Each person will follow this program three times a week. The session starts with a shoulder movement test to check how well the shoulder rotates-60 degrees inward and 45 degrees outward-without the shoulder blade or upper arm moving incorrectly.

Next, movement retraining exercises are used to fix any incorrect shoulder movements. This includes helping the shoulder and shoulder blade move properly using hands-on support, along with exercises that may be supported or unsupported. Visual cues (like mirrors), touch, and manual guidance are used to teach correct movement.

Lastly, Mobilization with Movement (MWM) is performed. This involves gently pushing the shoulder joint backward

Each person in the control group will do these exercises three times a week. The session starts with shoulder warm-up exercises like arm circles, shoulder rolls, and reaching overhead. These are done in 2 sets of 10 reps.

Next is the modified sleeper stretch. This is repeated 3 times, with a 30-second rest between each stretch.

Then, isometric shoulder exercises are done in standing. The person pushes their arm inward against resistance without actually moving it.

Finally, Mobilization with Movement (MWM) is used.

stretches and strengthening along with mobilization with movement is given to participants. stretches include sleeper stretch and isometrics in strengthening

Pain intensity will be evaluated using the Numeric Pain Rating Scale (NPRS) ranging from 0 to 10, where 0 indicates no pain, 1-3 represents mild pain, 4-6 indicates moderate pain, and 7-10 reflects severe pain.

Shoulder range of motion will be measured in all planes of movement using a universal goniometer. The movements will include:

Flexion (0-180°) Extension (0-60°) Abduction (0-180°) Adduction (0-40°) Internal Rotation (0-70°) External Rotation (0-90°) All measurements will be recorded in degrees to assess improvement in joint mobility across these planes.

Functional disability will be assessed using the Shoulder Pain and Disability Index (SPADI), which provides a percentage score ranging from 0 to 100%. A low score (0-29%) represents minimal disability, a moderate score (30-59%) indicates moderate disability, and a high score (60-100%) signifies severe functional limitation.