Prone Row Exercise Versus Lateral Pull Down Exercise In Shoulder Impingement Syndrome With Scapular Dyskinesia

Inclusion Criteria: * -Fifty-four male and female. * Individuals diagnosed with SIS and aged between 40-65 years with right-hand dominance (Andrea et al., 2024). * Participants experiencing shoulder pain persisting for a minimum duration of 3 months (Lucas et al., 2022). * Subjects with a primary complaint of shoulder impingement and scapular dyskinesia according to Neer's classification specifically in stages I and II are referred by an orthopedist (El Melhat et al., 2025). * Body mass index (BMI) is ≥ 25 kg/m² (Maryam et al., 2023). * Individuals with a positive Lateral Scapular Slide Test (LSST), defined as a side-to-side scapular difference of 1.5 cm or more in any of the three arm positions, indicating scapular asymmetry associated with dyskinesis (Kibler, 2003; Odom, 2001). * All participants must have the cognitive ability to understand instructions and provide informed consent, consistent with standards highlighted in recent informed consent meta-analyses (Tam et al., 2015). Exclusion Criteria: * History of shoulder surgery, dislocation, or fracture (Crawshaw et al., 2010). * History of neurological disorders (Crawshaw et al., 2010). * Participants will be excluded if they had cervical spine pain or any signs of cervical radiculopathy (Magee, 2014). * Individuals with chronic low back pain will be also excluded (Mohamed et al., 2022). * Pregnant women will be excluded from participation in this study.