xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT05966298</url>
    </required_header>
    <id_info>
      <org_study_id>2023-29</org_study_id>
      <nct_id>NCT05966298</nct_id>
    </id_info>
    <brief_title>Investigation of the Effectiveness of Core Stabilization Training in Patients With Subacromial Impingement Syndrome</brief_title>
    <official_title>Investigation of The Efficacy of Core Stabilization Training in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Study</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>Bandırma Onyedi Eylül University</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
    </sponsors>
    <source>Bandırma Onyedi Eylül University</source>
    <oversight_info>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        Subacromial Impingement Syndrome (SSS) is one of the most common shoulder problems. The core&#xD;
        region is considered a kinetic link that facilitates the transfer of torque and angular&#xD;
        momentum between the upper and lower extremities during body movements. The decrease in core&#xD;
        stabilization affects both trunk control and the quality of extremity movements depending on&#xD;
        the kinetic chain in the body. The improvement in core stabilization balances the load&#xD;
        transfer between the trunk and the extremities and reduces the asymmetry between the&#xD;
        extremities. Core stabilization training should be included in rehabilitation programs as&#xD;
        core stabilization is adversely affected in patients with CNS. For this reason, this study&#xD;
        was planned to examine the effects of core stabilization training applied in addition to&#xD;
        conventional treatment in patients with CNS on pain, range of motion, upper extremity&#xD;
        function and core stability.&#xD;
      </textblock>
    </brief_summary>
    <overall_status>Recruiting</overall_status>
    <start_date type="Actual">July 1, 2023</start_date>
    <completion_date type="Anticipated">December 1, 2024</completion_date>
    <primary_completion_date type="Anticipated">August 1, 2024</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <primary_purpose>Treatment</primary_purpose>
      <masking>Single (Outcomes Assessor)</masking>
    </study_design_info>
    <primary_outcome>
      <measure>Visual Analogue Scale</measure>
      <time_frame>Baseline</time_frame>
      <description>It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10) higher scores indicate more pain.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Visual Analogue Scale</measure>
      <time_frame>3 week</time_frame>
      <description>It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10)higher scores indicate more pain.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Visual Analogue Scale</measure>
      <time_frame>6 week</time_frame>
      <description>It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10)higher scores indicate more pain.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Visual Analogue Scale</measure>
      <time_frame>12 week</time_frame>
      <description>It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10)higher scores indicate more pain.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital goniometer</measure>
      <time_frame>Baseline</time_frame>
      <description>It will be used for shoulder joint range of motion measurements.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital goniometer</measure>
      <time_frame>3 week</time_frame>
      <description>It will be used for shoulder joint range of motion measurements.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital goniometer</measure>
      <time_frame>6 week</time_frame>
      <description>It will be used for shoulder joint range of motion measurements.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital goniometer</measure>
      <time_frame>12 week</time_frame>
      <description>It will be used for shoulder joint range of motion measurements.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital dynamometer</measure>
      <time_frame>Baseline</time_frame>
      <description>It will be used to measure the strength of the shoulder muscles.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital dynamometer</measure>
      <time_frame>3 week</time_frame>
      <description>It will be used to measure the strength of the shoulder muscles.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital dynamometer</measure>
      <time_frame>6 week</time_frame>
      <description>It will be used to measure the strength of the shoulder muscles.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Digital dynamometer</measure>
      <time_frame>12 week</time_frame>
      <description>It will be used to measure the strength of the shoulder muscles.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>QuickDASH</measure>
      <time_frame>Baseline</time_frame>
      <description>It is a questionnaire that evaluates disorders in all upper extremity functions. The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).</description>
    </primary_outcome>
    <primary_outcome>
      <measure>QuickDASH</measure>
      <time_frame>3 week</time_frame>
      <description>It is a questionnaire that evaluates disorders in all upper extremity functions. The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).</description>
    </primary_outcome>
    <primary_outcome>
      <measure>QuickDASH</measure>
      <time_frame>6 week</time_frame>
      <description>It is a questionnaire that evaluates disorders in all upper extremity functions. The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).</description>
    </primary_outcome>
    <primary_outcome>
      <measure>QuickDASH</measure>
      <time_frame>12 week</time_frame>
      <description>It is a questionnaire that evaluates disorders in all upper extremity functions.The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Stabilizer pressure biofeedback device</measure>
      <time_frame>Baseline</time_frame>
      <description>This device will be used to measure cervical and lumbar stabilizer muscle strength.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Stabilizer pressure biofeedback device</measure>
      <time_frame>3 week</time_frame>
      <description>This device will be used to measure cervical and lumbar stabilizer muscle strength.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Stabilizer pressure biofeedback device</measure>
      <time_frame>6 week</time_frame>
      <description>This device will be used to measure cervical and lumbar stabilizer muscle strength.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Stabilizer pressure biofeedback device</measure>
      <time_frame>12 week</time_frame>
      <description>This device will be used to measure cervical and lumbar stabilizer muscle strength.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Biering-Sorensen&quot; test</measure>
      <time_frame>Baseline</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Biering-Sorensen&quot; test</measure>
      <time_frame>3 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Biering-Sorensen&quot; test</measure>
      <time_frame>6 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Biering-Sorensen&quot; test</measure>
      <time_frame>12 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Trunk flexors endurance test</measure>
      <time_frame>Baseline</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Trunk flexors endurance test</measure>
      <time_frame>3 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Trunk flexors endurance test</measure>
      <time_frame>6 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Trunk flexors endurance test</measure>
      <time_frame>12 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Lateral bridge test</measure>
      <time_frame>Baseline</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Lateral bridge test</measure>
      <time_frame>3 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Lateral bridge test</measure>
      <time_frame>6 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Lateral bridge test</measure>
      <time_frame>12 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Prone bridge test</measure>
      <time_frame>Baseline</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Prone bridge test</measure>
      <time_frame>3 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Prone bridge test</measure>
      <time_frame>6 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Prone bridge test</measure>
      <time_frame>12 week</time_frame>
      <description>Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Push-ups&quot; test</measure>
      <time_frame>Baseline</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Push-ups&quot; test</measure>
      <time_frame>3 week</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Push-ups&quot; test</measure>
      <time_frame>6 week</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Modified &quot;Push-ups&quot; test</measure>
      <time_frame>12 week</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Sit-ups test</measure>
      <time_frame>Baseline</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Sit-ups test</measure>
      <time_frame>3 week</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Sit-ups test</measure>
      <time_frame>6 week</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Sit-ups test</measure>
      <time_frame>12 week</time_frame>
      <description>Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.</description>
    </primary_outcome>
    <number_of_arms>2</number_of_arms>
    <enrollment type="Anticipated">48</enrollment>
    <condition>Subacromial Impingement Syndrome</condition>
    <arm_group>
      <arm_group_label>Core stabilization group</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>Individuals included in this group will receive 20 minutes of core stabilization training in addition to 40 minutes of standard rehabilitation. Patients will be trained 5 days a week for first 3 weeks(standart rehabilitation + core stabilization training) then will be trained 3 days a week on 4-6 week (only core stabilization training). The next 6 weeks will be given a home exercise program including shoulder exercises and core stabilization training.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>Control group</arm_group_label>
      <arm_group_type>Other</arm_group_type>
      <description>Individuals included in this group will receive only 40 minutes of standard rehabilitation. Patients will be trained 5 days a week for first 3 weeks(only standart rehabilitation). The next 9 weeks will be given a home exercise program including shoulder exercises.</description>
    </arm_group>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>Core stabilization training</intervention_name>
      <description>First, while focusing on the activation methods of deep cervical flexor, transversus abdominus and multifidus muscles in individuals; In the next stages, exercises will be performed that will preserve the contraction of the deep cervical flexor, transversus abdominus and multifidus muscles and activate the other muscles of the body.</description>
      <arm_group_label>Core stabilization group</arm_group_label>
    </intervention>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>Standart Rehabilitation</intervention_name>
      <description>This treatment includes shoulder exercises and conventional therapy (Infrared, ultrasound, TENS).</description>
      <arm_group_label>Control group</arm_group_label>
      <arm_group_label>Core stabilization group</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Inclusion Criteria:&#xD;
  &#xD;
            -  Being diagnosed with subacromial impingement syndrome,&#xD;
  &#xD;
            -  Being between the ages of 18-65,&#xD;
  &#xD;
            -  Not having received medical treatment,&#xD;
  &#xD;
            -  Not having received a shoulder-related physiotherapy program in the last 1 year,&#xD;
  &#xD;
            -  Not having undergone any shoulder-related surgery,&#xD;
  &#xD;
            -  Being able to read and understand Turkish&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  Neurological deficits of the upper extremity and the presence of another orthopedic&#xD;
               disease, rheumatic and congenital disease other than CNS&#xD;
  &#xD;
            -  Presence of mental problems,&#xD;
  &#xD;
            -  To have received corticosteroid treatment in the last year,&#xD;
  &#xD;
            -  Having cardiovascular and systemic diseases that prevent work,&#xD;
  &#xD;
            -  Pregnancy,&#xD;
  &#xD;
            -  Those with communication problems&#xD;
        </textblock>
      </criteria>
      <gender>All</gender>
      <minimum_age>18 Years</minimum_age>
      <maximum_age>65 Years</maximum_age>
      <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
    </eligibility>
    <location>
      <facility>
        <name>Eren Özen</name>
        <address>
          <city>Bandırma</city>
          <state>Balıkesir</state>
          <zip>10200</zip>
          <country>Turkey</country>
        </address>
      </facility>
      <status>Recruiting</status>
      <contact>
        <last_name>Eren Özen</last_name>
        <phone>+902666064517</phone>
        <email>fzterenozen@gmail.com</email>
      </contact>
    </location>
    <location_countries>
      <country>Turkey</country>
    </location_countries>
    <verification_date>July 2023</verification_date>
    <study_first_submitted>July 13, 2023</study_first_submitted>
    <study_first_submitted_qc>July 27, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">July 28, 2023</study_first_posted>
    <last_update_submitted>July 31, 2023</last_update_submitted>
    <last_update_submitted_qc>July 31, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 2, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Principal Investigator</responsible_party_type>
      <investigator_affiliation>Bandırma Onyedi Eylül University</investigator_affiliation>
      <investigator_full_name>Eren Ozen</investigator_full_name>
      <investigator_title>Principal Investigator</investigator_title>
    </responsible_party>
    <keyword>Subacromial Impingement Syndrome</keyword>
    <keyword>core stabilization training</keyword>
    <keyword>core stability</keyword>
    <keyword>pain</keyword>
    <keyword>range of motion</keyword>
    <keyword>upper extremity function</keyword>
    <keyword>Subacromial Impingement</keyword>
    <keyword>Impingement</keyword>
    <keyword>Core Stabilization Exercises</keyword>
    <keyword>core stability exercises</keyword>
    <condition_browse>
      <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
      <mesh_term>Shoulder Impingement Syndrome</mesh_term>
      <mesh_term>Syndrome</mesh_term>
      <mesh_term>Rotator Cuff Injuries</mesh_term>
    </condition_browse>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT05966298
  org study id: 2023-29
  nct id: NCT05966298
  lead sponsor: 
  is fda regulated drug: No
  is fda regulated device: No
  Subacromial Impingement Syndrome (SSS) is one of the most common shoulder problems. The core
        region is considered a kinetic link that facilitates the transfer of torque and angular
        momentum between the upper and lower extremities during body movements. The decrease in core
        stabilization affects both trunk control and the quality of extremity movements depending on
        the kinetic chain in the body. The improvement in core stabilization balances the load
        transfer between the trunk and the extremities and reduces the asymmetry between the
        extremities. Core stabilization training should be included in rehabilitation programs as
        core stabilization is adversely affected in patients with CNS. For this reason, this study
        was planned to examine the effects of core stabilization training applied in addition to
        conventional treatment in patients with CNS on pain, range of motion, upper extremity
        function and core stability.
  allocation: Randomized
  intervention model: Parallel Assignment
  primary purpose: Treatment
  masking: Single (Outcomes Assessor)
  measure: Visual Analogue Scale
  time frame: Baseline
  description: It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10) higher scores indicate more pain.
  measure: Visual Analogue Scale
  time frame: 3 week
  description: It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10)higher scores indicate more pain.
  measure: Visual Analogue Scale
  time frame: 6 week
  description: It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10)higher scores indicate more pain.
  measure: Visual Analogue Scale
  time frame: 12 week
  description: It is used to assess the severity of pain. Pain severity with Visual Analogue Scale,(0-10)higher scores indicate more pain.
  measure: Digital goniometer
  time frame: Baseline
  description: It will be used for shoulder joint range of motion measurements.
  measure: Digital goniometer
  time frame: 3 week
  description: It will be used for shoulder joint range of motion measurements.
  measure: Digital goniometer
  time frame: 6 week
  description: It will be used for shoulder joint range of motion measurements.
  measure: Digital goniometer
  time frame: 12 week
  description: It will be used for shoulder joint range of motion measurements.
  measure: Digital dynamometer
  time frame: Baseline
  description: It will be used to measure the strength of the shoulder muscles.
  measure: Digital dynamometer
  time frame: 3 week
  description: It will be used to measure the strength of the shoulder muscles.
  measure: Digital dynamometer
  time frame: 6 week
  description: It will be used to measure the strength of the shoulder muscles.
  measure: Digital dynamometer
  time frame: 12 week
  description: It will be used to measure the strength of the shoulder muscles.
  measure: QuickDASH
  time frame: Baseline
  description: It is a questionnaire that evaluates disorders in all upper extremity functions. The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).
  measure: QuickDASH
  time frame: 3 week
  description: It is a questionnaire that evaluates disorders in all upper extremity functions. The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).
  measure: QuickDASH
  time frame: 6 week
  description: It is a questionnaire that evaluates disorders in all upper extremity functions. The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).
  measure: QuickDASH
  time frame: 12 week
  description: It is a questionnaire that evaluates disorders in all upper extremity functions.The QuickDASH is an abbreviated 11-question subset from the original Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The questionnaire's answers are scored on a 1-5 points scale that is then transformed to result in a score that ranges from 0 (indicating least disability) to 100 (indicating most disability).
  measure: Stabilizer pressure biofeedback device
  time frame: Baseline
  description: This device will be used to measure cervical and lumbar stabilizer muscle strength.
  measure: Stabilizer pressure biofeedback device
  time frame: 3 week
  description: This device will be used to measure cervical and lumbar stabilizer muscle strength.
  measure: Stabilizer pressure biofeedback device
  time frame: 6 week
  description: This device will be used to measure cervical and lumbar stabilizer muscle strength.
  measure: Stabilizer pressure biofeedback device
  time frame: 12 week
  description: This device will be used to measure cervical and lumbar stabilizer muscle strength.
  measure: Modified "Biering-Sorensen" test
  time frame: Baseline
  description: Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.
  measure: Modified "Biering-Sorensen" test
  time frame: 3 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.
  measure: Modified "Biering-Sorensen" test
  time frame: 6 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.
  measure: Modified "Biering-Sorensen" test
  time frame: 12 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects are positioned in the prone position. The subjects are asked to extend their upper body straight forward from the edge of the table. How long the patient was able to perform the test was recorded in seconds.
  measure: Trunk flexors endurance test
  time frame: Baseline
  description: Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.
  measure: Trunk flexors endurance test
  time frame: 3 week
  description: Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.
  measure: Trunk flexors endurance test
  time frame: 6 week
  description: Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.
  measure: Trunk flexors endurance test
  time frame: 12 week
  description: Test will be applied to assess the endurance of the core muscles. Participants will be positioned with trunk flexed to 60º, knees and hips to 90º flexion. The evaluator fixes the feet on the ground by supporting them from the toes. When the 60º trunk flexion is broken, the test will be terminated. How long the patient was able to perform the test was recorded in seconds.
  measure: Lateral bridge test
  time frame: Baseline
  description: Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.
  measure: Lateral bridge test
  time frame: 3 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.
  measure: Lateral bridge test
  time frame: 6 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.
  measure: Lateral bridge test
  time frame: 12 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects were asked to lie on their side, raise their bodies on their forearms and toes and maintain this position(both sides). How long the patient was able to perform the test was recorded in seconds.
  measure: Prone bridge test
  time frame: Baseline
  description: Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.
  measure: Prone bridge test
  time frame: 3 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.
  measure: Prone bridge test
  time frame: 6 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.
  measure: Prone bridge test
  time frame: 12 week
  description: Test will be applied to assess the endurance of the core muscles. The subjects put their elbows on the ground as the starting position and open their feet about the width of their hips while keeping their body straight. The tests end when the subjects break the test positions. How long the patient was able to perform the test was recorded in seconds.
  measure: Modified "Push-ups" test
  time frame: Baseline
  description: Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Modified "Push-ups" test
  time frame: 3 week
  description: Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Modified "Push-ups" test
  time frame: 6 week
  description: Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Modified "Push-ups" test
  time frame: 12 week
  description: Test will be applied to assess the strength of the core muscles. The subjects are positioned in the prone position with their hands shoulder-width apart and elbows and knees flexed. The subjects were asked to raise their body up by extending their elbows. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Sit-ups test
  time frame: Baseline
  description: Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Sit-ups test
  time frame: 3 week
  description: Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Sit-ups test
  time frame: 6 week
  description: Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.
  measure: Sit-ups test
  time frame: 12 week
  description: Test will be applied to assess the strength of the core muscles. The subjects are asked to flex the trunk while the knees are flexed in the supine position. During the test, the feet of subjects are stabilized. The number of times the patient repeats the movement in 30 seconds is recorded.
  arm group label: Core stabilization group
  arm group type: Experimental
  description: Individuals included in this group will receive 20 minutes of core stabilization training in addition to 40 minutes of standard rehabilitation. Patients will be trained 5 days a week for first 3 weeks(standart rehabilitation + core stabilization training) then will be trained 3 days a week on 4-6 week (only core stabilization training). The next 6 weeks will be given a home exercise program including shoulder exercises and core stabilization training.
  arm group label: Control group
  arm group type: Other
  description: Individuals included in this group will receive only 40 minutes of standard rehabilitation. Patients will be trained 5 days a week for first 3 weeks(only standart rehabilitation). The next 9 weeks will be given a home exercise program including shoulder exercises.
  intervention type: Other
  intervention name: Core stabilization training
  description: First, while focusing on the activation methods of deep cervical flexor, transversus abdominus and multifidus muscles in individuals; In the next stages, exercises will be performed that will preserve the contraction of the deep cervical flexor, transversus abdominus and multifidus muscles and activate the other muscles of the body.
  arm group label: Core stabilization group
  intervention type: Other
  intervention name: Standart Rehabilitation
  description: This treatment includes shoulder exercises and conventional therapy (Infrared, ultrasound, TENS).
  arm group label: Control group
  arm group label: Core stabilization group
  criteria: 
  gender: All
  minimum age: 18 Years
  maximum age: 65 Years
  healthy volunteers: Accepts Healthy Volunteers
  facility: 
  status: Recruiting
  contact: 
  country: Turkey
  responsible party type: Principal Investigator
  investigator affiliation: Bandırma Onyedi Eylül University
  investigator full name: Eren Ozen
  investigator title: Principal Investigator
  mesh term: Shoulder Impingement Syndrome
  mesh term: Syndrome
  mesh term: Rotator Cuff Injuries