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Abstract

shoulder impingent syndrome is the most common disorder of shoulder joint. Manulal therapy is a crucial part of it’s physical therapy.The purpose of this study was to compare the effects of mobilization and mobilization with movement on pain, disability and function of patients with chronic  shoulder impingement syndrome. In this single blinded randomized controlled trial, Thirty patients were randomly divided into two groups of mobilization and mobilization with movement. All individuals were treated for 4 sessions in two weeks. The outcome measures were disability, pain and function that were assessed by DASH questionnaire, SPADI questionnaire respectively, measuring at baseline and at the end of the 4^th session. In mobilization group, SPADI pain, SPADI  function and DASH score significantly changed from 78.74±10.87 to 51.34±13.44,78.73±9.72 to 51.97±13.81 and 76.50±9.32 to 46.56±15.29 respectively (p<0.05). These outcome measures significantly changed from 81.21±8.22 to 30.31±11.68, 80.48±9.19 to 29.74±12.28 and 77.15±12.79 to 29.90±11.57 respectively in mobilization with movement group (p<0.05). Patients with chronic shoulder impingement syndrome who received mobilization with movement showed significantly better outcomes in pain intensity, disability, and upper limb function compared to the mobilization group.