Table 1 Treatment regime for both groups

1. Manual therapy

Grade III and IV mobilizations to shoulder sub-joints and cervical spine

Soft tissue technique

Contract/relax technique for the trapezius, serratus anterior, and pectoralis

1. Stretching exercises:

Shoulder external and internal rotation stretch

Shoulder rotations (backward and forwards)

Shoulder flexion stretch

2. Stretching exercises:

Shoulder external and internal rotation stretch

Shoulder rotations (backward and forwards)

Shoulder flexion stretch

2. Strengthening exercises:

Wall push-ups

Shoulder extension in prone lying

External rotation with shoulder flexion at 90°

Resisted shoulder protraction

3. Strengthening exercises:

Wall push-ups

Shoulder extension in prone lying

External rotation with shoulder flexion at 90°

Resisted shoulder protraction