All examinations performed on patients with shoulder overuse syndrome to recognize for their inclusion criteria to participate in the study.
A signed consent for participation in the study also was obtained from the attending
subjects, who will be treated for shoulder pain/dysfunction.
Before the intervention, pain intensity, posture, muscle strength and flexibility of movement of patients are evaluated. Pain is measured using the VAS. Scapular position and rotation are measured ,in first evaluation, shoulder protraction will be measured using the tape and formulas and in other methods scapular lateral slide test condition is evaluated. Also ,
Shoulder posture is measured by the distance of acromion process distance to the wall patient is standing in front of it, by a special ruler, double square ( millimeter ).
Mid thoracic curve will be measured with a flexible ruler (Flexi ruler) between T2 and T12 curvature and degree of the curve is calculated with the corresponding formula. For head posture , the angle between the horizontal line that passes through C7 and the second line of the C7 spinous process to ear TRAGO is measured by a protractor.
Isometric muscle strength by hand held dynameter is evalutaed. During muscle Pectoralis minor length is measured with two methods of assessment , the first method, posterolateral aspect of acromion process to the bed edge in which patient lying on it is measured and in the second method the distance between the two anatomical landmark, the angle of internal inferior (medial-inferior ) Coracoid process to the junction of the fourth rib to the sternum is measured with a caliper (Vernier calliper).
The range of shoulder abduction and external rotation by Goniometer ( Kendall method ) is evaluated.
There are two groups in this study [ Exercise Therapy ( I ) Group and Physical Therapy( II ) Group ], Exercise group receive a exercises program includes strengthening , stretching and Scapular Stabilization exercise. Group II, Physical Therapy (PT) who receive a conventional electrotherapy consisted of Conventional TENS and Ultrasound for 18 sessions (three sessions per week for 6 weeks). Eventually results in the both groups on pain, posture, muscle strength, flexibility, shoulder range of motion of patients will be evaluated and compared.