Clinical Research Directory

The program will be set up as a 35-minute session, including a 5-minute warm-up, three days a week for four weeks, under the supervision of a physical therapist. Before starting the exercise, the pelvis will be moved forward and backward to teach the lumbar and pelvic neutral positions by contracting and pulling the abdominal muscles to reduce lumbar lordosis. A neutral position will be established before each session, and care will be taken to maintain the neutral position throughout the exercise. The exercises consist of three levels and will be applied gradually. The exercises given at the beginning will be made more difficult individually according to the patients' progress. When the patient can maintain the exercise position for more than 5 seconds, they will move on to the next level. A deep breath will be taken before starting the exercise, and the breath will be exhaled during the movement. The contraction of the transversus abdominis muscle should continue while exhaling.

The program will be set up for 3 days a week over 4 weeks, consisting of a 35-minute session including a 5-minute warm-up, supervised by a physical therapist. Classic Williams 1-2-3 and McKenzie exercises will be provided.

1. Passive, assisted active, and active shoulder flexion, abduction, external rotation, and internal rotation exercises in the supine position 2. Active shoulder range of motion (ROM) exercises in a sitting or standing position 3. Shoulder flexion strengthening exercises 4. Shoulder external rotator and internal rotator strengthening exercises 5. Exercises to strengthen the lower, middle trapezius, and serratus anterior muscles 6. Posterior capsule stretching exercises 7. TENS (20 minutes) 8. Cold pack (10 minutes)