Deltoid Strengthening Exercises:

• Deltoid Isometrics
• Dumb bell Strengthening Exercises
• Theraband Strengthening Exercises

Ultrasound Glenohumeral Distraction Manual therapy Codman's Pendulum Exercise Finger Ladder exercise Wand Exercise

a) Deltoid Isometrics

The following isometrics of Deltoid will be performed:

• Anterior Deltoid: Front Raise Isometrics Isometrics of Anterior Deltoid will be performed. The arm is raised to 90 shoulder flexion. The elbows are slightly flexed (5 degrees) while the subject is pushing isometric upward against manual resistance provided by the therapist
• Middle Deltoid: Lateral Raise Isometrics The arm will be abducted to the horizontal position. The humerus is slightly flexed about thirty degrees while the elbows are kept in a static, slightly flexed position. The arms are lifted isometric upward against resistance provided by the therapist
• Posterior Deltoid: Reverse Fly Isometrics The participant sits on a chair with trunk bent from the horizontal with the arms pointing toward the floor. The arms are raised until the upper arms are horizontal, while the elbows were in a static, slightly flexed position. The subject pushes upward against resistance provided by the therapist

In current study, patients with Adhesive Capsulitis having Numeric Pain Rating Scale (NPRS) score of greater or equal to 3 and less than 7 will be included. Numeric Pain Rating Scale (NPRS) is used to measure pain levels in all subjects. NPRS is self-reported, single-dimensional 11 point scale between 0 and 10. The NPRS has a moderate test-retest reliability in patients with a primary complaint of shoulder pain with ICC=0.74, MCID of 1.1 points and MDC of 2.5 points.

Patients with Adhesive Capsulitis having Shoulder Pain and Disability Index (SPADI) score of 41 to 60 will be included in the current study. The Shoulder Pain and Disability Index (SPADI) is used for measuring the level of disability in patients. This self-administered index consists of 13 items divided into two subscales: 5 items for pain and 8 items for disability. It is a practical outcome measure that will be completed by patients in less than 5 min and will be scored by clinician. It has a high internal consistency with Cronbach α typically exceeding 0.90 and a good test-retest reliability with ICC values ranging from 0.84 to 0.95. When the SPADI is used more than once on the same subject i.e. at initial consultation and then at discharge, the minimal detectible change (MDC 95%) is 18 points

Adhesive capsulitis' patients have a capsular pattern of restriction of glenohumeral joint. Universal goniometer (UG) will be used to measure external rotation, internal rotation, abduction and flexion. Universal Goniometer is defined as a high-resolution plastic goniometer that permits observation of the axis of motion and ROM of the joint being measured. UG has been considered the gold standard for clinical assessment of ROM. It has a good reliability for AROM with ICC ranging from 0.53 to 0.65, and SEM calculated to be 14-25.