Background: Round shoulder posture (RSP), characterized by forward shoulder positioning from weakened and tense muscles, disrupts normal biomechanics and can cause Subacromial impingement syndrome (SIS), resulting in pain during specific movements or positions. This study examines the immediate effects of Kinesio taping (KT) on pain, proprioception, and posture in individuals in round shoulder individuals with SIS. Methods: The study involved 114 patients diagnosed with RSP and SIS. Pain intensity was assessed using a Visual Analog Scale (VAS), proprioception was measured with an inclinometer, and posture was evaluated using The New York Posture Rating Chart (NYPRC). Participants were randomly assigned to experimental group (EG) (n = 57), which received KT application, or to sham group (SG) (n = 57), which underwent a sham procedure. KT was applied to the affected shoulder and scapular regions. Assessments were conducted both before and after the application of Kinesio tape. Results: According to the study results, the differences in VAS scores (P = .002), proprioception abduction (P = .023) and NYPRC scores (P = .04), were statistically significant in the EG compared to the SG (P < .05). However, there was no significant difference in proprioception flexion between the groups (P > .05). Conclusion: KT demonstrates immediate benefits in reducing pain and improving scapular alignment in individuals with RSP and chronic shoulder pain. These findings underscore its potential effectiveness as a therapeutic intervention for managing symptoms associated with RSP and impingement syndrome, particularly in terms of pain relief and posture enhancement.

Introduction: Non-specific neck pain is a diagnosis that usually describes neck pain of postural and mechanical origin. This study aims to reveal the immediate effects of the application of cervical region manual therapy in patients with non-specific neck pain and to compare the effectiveness of different applications of manual therapy. Material and methods: 115 patients with non-specific neck pain were randomly divided into a manipulation/mobilization treatment group (n = 58) and a myofascial release treatment group (n = 57). A blinded assessor evaluated patients after a single application session. Before and immediately after the treatment session, the pain level was measured with the Visual Analogue Scale (VAS), spinal alignment with a scoliometer, finger grip strength with a pinchmeter, and grip strength with a Jamar hand dynamometer. Results: There was a statistically significant difference in the VAS (p = 0.00) right (p = 0.001) and left (p = 0.002) pinchmeter and scoliometer (p = 0.009) measurements of the individuals in the manipulation/mobilization group. A statistically significant difference was also found in the VAS (p = 0.001), Jamar right hand (p = 0.001) and scoliometer measurements (p = 0.001) of those in the foam roller myofascial release group. When both groups were compared, an improvement in the pinchmeter measurements was observed only in the manipulation/mobilization therapy group. Conclusions: A single session of foam roller-assisted myofascial release and cervical manipulation/mobilization therapy has immediate positive effects on pain, spinal alignment and grip strength parameters in patients with non-specific neck pain. Manual therapy practices can be used for rapid symptom relief in patients with non-specific neck pain.

Background. Telerehabilitation used as an exercise method has become increasingly common in recent years. Various methods have been used to increase hamstring flexibility, but more research is required on the optimal program. The study purpose was to investigate the effect of hamstring stretching exercises given as telerehabilitation and home exercise program on hamstring flexibility. Materials and methods. Sixty-eight healthy adults were randomly assigned to two groups, namely telerehabilitation and home exercise. Exercises were performed for 8 weeks (4 sessions/week) in both groups. Active and passive range of motion (ROM), sit and reach test (SRT), and International Physical Activity Questionnaire Short Form (IPAQ-SF) were conducted in the pre- and post-intervention and after a 6-month period. Results. At the end of 8 weeks, a significant improvement was observed in the SRT scores in both the telerehabilitation group (p = 0.001) and the home exercise group (p = 0.001). In addition, significant improvements were observed in the passive ROM measurements of both the telerehabilitation group (p = 0.005) and the home exercise group (p = 0.001). At the end of 8 weeks, the telerehabilitation group was found to be significantly superior to the home exercise group in the SRT results (p = 0.034). As for the long-term results, significant improvement was maintained in both SRT (p = 0.001) and passive ROM (p = 0.014) in the telerehabilitation group. Conclusions. Eight-week telerehabilitation and home exercise program was observed to have positive effects on passive and active ROM. The telerehabilitation method may prove to be more effective than the home exercise method in the long term.

Thoracic manipulation is one of the spinal manipulative treatment methods frequently used by clinicians. However, when carrying out this task, several methods could be preferred. This study aimed to compare the immediate effects of supine and prone thoracic high-velocity-low-amplitude chiropractic manipulations on the autonomic nervous system. The study included 62 healthy and volunteer participants aged 18-45 years. Participants were randomly assigned to supine and prone manipulation groups. Both groups, heart rate variability data were obtained with the Elite HRV CorSense device for 1 minute before the application, systolic and diastolic blood pressures were measured, pulse and saturation values were recorded. After the measurement, supine chiropractic manipulation was applied to the mid-thoracic region and the same measurements were repeated. Heart rate variability data were analyzed with Elite HRV application, pulse rate, saturation, systolic and diastolic blood pressure values were recorded and the results were statistically evaluated. In the intra-group comparison, LF/HF ratio increased in the prone group (p=0.025). When the difference between the groups was analyzed, the change in LF/HF ratio was found to be statistically significant between the two groups (p=0.008). The effect of prone application on the autonomic nervous system was found to be higher than supine application. This study revealed that prone and supine thoracic chiropractic HVLA application was effective on OSS in healthy individuals and that the efficiency of prone manipulation was significantly higher.