Effect of neck control exercises added to shoulder blade training on shoulder function in overhead athletes with scapular problem A randomized control trial

INTERVENTION: Intervention1: Cervical spine motor control training plus scapular dyskinesis based exercises: The intervention group will receive cervical spine motor control training which includes progressive cervical spine mobility exercises, deep cervical flexor activation with pressure biofeedback and cervical spine proprioceptive training with head repositioning. This is given as an adjunct to scapular dyskinesis based exercises. Scapular dyskinesis based exercises includes stretching exercises for pectoralis major, teres major, upper trapezius and posterior shoulder capsule. Serratus wall slides, scapular stabilization exercises in I Y T pattern, wall pushups, dynamic scapular control exercises. The intervention program is progressive over four weeks, given in 2 phases. Control Intervention1: Scapular dyskinesis based exercises: Scapular dyskinesis based exercises includes stretching exercises for pectoralis major, teres major, upper trapezius and posterior shoulder capsule. Serratus wall slides, scapular stabilization exercises in I Y T pattern, wall pushups, dynamic scapular control exercises. The intervention program is progressive over four weeks, in 2 phases. CONDITION: PRIMARY OUTCOME: Scapular dyskinesis,Cervical spine proprioception, Deep cranio‐cervical flexor control, Shoulder complex disability.Timepoint: Outcomes will be assessed at two time points. At baseline and after 4 weeks of intervention. SECONDARY OUTCOME: Shoulder comple Xdisability with DASH questionnaireTimepoint: Outcomes will be assessed at two time points. At baseline and after 4 weeks of intervention. INCLUSION CRITERIA: Over head athletes with regular training experience, at least 3 days per week. Have type II scapular dyskinesis confirmed with Scapular Dyskinesis Test. Willing to participate in the study and provide written informed consent.