ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

Inclusion Criteria: * Age 18-65 years * Both genders * Unilateral shoulder pain of traumatic origin * Scoring should be less than 8 on numeric pain rating scale * Symptoms lasting more than 6 weeks * Pain on active shoulder movement * Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test * Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain Exclusion Criteria: * History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture * Adhesive capsulitis * History of dislocation * Glenohumeral osteoarthritis * Cancer * Auto-immune inflammatory conditions and infection * Positive joint integrity tests ( Ant. and Post. Drawer tests) * Hill sachs lesions * Bankarts lesions * Cervical rib * Previous shoulder or neck surgery or fracture * Familiar pain provoked by neck movements * Presence of radicular sign * Diagnosis of fibromyalgia * Clinical depression * Rheumatoid arthritis * Poor bone quality ( osteoporosis) * Vertobrobasilar insufficiency test