Inclusion Criteria:  18-60 years old paraplegic manual wheel chair users after spinal cord injury. Those having level of injury from C7-T12 Patients who are using wheelchair from more than one year. Pain perceived region of one or both Shoulder from last three months or more Pain without radicular symptoms radiating to whole upper limbs. Wheelchair propulsion in activities of daily living, Individuals with positive Neer's test and Hawkins-Kennedy test  Exclusion Criteria:  Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, resting blood pressure greater than 140/90 mmHg, prolonged history of steroid use, etc. Any dislocation ,muscular tear and acute problem of shoulder. Presented with a diagnosis of cervical spinal stenosis, exhibited bilateral upper extremity symptoms Any recent surgery of the shoulder Individuals using other mobility devices with wheelchair. Individuals with primary impingement