Gong Mobilization With and Without Thoracic Manipulation in Patients With Adhesive Capsulitis

Inclusion Criteria: * Age between 40 and 60 years * Both male and female * Clinically diagnosed with stage 2 frozen shoulder * Hypomobility of the thoracic spine * Unilateral or bilateral frozen shoulder with pain lasting for more than 3 month * Shoulder ROM limited with a flexion \<165°, abduction \<150°, or external rotation \<45°, restricted capsular pattern . * Positive shoulder shrug sign Exclusion Criteria: * Shoulder Arthritis * Thoracic outlet syndrome * Metabolic bone disease in the shoulder * Neoplastic bone disease in the shoulder * Osteoporosis and Osteomyelitis * Arm fracture, torn ligament around the shoulder joint, and shoulder surgery * Rheumatoid arthritis