The Effectiveness of Neuromuscular Training-Based Exercise Program

Visual Analogue Scale will be used to evaluate the severity of pain felt around the shoulder joint. The location of the pain and the severity of the pain will be questioned. Participants will be asked to indicate pain severiy they felt (rest, activity and night) on a 10 cm horizontal line, ranging from 0 to 10. Zero shows no pain and 0 is intolerable pain. Pain intensity will be recorded by measuring the value of the marked place in cm. Higher values indicate more severe pain.

The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to evaluate status of shoulder function. It is a questionnaire that evaluates all upper extremity functions and consists of a total of thirty questions. 21 of the questions of the questionnaire question the ability to perform functional activities, 5 of them about pain and 4 of them about the psychosocial effects of the disease. Each question is scored using a 5-point Likert scale with a range of 1-5. The total score of the questionnaire varies between 0-100 points, higher scores indicate better functional status. DASH, which has a short completion time and moderate scoring ease, is a questionnaire that can be used in patients between the ages of 18-64.

Tampa Kinesiophobia Scale (Tampa Kinesiophobia Scale, TKS) was used for kinesiophobia. TKS is a 17-item scale consisting of questions about re-injury anxiety, pain, anxiety, and fear-avoidance behaviors. This questionnaire is used for diseases associated with chronic and acute pain, musculoskeletal injuries and fibromyalgia. This scale utilizies a 4-point Likert score with 1-4 intervals (1= Strongly disagree, 4 = Strongly agree).

This program will be used to evaluate risk factors specific to shoulder pain in overhead athletes. The physiotherapist will evaluate each athlete using these specific shoulder injury risk factors tests, and the results will be recorded in the system. These risk factors include parameters for the shoulder (flexibility, strength, range of motion, core stability). The application will automatically generate an individual risk profile map showing risk levels in red, yellow, and green based on AI according to the category of the entered value. Database will be determined pain specific risk factors according to prospective studies. Each participant's individual risk profile will be formed.Both groups' risk profile map changes before and after treatment will be evaluated.

Upper Quarter Y-Balance Test (UQYBT) which is a functional performance test will be used to evaluate kinetic chain, mobility, and stability the components of upper extremity in a closed kinetic chain. The YBT-UQ which is called a closed kinetic chain functional screening tool with using the Y Balance Test kit (Move2Perform, Evansville, IN, USA). Participants will be positioned push-up position with the center of one hand on the grid. Participants will reach out as far as possible in the tested direction. Physiotherapist will measure the reach distance expressed in refrence to the stance limb which is tested side.

Closed Kinetic Chain Extremity Stability (CKCUES) Test was applied to participants with shoulder dysfunctions and to assess shoulder performance. Athletes will be positioned in push- ups position between tapes. Athletes will move their hands back and forth, touching each tape. The physiotherapist will count the athlete's touch number within 15 seconds.

The Single Arm Seated Shot Put Test (SSPT) is defined as an upper extremity functional performance test used in the clinical setting. In the test, a weighted ball is asked to be pushed forward during a shooting motion. Few pieces of equipment are requaried for this test. Physiotherapists will be positioned athletes to sit upright with the back, pelvis, shoulders, and head against the wall. Other hand will be resting on the floor or on the lap. Athletes will shot- put the ball as far as possible without moving away from the wall. The physiotherapist will measure where the ball first struck the ground for all three attempts in centime.