The Effect of Balneotherapy on Treatment of Subacute Suraspinatus Tendinitis

INTERVENTION: A total of 105 patients aged 20‐65 years who were admitted to physical therapy and rehabilitation clinic with the diagnosis of supraspinatus tendinitis will be included in this study. Each study groups will be treated by exercises and physical therapy agents, only the study group will be treated by phisical therapy agents, exercises and additionally balneotherapy. Balneotherapy, calcium sulphate and bicarbonate, carbon dioxide, fluoride, thermal (natural temperature average 45 C) and mineral (total mineral up to 2 g / L) will be applied with natural thermomineral healing water. The application will be carried out every day according to the patient's endurance, in the form of full bath, the first day is 10 minutes to 20‐25 minutes in the following days. Patients to be included in the study will be evaluated before treatment, 21 sessions after treatment and 3 months. The evaluation criteria will be taken by the VAS scoring system with pain (rest, movement, sleep) and quick dash test which is functional assessment of the shoulder, and the overall quality of life scale (SF‐36). In addition, for the purpose of functional evaluation; Evaluation of hand grip strength with jamar hand dynamometry, active joint range of motion of the shoulder with goniometer will be evaluated, the results will be recorded. The comparison of these results with baseline and post‐treatment results and whether they are associated with SF‐36, VAS, Quick Dash scoring will be analyzed. CONDITION: Musculoskeletal ‐ Other muscular and skeletal disorders Supraspinatus Tendinitis; ; Supraspinatus Tendinitis PRIMARY OUTCOME: Functional assessment of the shoulder; Quick Dash test will be use to functional assessment of the shoulder; [Patients to be included in the study will be evaluated before treatment, 21 sessions after treatment and 3 months after diagnosis.] Pain intensity , ; The VAS pain assessment scale will be use for subjective assessment of the pain.[Patients to be included in the study will be evaluated before treatment, 21 sessions after treatment and 3 months after diagnosis.] Quality of life; Short Form 36 (SF‐36) will be use to assess quality of life of the patients.[Patients to be included in the study will be evaluated before treatment, 21 sessions after treatment and 3 months after diagnosis.] SECONDARY OUTCOME: Evaluation of hand grip strength with jamar hand dynamometry,[Patients to be included in the study will be evaluated before treatment, 21 sessions after treatment and 3 months after diagnosis.] Evaluation of the range of motion of the shoulder with goniometer[Patients to be included in the study will be evaluated before treatment, 21 sessions after treatment and 3 months after diagnosis.] INCLUSION CRITERIA: Patients who were admitted to the physical therapy and rehabilitation clinic with the complaint of shoulder pain and diagnosed as supraspinatus tendinitis ; ‐Pain intensity (VAS 4 and above) to be moderate or severe ‐Complete passive range of motion