Treatment for shoulder impingement is conservative initially, Rehabilitation programs generally consist of exercise therapy and manual therapy that provide relief from symptoms of impingement. High-intensity laser therapy used recently and was found to be effective in the short term in the treatment of pain and disability in patients with impingement. This study aims to * Investigate the effect of high intensity power laser therapy on sonographic measurement in the adolescent suffering from shoulder impingement syndrome. * Investigate the effect of high intensity power laser therapy on pain in the adolescent suffering from shoulder impingement syndrome. * Investigate the effect of high intensity power laser therapy on shoulder function in the adolescent suffering from shoulder impingement syndrome. RESEARCH QUESTION: Does using high intensity power laser affects shoulder dysfunction in adolescent with shoulder impingement syndrome?
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Acromio-humeral distance (AHD) and Coraco-humeral distance (CHD).
Timeframe: measurements will be done pre and post 5 weeks (15 sessions, three sessions per week) of interventions.
pain.
Timeframe: measurements will be done pre and post 5 weeks (15 sessions, three sessions per week) of interventions.
Function.
Timeframe: measurements will be done pre and post 5 weeks (15 sessions, three sessions per week) of interventions.