The study will compare the effect of virtual reality based exercise training versus Mulligan mobilization in addition to exercise therapy added to both groups on shoulder posture and function in subacromial impingement syndrome.
Participants ranged in age from 30-50 years old.
Participants are from non-athletes from the general population.
Unilateral shoulder pain that is localized either anteriorly or laterally to the acromion. Pain that occurs or worsens when the affected shoulder is in flexion and/or abduction.
Four of the following should be present in the included patients: Neer impingement test, Hawkins' test, Pain was replicated in the supraspinatus empty-can test, a painful arc of movement from 70° to 120°, and painful greater tuberosity of the humerus.
1) Patients who, during the previous three months, underwent shoulder physical treatment and/or an acute pain flare.
Parallel
Virtual Reality
Other interventionFully immersive virtual reality mounted headset will be used
Mulligan mobilization
Other interventionposterolateral shoulder Mulligan mobilization with movement (MWM) will be used
Pain intensity during shoulder elevation
It will be measured using the Numerical Pain Rating Scale (NPRS)
Shoulder function
The Shoulder Pain and Disability Index (SPADI) will be used to measure the shoulder function.
Shoulder flexion range of motion
The Clinometer Application will be used to measure it.
Shoulder abduction range of motion
The Clinometer Application will be used to measure it.
Patients' enjoyment
A 7-point likert scale will be used to the evaluate the level of the patients' enjoyment at the end of the last session.
patients' adherence to treatment sessions
patients' numbers of attended sessions will be calculated at the end of 1 month of treatment.
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