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The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome

Year 2024, Volume: 13 Issue: 2, 607 - 615, 29.06.2024
https://doi.org/10.37989/gumussagbil.1410280

Abstract

Pain is one of the most important factors affecting the quality of life. The quality of life can be affected in patients with Rotator Cuff Syndrome (RCS) who have pain and restricted shoulder movements. The aim of our study is to examine the effect of the pain on functional status, quality of life and physical activity levels in daily life activities of RCS patients. 40 patients (19-64 ages) with RC were included in the study. Pain severity (Visual Analogue Scale- VAS), upper extremity functional status and disability (Quick-DASH questionnaire), physical activity level (International Physical Activity Questionnaire- IPAQ) and health related quality of life (Short Form-36- SF-36) were evaluated. Statistical analyzes were made using the SPSS 25.0 program.The cases mean age was 50.40 ± 11.37 and of 26 were female and of 14 were male. In the study, significant relationship was found between the Quick-DASH score and shoulder pain at night, at rest, during activity and during heavy object carrying (p<0.05). It was observed that there were significant negative correlation between SF-36 subtest scores and shoulder pain at night, at rest, activity, and carrying heavy objects (p<0.05). No statistically significant correlation was found between the severity of shoulder pain and the IPAQ result scores (p>0.05). The shoulder pain caused a decrease in functional status and quality of life and had no effect on the level of physical activity.

References

  • 1. Bakhsh, W. and Nicandri, G. (2018). ‘‘Anatomy and Physical Examination of the Shoulder’’. Sports medicine and arthroscopy review, 26 (3), 10–22. https://doi.org/10.1097/JSA.0000000000000202
  • 2. Getz, C.L, Buzzell, J.E. and Krishnan S.G. (2011). ‘’Shoulder Instability and Rotator Cuff Tears.’’ In J. M. Flynn, (Eds), Orthopaedic Knowledge Update 10. American Academy of Orthopaedic Surgeons, pp: 299–315.
  • 3. Nho, S.J, Yadav, H, Shindle, M.K. and Macgillivray, J.D. (2008). ‘’Rotator cuff degeneration: etiology and pathogenesis’’. The American journal of sports medicine, 36(5), 987–993. https://doi.org/10.1177/0363546508317344
  • 4. Varacallo, M, Seaman, T.J. and Mair, S.D. (2021). ‘’Biceps Tendon Dislocation and Instability’’. In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, January. Available from, https://www.ncbi.nlm.nih.gov/books/NBK534102/
  • 5. Rashid, M.S, Cooper, C, Cook, J, Cooper, D, Dakin, S.G, Snelling, S. and Carr, A.J. (2017). ‘’Increasing age and tear size reduce rotator cuff repair healing rate at 1 year’’. Acta Orthopaedica, 88(6), 606–611. https://doi.org/10.1080/17453674.2017.1370844
  • 6. Keener, J.D, Patterson, B.M, Orvets, N. and Chamberlain, A.M. (2019). ‘’Degenerative rotator cuff tears: refining surgical indications based on natural history data’’. Journal of the American Academy of Orthopaedic Surgeons, 27(5), 156-165. https://doi.org/10.5435/jaaos-d-17-00480
  • 7. Murrell, G.A. and Walton, J.R. (2001). ‘’Diagnosis of rotator cuff tears’’. Lancet (London, England), 357 (9258), 769–770. https://doi.org/10.1016/S0140-6736(00)04161-1
  • 8. Mather, R.C, Koenig, L, Acevedo D, Dall, T.M, Gallo, P, Romeo, A, Tongue, J. and Williams, G.J. (2013). ‘’The societal and economic value of rotator cuff repair’’. The Journal of Bone and Joint Surgery. American volume, 95 (22), 1993–2000. https://doi.org/10.2106/JBJS.L.01495
  • 9. Park, J.G, Cho, N.S, Song, J.H, Baek, J.H, Jeong H.Y. and Rhee, Y.G. (2016). ‘’Rotator Cuff Repair in Patients over 75 Years of Age: Clinical Outcome and Repair Integrity’’. Clinics in Orthopedic Surgery, 8 (4), 420–427. https://doi.org/10.4055/cios.2016.8.4.420
  • 10. Rincón-Hurtado, A.M, Rocha-Buelvas, A, López-Cardona, A. and Martínez, J.W. (2018). ‘’Health-related quality of life of patients with rotator cuff injuries, Cofee Triangle, Colombia, 2013’’. Revista brasileira de ortopedia, 53 (3), 364–372. https://doi.org/10.1016/j.rboe.2018.03.018
  • 11. Cho, C.H, Song, K.S, Hwang, I. and Warner, J.J. (2015). ‘’Does rotator cuff repair improve psychologic status and quality of life in patients with rotator cuff tear’’. Clinical Orthopaedics and Related Research, 473 (11) 3494-3500. https://doi.org/10.1007/s11999-015-4258-1
  • 12. Carlsson, A.M. (1983). ‘’Assessment of chronic pain I. Aspects of the reliability and validity of the visual analogue scale’’. Pain, 16(1), 87-101. https://doi.org/10.1016/0304-3959(83)90088-x
  • 13. Güzeldemir, M, E. (1995). ‘’Pain assessment methods. Syndrome, 7 (6), 11-21.
  • 14. Düger, T, Yakut, E, Öksüz, Ç, Yörükan S, Bilgütay, B.S, Ayhan, Ç, Leblebicioğlu, G, Kayıhan, H, Kırdı, N, Yakut, Y. and Güler, Ç. (2006). ‘’Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand - DASH Questionnaire’’. Fizyoterapi Rehabilitasyon, 17 (3), 99-107.
  • 15. Beaton, D.E, Katz, J.N, Fossel, A.H, Wright, J.G, Tarasuk, V. and Bombardier, C. (2001). ‘’Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity’’. Journal of Hand Therapy, 14(2), 128-146. https://doi.org/10.1016/S0894-1130(01)80043
  • 16. Maruish, M.E. (2011). ‘’User's manual for the SF-36 Health Survey’’ 3rd ed. Lincoln, RI: QualityMetric Incorporated.
  • 17. Koçyiğit, H., Aydemir, Ö., Ölmez, N. ve Memiş, A. (1999). ‘’Kısa form-36 (KF36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği’’. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36). İlaç ve Tedavi Dergisi. 12(1), 102-106.
  • 18. Craig, C.L, Marshal, A.L, Sjostrom, M, Bauman, A.E, Booth M.L. and Ainsworth, B.E. (2003). ‘’International Physical Activity Questionnaire: 12-country reliability and validity’’. Medicine and Science in Sports and Exercise, 35(1), 1381–1395. https://doi.org/10.1249/01.mss.0000078924.61453.fb
  • 19. Saglam, M, Arikan, H, Savci, S, Inal-Ince, D, Bosnak-Guclu, M, Karabulut, E. and Tokgozoglu, L. (2010). ‘’International physical activity questionnaire: reliability and validity of the Turkish version’’. Perceptual and Motor Skills, 111 (1), 278–284. https://doi.org/10.2466/06.08.PMS.111.4.278-284
  • 20. Lee, P.H, Macfarlane, D.J, La, T.H. and Stewart, S.M. (2011). ‘’Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review’’. The International Journal of Behavioral Nutrition and Physical Activity, 8, 115. https://doi.org/10.1186/1479-5868-8-115
  • 21. IPAQ committee. (2005). ‘’Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)’’. http://www.ipaq.ki.se/scoring.htm
  • 22. Tempelhof, S, Rupp, S. and Seil, R. (1999). ‘’Age-related prevalence of rotator cuff tears in asymptomatic shoulders’’. Journal of Shoulder and Elbow Surgery, 8 (4), 296-299. https://doi.org/10.1016/s1058-2746(99)90148-9
  • 23. Milgrom, C, Schaffler, M, Gilbert, S. and Van Holsbeeck, M. (1995). ‘’Rotator cuff changes in asymptomatic adults. The effect of age, hand dominance and gender’’. Bone & Joint Journal, 77 (2), 296-298.
  • 24. Fuchs, S, Chylarecki, C. and Langenbrinck, A. (1999). ‘’Incidence and symptoms of clinically manifest rotator cuff lesions’’. International Journal of Sports Medicine, 20 (3), 201-205. https://doi.org/10.1055/s-2007-971118
  • 25. Kostanoğlu, A, Yeldan, İ, Zengin, A, Tekeoğlu, A, Tarakçı, D, Kuru, T. and Akbaba, Y.A. (2010). ‘’The relationship of pain localization and intensity with activity in hospital workers’’. Journal of General Medicine, 20 (3), 81-85. https://doi.org/10.5505/agri.2011.40412
  • 26. Dogan, S.K, Ay, S. and Evcik, D. (2010). ‘’The effectiveness of low laser therapy in subacromial impingement syndrome: a randomized placebo controlled double-blind prospective study’’. Clinics, 65 (10), 1019–1022. (in Brazil) https://doi.org/10.1590/s1807-59322010001000016
  • 27. Schmidt, S, Ferrer, M, González, M, González, N, Valderas J, M, Alonso, J, Escobar, A. Vrotsou, K. and EMPRO. (2014). ‘’Group Evaluation of shoulder-specific patient-reported outcome measures: a systematic and standardized comparison of available evidence’’. Journal of Shoulder and Elbow Surgery, 23 (3), 434–444. https://doi.org/10.1016/j.jse.2013.09.029
  • 28. Demiral, Y, Ergör, G, Ünal, B, Semin, S, Akvardar, Y, Kıvırcık, B. and Alptekin, K. (2006). ‘’Normative data and discriminative propertiesof short form 36 (SF-36) in Turkis hurban population’’. BMC PublicHealth, 6, 247. https://doi.org/10.1186/1471-2458-6-247
  • 29. Gazielly, D.F, Gleyze, P. and Montagnon, C. (1994). ‘’Functional and anatomical results after rotator cuff repair’’. Clinical Orthopaedics and Related Research, 304, 43-53.
  • 30. Delen, M., Şendil, A., Kaux, J. F., Pedret, C., Le Sant, G., Pawson, J., Miller, S. C., Birn-Jeffery, A., & Morrissey, D. (2023). ‘’Self-reported bio-psycho-social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case-control study’’. Musculoskeletal care, 21(1), 175–188. https://doi.org/10.1002/msc.1679 31. Tarsuslu, T, Yümin, E.T, Oztürk, A. and Yümin, M. (2010). ‘’The relation between health-related quality of life and pain, depression, anxiety, and functional independence in persons with chronic physical disability’’. The journal of the Turkish Society of Algology, 22 (1), 30–36.
  • 32. Desmeules, F., Boudreault, J., Dionne, C. E., Frémont, P., Lowry, V., MacDermid, J. C., & Roy, J. S. (2016). ‘’Efficacy of exercise therapy in workers with rotator cuff tendinopathy: a systematic review’’. Journal of occupational health, 58(5), 389–403. https://doi.org/10.1539/joh.15-0103-RA

Rotator Manşet Sendromlu Hastalarda Ağrının Yaşam Kalitesi ve Günlük Yaşam Aktivitelerindeki Fiziksel Aktivite Düzeylerine Etkisi

Year 2024, Volume: 13 Issue: 2, 607 - 615, 29.06.2024
https://doi.org/10.37989/gumussagbil.1410280

Abstract

Ağrı yaşam kalitesini etkileyen en önemli faktörlerden biridir. Ağrısı olan ve omuz hareketlerinde kısıtlılık olan Rotator Manşet Sendromu (RMS) hastalarında yaşam kalitesi etkilenebilmektedir. Çalışmamızın amacı RMS hastalarının günlük yaşam aktivitelerinde ağrının fonksiyonel durum, yaşam kalitesi ve fiziksel aktivite düzeylerine etkisini incelemektir. Çalışmaya RM'li 40 hasta (19-64 yaş) dahil edildi. Ağrı şiddeti (Görsel Analog Skala-VAS), üst ekstremite fonksiyonel durumu ve sakatlığı (Quick-DASH anketi), fiziksel aktivite düzeyi (Uluslararası Fiziksel Aktivite Anketi-IPAQ) ve sağlıkla ilişkili yaşam kalitesi (Kısa Form-36-SF-36) Değerlendirildi. İstatistiksel analizler SPSS 25.0 programı kullanılarak yapıldı. Olguların yaş ortalaması 50.40 ± 11.37 olup, 26'sı kadın, 14'ü erkekti. Araştırmada Quick-DASH skoru ile gece, istirahat, aktivite ve ağır nesne taşıma sırasındaki omuz ağrısı arasında anlamlı ilişki bulunmuştur (p<0,05). SF-36 alt testi puanları ile gece, istirahatte, aktivitede ve ağır cisim taşımada omuz ağrısı arasında anlamlı negatif korelasyon olduğu görüldü (p<0,05). Omuz ağrısının şiddeti ile IPAQ sonuç puanları arasında istatistiksel olarak anlamlı bir ilişki bulunamadı (p>0,05). Omuz ağrısının fonksiyonel durum ve yaşam kalitesinde azalmaya neden olduğu ve fiziksel aktivite düzeyini etkilemediği görüldü.

References

  • 1. Bakhsh, W. and Nicandri, G. (2018). ‘‘Anatomy and Physical Examination of the Shoulder’’. Sports medicine and arthroscopy review, 26 (3), 10–22. https://doi.org/10.1097/JSA.0000000000000202
  • 2. Getz, C.L, Buzzell, J.E. and Krishnan S.G. (2011). ‘’Shoulder Instability and Rotator Cuff Tears.’’ In J. M. Flynn, (Eds), Orthopaedic Knowledge Update 10. American Academy of Orthopaedic Surgeons, pp: 299–315.
  • 3. Nho, S.J, Yadav, H, Shindle, M.K. and Macgillivray, J.D. (2008). ‘’Rotator cuff degeneration: etiology and pathogenesis’’. The American journal of sports medicine, 36(5), 987–993. https://doi.org/10.1177/0363546508317344
  • 4. Varacallo, M, Seaman, T.J. and Mair, S.D. (2021). ‘’Biceps Tendon Dislocation and Instability’’. In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, January. Available from, https://www.ncbi.nlm.nih.gov/books/NBK534102/
  • 5. Rashid, M.S, Cooper, C, Cook, J, Cooper, D, Dakin, S.G, Snelling, S. and Carr, A.J. (2017). ‘’Increasing age and tear size reduce rotator cuff repair healing rate at 1 year’’. Acta Orthopaedica, 88(6), 606–611. https://doi.org/10.1080/17453674.2017.1370844
  • 6. Keener, J.D, Patterson, B.M, Orvets, N. and Chamberlain, A.M. (2019). ‘’Degenerative rotator cuff tears: refining surgical indications based on natural history data’’. Journal of the American Academy of Orthopaedic Surgeons, 27(5), 156-165. https://doi.org/10.5435/jaaos-d-17-00480
  • 7. Murrell, G.A. and Walton, J.R. (2001). ‘’Diagnosis of rotator cuff tears’’. Lancet (London, England), 357 (9258), 769–770. https://doi.org/10.1016/S0140-6736(00)04161-1
  • 8. Mather, R.C, Koenig, L, Acevedo D, Dall, T.M, Gallo, P, Romeo, A, Tongue, J. and Williams, G.J. (2013). ‘’The societal and economic value of rotator cuff repair’’. The Journal of Bone and Joint Surgery. American volume, 95 (22), 1993–2000. https://doi.org/10.2106/JBJS.L.01495
  • 9. Park, J.G, Cho, N.S, Song, J.H, Baek, J.H, Jeong H.Y. and Rhee, Y.G. (2016). ‘’Rotator Cuff Repair in Patients over 75 Years of Age: Clinical Outcome and Repair Integrity’’. Clinics in Orthopedic Surgery, 8 (4), 420–427. https://doi.org/10.4055/cios.2016.8.4.420
  • 10. Rincón-Hurtado, A.M, Rocha-Buelvas, A, López-Cardona, A. and Martínez, J.W. (2018). ‘’Health-related quality of life of patients with rotator cuff injuries, Cofee Triangle, Colombia, 2013’’. Revista brasileira de ortopedia, 53 (3), 364–372. https://doi.org/10.1016/j.rboe.2018.03.018
  • 11. Cho, C.H, Song, K.S, Hwang, I. and Warner, J.J. (2015). ‘’Does rotator cuff repair improve psychologic status and quality of life in patients with rotator cuff tear’’. Clinical Orthopaedics and Related Research, 473 (11) 3494-3500. https://doi.org/10.1007/s11999-015-4258-1
  • 12. Carlsson, A.M. (1983). ‘’Assessment of chronic pain I. Aspects of the reliability and validity of the visual analogue scale’’. Pain, 16(1), 87-101. https://doi.org/10.1016/0304-3959(83)90088-x
  • 13. Güzeldemir, M, E. (1995). ‘’Pain assessment methods. Syndrome, 7 (6), 11-21.
  • 14. Düger, T, Yakut, E, Öksüz, Ç, Yörükan S, Bilgütay, B.S, Ayhan, Ç, Leblebicioğlu, G, Kayıhan, H, Kırdı, N, Yakut, Y. and Güler, Ç. (2006). ‘’Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand - DASH Questionnaire’’. Fizyoterapi Rehabilitasyon, 17 (3), 99-107.
  • 15. Beaton, D.E, Katz, J.N, Fossel, A.H, Wright, J.G, Tarasuk, V. and Bombardier, C. (2001). ‘’Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity’’. Journal of Hand Therapy, 14(2), 128-146. https://doi.org/10.1016/S0894-1130(01)80043
  • 16. Maruish, M.E. (2011). ‘’User's manual for the SF-36 Health Survey’’ 3rd ed. Lincoln, RI: QualityMetric Incorporated.
  • 17. Koçyiğit, H., Aydemir, Ö., Ölmez, N. ve Memiş, A. (1999). ‘’Kısa form-36 (KF36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği’’. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36). İlaç ve Tedavi Dergisi. 12(1), 102-106.
  • 18. Craig, C.L, Marshal, A.L, Sjostrom, M, Bauman, A.E, Booth M.L. and Ainsworth, B.E. (2003). ‘’International Physical Activity Questionnaire: 12-country reliability and validity’’. Medicine and Science in Sports and Exercise, 35(1), 1381–1395. https://doi.org/10.1249/01.mss.0000078924.61453.fb
  • 19. Saglam, M, Arikan, H, Savci, S, Inal-Ince, D, Bosnak-Guclu, M, Karabulut, E. and Tokgozoglu, L. (2010). ‘’International physical activity questionnaire: reliability and validity of the Turkish version’’. Perceptual and Motor Skills, 111 (1), 278–284. https://doi.org/10.2466/06.08.PMS.111.4.278-284
  • 20. Lee, P.H, Macfarlane, D.J, La, T.H. and Stewart, S.M. (2011). ‘’Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review’’. The International Journal of Behavioral Nutrition and Physical Activity, 8, 115. https://doi.org/10.1186/1479-5868-8-115
  • 21. IPAQ committee. (2005). ‘’Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)’’. http://www.ipaq.ki.se/scoring.htm
  • 22. Tempelhof, S, Rupp, S. and Seil, R. (1999). ‘’Age-related prevalence of rotator cuff tears in asymptomatic shoulders’’. Journal of Shoulder and Elbow Surgery, 8 (4), 296-299. https://doi.org/10.1016/s1058-2746(99)90148-9
  • 23. Milgrom, C, Schaffler, M, Gilbert, S. and Van Holsbeeck, M. (1995). ‘’Rotator cuff changes in asymptomatic adults. The effect of age, hand dominance and gender’’. Bone & Joint Journal, 77 (2), 296-298.
  • 24. Fuchs, S, Chylarecki, C. and Langenbrinck, A. (1999). ‘’Incidence and symptoms of clinically manifest rotator cuff lesions’’. International Journal of Sports Medicine, 20 (3), 201-205. https://doi.org/10.1055/s-2007-971118
  • 25. Kostanoğlu, A, Yeldan, İ, Zengin, A, Tekeoğlu, A, Tarakçı, D, Kuru, T. and Akbaba, Y.A. (2010). ‘’The relationship of pain localization and intensity with activity in hospital workers’’. Journal of General Medicine, 20 (3), 81-85. https://doi.org/10.5505/agri.2011.40412
  • 26. Dogan, S.K, Ay, S. and Evcik, D. (2010). ‘’The effectiveness of low laser therapy in subacromial impingement syndrome: a randomized placebo controlled double-blind prospective study’’. Clinics, 65 (10), 1019–1022. (in Brazil) https://doi.org/10.1590/s1807-59322010001000016
  • 27. Schmidt, S, Ferrer, M, González, M, González, N, Valderas J, M, Alonso, J, Escobar, A. Vrotsou, K. and EMPRO. (2014). ‘’Group Evaluation of shoulder-specific patient-reported outcome measures: a systematic and standardized comparison of available evidence’’. Journal of Shoulder and Elbow Surgery, 23 (3), 434–444. https://doi.org/10.1016/j.jse.2013.09.029
  • 28. Demiral, Y, Ergör, G, Ünal, B, Semin, S, Akvardar, Y, Kıvırcık, B. and Alptekin, K. (2006). ‘’Normative data and discriminative propertiesof short form 36 (SF-36) in Turkis hurban population’’. BMC PublicHealth, 6, 247. https://doi.org/10.1186/1471-2458-6-247
  • 29. Gazielly, D.F, Gleyze, P. and Montagnon, C. (1994). ‘’Functional and anatomical results after rotator cuff repair’’. Clinical Orthopaedics and Related Research, 304, 43-53.
  • 30. Delen, M., Şendil, A., Kaux, J. F., Pedret, C., Le Sant, G., Pawson, J., Miller, S. C., Birn-Jeffery, A., & Morrissey, D. (2023). ‘’Self-reported bio-psycho-social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case-control study’’. Musculoskeletal care, 21(1), 175–188. https://doi.org/10.1002/msc.1679 31. Tarsuslu, T, Yümin, E.T, Oztürk, A. and Yümin, M. (2010). ‘’The relation between health-related quality of life and pain, depression, anxiety, and functional independence in persons with chronic physical disability’’. The journal of the Turkish Society of Algology, 22 (1), 30–36.
  • 32. Desmeules, F., Boudreault, J., Dionne, C. E., Frémont, P., Lowry, V., MacDermid, J. C., & Roy, J. S. (2016). ‘’Efficacy of exercise therapy in workers with rotator cuff tendinopathy: a systematic review’’. Journal of occupational health, 58(5), 389–403. https://doi.org/10.1539/joh.15-0103-RA
There are 31 citations in total.

Details

Primary Language English
Subjects Physical Medicine and Rehabilitation
Journal Section Articles
Authors

Mehmet Salih Tan 0000-0002-7501-3872

Seval Kutlutürk Yıkılmaz 0000-0001-9120-7071

Candan Algun 0000-0002-2476-6567

Publication Date June 29, 2024
Submission Date December 28, 2023
Acceptance Date June 5, 2024
Published in Issue Year 2024 Volume: 13 Issue: 2

Cite

APA Tan, M. S., Kutlutürk Yıkılmaz, S., & Algun, C. (2024). The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(2), 607-615. https://doi.org/10.37989/gumussagbil.1410280
AMA Tan MS, Kutlutürk Yıkılmaz S, Algun C. The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. June 2024;13(2):607-615. doi:10.37989/gumussagbil.1410280
Chicago Tan, Mehmet Salih, Seval Kutlutürk Yıkılmaz, and Candan Algun. “The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients With Rotator Cuff Syndrome”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, no. 2 (June 2024): 607-15. https://doi.org/10.37989/gumussagbil.1410280.
EndNote Tan MS, Kutlutürk Yıkılmaz S, Algun C (June 1, 2024) The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 2 607–615.
IEEE M. S. Tan, S. Kutlutürk Yıkılmaz, and C. Algun, “The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 13, no. 2, pp. 607–615, 2024, doi: 10.37989/gumussagbil.1410280.
ISNAD Tan, Mehmet Salih et al. “The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients With Rotator Cuff Syndrome”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/2 (June 2024), 607-615. https://doi.org/10.37989/gumussagbil.1410280.
JAMA Tan MS, Kutlutürk Yıkılmaz S, Algun C. The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13:607–615.
MLA Tan, Mehmet Salih et al. “The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients With Rotator Cuff Syndrome”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 13, no. 2, 2024, pp. 607-15, doi:10.37989/gumussagbil.1410280.
Vancouver Tan MS, Kutlutürk Yıkılmaz S, Algun C. The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13(2):607-15.