purpose of study to Aim to investigate effect(s) of scapular Blackburn stabilization exercises compared toscapular proprioceptive neuromuscular facilitation (SPNF) exercise in addition to conventional exercises on shoulder pain, function, shoulder,sacpular ROM, scapular muscle strength and scapular orientation in patients with sub acromial impingement syndrome Participants will be randomly allocated to three groups as follow: Group A (n=17): will receive a program of conventional exercise include rotator cuff strengthening ,stretching for posterior capsule and stretching for pectoralis minor for 18 sessions (3 sessions per week for six weeks) Group B (n=17): will receive a scapular PNF exercise program in addition to conventional Exercise with the same frequency. Group C (n=17): will receive a scapular Blackburn stabilization exercises in addition to conventional Exercise with the same frequency
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shoulder pain and functional disability
Timeframe: Assessment procedure will be performed pre intervention and post third and sixth week of treatment
A-shoulder flexion ROM B- shoulder external rotation C-shoulder internal rotation
Timeframe: Assessment procedure will be performed pre intervention and post third and sixth week of treatment
selective muscle strength on: A- upper trapezius B- middle trapezius C-lower trapezius. D- serrates anterior
Timeframe: Assessment procedure will be performed pre intervention and post third and sixth week of treatment
scapula orientation
Timeframe: Assessment procedure will be performed pre intervention and post third and sixth week of treatment