAPI AND HOME EXERCISE IN SUBACROMIAL COMPRESSION SYNDROME

This study had been done in order to search the effects of manuel teraphy on the individuals wiho has the sendrome of subacromial impingement syndrome with the pain, weakness of the muscle power on shoulder, the disability of using shoulders, the which is seen on the arms, on shoulders and on the hands. This research has been opplied on the forty sick people between the ages of eighteen and sixty five. The patients has been divided into two groups of twenty people as home exercise group and manuel teraphy group by using the method of of randomize( first patients until twentith ones had taken to home exercise group and other ones from twentith ones had taken to theraphy group.). Both of this group has been given twenty four seances in four weks, six days of a week. The exercises of TENS, hot pack, ultrasound, home exercises had been opplied to the group of "home exercise".Tens, hotpack, ultrasound, home exercise and manuel teraphy (scapular mobilization , shoulder gliding, Myofacial release, glenohumerial mobilization, acromioclavicular mobilization had been done to the patients who are the member of group of manuel teraphy. Inıtally, the story and social-demographic story of patients taken from theirselves and then the universal goniometer and range of motion of the knuckles of patients has been measured before and after the treatment. The patients' visual analogue scala meanly pain assessment and shoulder stripe muscle power assessment has been done and the survey about the problems of arm, shoulder, hand carried out. During the analyzing of datas, the wilcoxon signed order test, Mann-Whitney U test and kruskal Wallis H test had been operated. At the result of researches, although the manuel teraphy group has a disadvantage situation compare to the group of preapplication hoe exercise, becauseof its showing more development after the application of prcatcicing the manuel teraphy with the home exercise has been more efffective at the patients who has subacromial impingement syndrome diminishing ache, shoulder disability and arm, shoulder on the other handı it is more effective at enhancing shoulder-muscle power and shoulder's range of motion has been determined.