Even at the early stage of employment exposure to mechanical factors such as lifting heavy weights, working with hands at or above shoulder level, and pushing or pulling heavy loads are independent risk factors for new-onset shoulder pain . Shoulder-related problems among workers doing spading are 53.1% and 57.7% among workers brick carrying tasks, these shoulder issues may be the result of repetitive awkward movement (beyond ninety degree raising with abduction position) of the shoulder during these activities .

The highest prevalence of shoulder impingement syndrome is among slaughterhouses as they are exposed to a combination of repetitive shoulder movements and sustained elevated arm .

Several of workplace physical exposures are implicated in the causation and/or increasing shoulder disorders. Occupational exposures including manual handling heavy lifting, pushing, pulling, holding, carrying), working above shoulder height, and repetitive work are the most frequent causes of shoulder disorders specifically the subacromial impingement syndrome.

Shoulder-related problems among workers doing spading are 53.1% and 57.7% among workers brick carrying tasks, these shoulder issues may be the result of repetitive awkward movement (beyond ninety degree raising with abduction position) of the shoulder during these activities.

Inclusion Criteria:

manually operated hand workers (males and females), Age from 25-to

-40 years, Shoulder impingement syndrome, and with No previous history of shoulder surgery that may affect their performance.

Exclusion Criteria:

Patient who has a history of shoulder instability, History of shoulder dislocation, Patient who has current symptoms related to the cervical spine, Patient who has a history of acromioclavicular pain, and Low back pain (LBP) will be excluded.