Routine Rehabilitation Versus Shock Wave Therapy for Scapular Dyskinesis

Inclusion Criteria: * This study included 100 patients with scapular dyskinesis. The patients were divided into 2 groups: one group was treated with ESWT and routine rehabilitation, and the second group was treated with routine rehabilitation only. Adult patients with scapular dyskinesia who exhibited signs of dyskinesia for at least 6 months before enrolment in the study will be selected. Exclusion Criteria: 1. History of shoulder or thorax trauma or surgery. 2. The back pain involved the cervical spine and thoracic spine. 3. Participants with neurologic deficits 4. history of inflammatory conditions such as ankylosing spondylitis 4- Certain situations where shockwave therapy is not recommended. These include: Absolute contraindications: * Active infection (i.e., osteomyelitis) * Malignant tumors, particularly at the treatment site (focused shockwave) * Pregnancy Relative Contraindications: * The brain or nerve in the treatment focus * Treatment focused on the lungs or pleura * Significant coagulopathy (increased risk of bleeding, such as haemophilia) * Epiphyseal plate in treatment focus Important considerations: * Cardiac pacemakers or other implantable devices * Current nonsteroidal anti-inflammatory drug use * Current anticoagulation use * Recent corticosteroid injections (receiving a steroid injection into the area to be treated within the previous 12 weeks).