Effectiveness of Kinesiologic Taping and Dry Needling in the Treatment of Subacromial Pain Syndrome

Inclusion Criteria: Age 18-65 years Pain in the upper, outer arm, especially during shoulder elevation Shoulder pain lasting more than 6 weeks with or without partial rotator cuff tear At least three of the following findings: Painful arc during flexion or abduction Positive Neer test Positive Hawkins-Kennedy test Painful resisted external rotation Positive Jobe's test Diagnosis confirmed by MRI evaluation when indicated Exclusion Criteria: Participation in a physical therapy program or receipt of injection therapy within the past 3 months Previous shoulder surgery Presence of joint contracture Complete tendon rupture Cervical radiculopathy Systemic inflammatory disease (e.g., rheumatoid arthritis, ankylosing spondylitis) Known allergy to tape or materials used in interventions Bleeding disorders Local infection or open wound in the treatment area Cognitive dysfunction that prevents cooperation History of malignancy