ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain

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The purpose of this study is to determine the effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related shoulder pain on A. Pain B. Range of motion C. Propioception D. Kinesiophobia

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method.

Inclusion Criteria:

• Age 18-65 years
• Both genders
• Unilateral shoulder pain of traumatic origin
• Scoring should be less than 8 on numeric pain rating scale
• Symptoms lasting more than 6 weeks
• Pain on active shoulder movement
• Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test
• Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain

Exclusion Criteria:

• History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture
• Adhesive capsulitis
• History of dislocation
• Glenohumeral osteoarthritis
• Cancer
• Auto-immune inflammatory conditions and infection
• Positive joint integrity tests ( Ant. and Post. Drawer tests)
• Hill sachs lesions
• Bankarts lesions
• Cervical rib
• Previous shoulder or neck surgery or fracture
• Familiar pain provoked by neck movements
• Presence of radicular sign
• Diagnosis of fibromyalgia
• Clinical depression
• Rheumatoid arthritis
• Poor bone quality ( osteoporosis)
• Vertobrobasilar insufficiency test