Group A was treated with closed kinetic chain exercises

Group B was treated with abdominal contraction exercises for periscapular activation

Group A was treated with closed kinetic chain exercises. Group A: Group A was treated with closed kinetic chain exercises. Closed kinetic chain exercises enhance the proprioception by coordinating the mechanical receptors as well as the strength of the external shoulder rotator muscles, reduce the pain and improve the shoulder.

Closed kinetic chain exercises include:

• Push up
• Scapular push up
• Scapular dip
• Crab walk

Common Treatment:

Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280, wavelength 80.

Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.

Patient level of pain will be assessed using this scale. In a Numerical Rating Scale (NRS), this scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain" patients are asked to circle the number between 0 and 10, that fits best to their pain intensity.

NRS scores ≤ 5 correspond to mild, scores of 6-7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning.

Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible. The NPRS is a widely used subjective pain measure that has good test-retest reliability (r=. 79-. 96) and validity of NPRS range from 0.86 to 0.95.

The Shoulder Pain and Disability Index (SPADI) consists of 13 items that have two main domains; in which subscale of 5-item that measures the pain and subscale of 8- item measures disability. The reliability of SPADI ranged from 0.90 to 0.94 and the validity ranged from 0.87 to 0.89.

The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.

A goniometer will be used in the study to measure shoulder flexion, internal rotation and external rotation.

Goniometer is an instrument that measures the available range of motion at a joint. To .measure the range of motion physical therapists most commonly use a goniometer. Therapist can use a goniometer to assess what the range of motion is at the initial assessment. The validity of UG (r=0.84 to 0.93) and high intra-rater reliability of goniometer on repeated measures of shoulder range of motions (ICC=0.98-0.99).