the study was conducted to find out the effects of scapulothoracic joint mobilization with or without acromioclavicular joint mobilization in patients with sub-acromial pain syndrome.

the study was conducted to determine the effects on the pain, range of motion of shoulder joint and the SPADI score in patients with sub-acromial pain syndrome post intervention including scapulothoracic upward rotation, posterior tilting and outward rotation glide with or without combination of acromioclavicular inferior glide.

Inclusion Criteria:

• Age 25 - 40 years
• Genders both male and female
• Patients having unilateral non-traumatic shoulder pain
• Patients having pain for ≥ 3 months
• According to Dutch Orthopedic Association Clinical Practice Guidelines 2 out of following 3 tests should be positive i.e. Hawkin's kennedy test, Painful arc test, and Infraspinatus resistance test
• Positive scapular assistance test
• Positive AC joint scarf test

Exclusion Criteria:

• Patients having bilateral shoulder pain
• Younger than 25 and older than 40 years
• With positive drop arm test for supraspinatus tears
• Degenerative joint disease of shoulder
• Patients diagnosed with frozen shoulder
• Having history of shoulder fracture and dislocation
• Patients diagnosed with cervical radiculopathy (19)
• Having history of shoulder or neck surgery (19)
• Patients who had steroid injections in shoulder joint in the past 6 months
• Patients having other neurological, orthopedic and systemic problems affecting the shoulder, neck and back