This group includes 30 patients who had mastectomy and will receive Kinetic control exercise inform of activation local and general Stabilizer, mobilizer), and traditional exercise. Patients will receive 3 sessions per week for 8 weeks.

This group includes 30 patients who have undergone mastectomy and will receive traditional therapy inform of stretching and strengthening exercise as shoulder roll, arm circle, wall climb, back climb and hand behind neck. Patients will receive 3 sessions per week for 8 weeks.

Kinetic Control exercises consist of 45-minute sessions, with 3 sessions per week for 8 weeks. The framework for testing and rehabilitation includes initial assessment, rehabilitation before failure, and retesting the same position. Biofeedback measures scapular retraction, and biofeedback pressure training assesses and improves scapular stabilizer control by monitoring pressure changes during specific movements.

Patients will be seated with their affected limb relaxed, and their goniometer will measure their resting position and active range. They will measure shoulder abduction and flexion, which are rarely affected by day-to-day activities, and external shoulder rotation.

it is a series of tests to assess kinetic control, including shoulder flexion, scapular retraction, and isometric holds. The tests focus on maintaining consistent pressure, detecting compensatory patterns, and evaluating fatigue. The tests also include a scapular stabilization test and a shoulder flexion stability test, which measure muscle activation patterns and stability.