Purposes of the study

To investigate the effect of adding High-Intensity Exercises to conventional physical therapy in patients with Shoulder Impingement Syndrome

Patients will be randomized into either High-intensity shoulder exercise group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Inclusion Criteria:

1. Athletic patients
2. Age of the patients between 18 - 35 years
3. Unilateral shoulder pain more than 3 months.
4. Positive Hawkins test.
5. Positive empty or full cane test.
6. Pain at night or incapable of lying on the shoulder.
7. Pain with active shoulder elevation in the scapular plane.
8. History of pain in the C5-C6 dermatome.
9. Pain with palpation of the rotator cuff tendons.
10. The patient had pain with resisted isometric abduction

Exclusion Criteria:

1. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation).
2. Clinical sign of cervical radiculopathy.
3. History of acromio -clavicular pain.
4. Rheumatoid Arthritis.
5. Adhesive capsulitis.
6. Tumors
7. Labrum lesions
8. Capsular or ligamentous tears or avulsions
9. Cartilage lesions