Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial

Table 2

Detailed description of the intervention in the PRE plus MT group.

	Progression (repetition and sets)
	First 4 weeks	Next 4 weeks
Phase 1
Range of motion exercises; Stretching(7 days a week)	(daily); 5 times ×30-sec hold	(daily); 5 times ×30-sec hold
Manual therapy
Thoracic PA glides in prone; Post. and inf. glide GH joint.	6 sessions	6 sessions
Strengthening exercises
PRE shoulder IR and ER(NP); PRE shoulder extension; PRE scap. retr and protraction(supine); Scapular retraction with tuck-in chin	1^st: 2^nd: (grade-up resistance band to red to green to blue)	na
Phase 2
Shoulder elevation and flexion (up to 90°) and resisted extension; Shoulder ER and IR [45°-90°]; Quadruped push-up plus “camel”; Scapular “T” and “Y” exercise	3^rd week; 4^th week (grade up from yellow to red)	(progressing from green to blue)
Phase 3
(In addition to phase 2 exercises); Chair press; Protraction-plank	na	5th to 8th week - 2 -3sets x 10 reps

Abbreviation: PA: posteroanterior; reps: repetitions; PRE: progressive resistance exercise; na: not applicable; Post: posterior; Inf: inferior; NP: neutral position; scap: scapula; retr: retraction.