Graded Motor Imagery Training in Shoulder Impingement Syndrome

Inclusion Criteria: * Aged between 25-65 years old, * Having been diagnosed with Shoulder Impingement Syndrome by physical examination and MRI as a result of shoulder pain lasting at least 3 months, * Presence of a painful arc between 60° and 120° in shoulder flexion / abduction (elevation) movements, * The Standardized Mini Mental Test result must be at least 24 points, * Not having seen imagery practice before, Exclusion Criteria: * Having severe mental and communication problems, * Having undergone surgical treatment on the same upper extremity, * Presence of acute trauma, peripheral nervous system lesion, fracture or complete tendon rupture in the affected shoulder, * Presence of other pathologies such as adhesive capsulitis of the shoulder joint complex and glenohumeral instability, * Presence of radiotherapy history on the same side as the affected shoulder, * Presence of congenital deformity, * Symptomatic cervical spine pathology, * Presence of other neurological or rheumatological disorders affecting upper motor function, * Having any chronic disease that would prevent participation in the treatment program, * Having attended a physiotherapy program within the last month.