Celik, Erman BerkTuncer, Aysenur2025-02-152025-02-1520242227-9032https://doi.org/10.3390/healthcare12111074https://hdl.handle.net/20.500.12514/6162Tuncer, Aysenur/0000-0002-5660-1134; Celik, Erman Berk/0000-0001-6115-4669This study aimed to investigate the efficacy of manual therapy and exercise versus synchronized telerehabilitation with self-manual therapy and exercise in treating Subacromial Pain Syndrome (SAPS). Sixty individuals diagnosed with SPS, aged 18-50 years, were randomly assigned to home exercise (HE), manual therapy (MT), and telerehabilitation (TR) groups. Treatment protocols were administered over 8 weeks and included specific exercises and therapy interventions. Outcome measures included the Visual Pain Scale (VAS), shoulder range of motion (ROM) via goniometric measurements, Quick Disability Arm-Shoulder-Hand Problems Survey (Q-DASH), and patient satisfaction. Results revealed that both MT and TR groups exhibited reduced pain, increased ROM, lower Q-DASH scores, and higher patient satisfaction than the HE group. However, no significant differences were found between the MT and TR groups regarding pain levels, ROM, Q-DASH scores, or patient satisfaction. The study concludes that both telerehabilitation and manual therapy effectively alleviate pain and are well-received by patients with SPS. Additionally, manual therapy demonstrates superiority in enhancing functional levels compared to exercise-based interventions (Registration: NCT05200130).en10.3390/healthcare12111074info:eu-repo/semantics/openAccessSubacromial Pain SyndromeManual TherapyTelerehabilitationArticle1211Q2Q3WOS:0012454132000012-s2.0-85195895832388911491