Clinical Research Directory

Inclusion Criteria: * At least 3 months have passed since pacemaker implantation and there are no complications in the last pacemaker control, * Being in NYHA class I-II-III, * Patients with no coordination problems, * Volunteering to participate in the research Exclusion Criteria: * Patients with a history of shoulder pathologies prior to pacemaker implantation that may restrict movement of the upper limb (conditions such as severe pain around the shoulder, edema or shoulder dislocation that may restrict upper limb movement), * Patients with a history of shoulder surgery (limitation in range of motion), * Patients who have had a cerebrovascular event resulting in mastectomy or arm involvement on the affected side, * Patients with decompensated heart failure, * Patients with a history of ICD inappropriate shock, * Those with acute myocardial infarction, * Patients with malignancy on active treatment, patients with collagen tissue disease receiving systemic steroids, * Chronic kidney disease patients on dialysis with unstable volume load