Background: Frozen shoulder refers to a common shoulder condition characterized by a general limitation of shoulder range of motion in the capsule model. The capsular pattern of the shoulder is characterized by the greatest limitation of passive lateral rotation and abduction. Physiotherapy is the most important part of the conservative treatment of frozen shoulder. Aim: To find the role of Maitland mobilization technique in treatment of frozen shoulder with Mulligan’s mobilization techniques and its possible effects in early gaining of ROM and pain management. Methods: This was a comparative study conducted at the Department of Physical Therapy and Orthopedic Surgery I, King Edward Medical College/Mayo Hospital, Lahore. Subjects were conveniently divided into her two groups, each group containing her 40 patients. In group A, patients were treated with Maitland manipulative therapy. In group B, patients were treated with mulligan mobilization and movement techniques. Patients in both groups were followed for up to 6 weeks and improvements in motor parameters were recorded at each patient's follow-up visit. SPSS was used for data entry and analysis. Result: A total of 50 patients participated in this study. The mean age of patients in group A was 46.23 years and the mean age of group B was 45.23 years at the onset of the disease at 6 weeks, 11 patients at 10 weeks, and 2 patients at 12-year intervals. Patients had an onset duration of 6 weeks, 10 patients had an onset duration of 10 weeks, and 6 patients had an onset duration of 12 weeks. Abduction was observed to be significantly improved in patients treated with the Mulligan method compared with those treated with the Maitland mobilization method. Practical implication: More specifically, the study will be focused on the examining the shoulder active and passive ROMs and pain reduction before and after the treatment. All measured characteristics of FS patients will be compared with those of the subjects with asymptomatic shoulders. Conclusion: In comparison with Mulligan mobilization technique, Maitland mobilization technique is more effective in the management of frozen shoulder. Keywords: Adhesive capsulitis /Frozen shoulder, Mulligan mobilization technique, Maitland mobilization technique.

Background: Parkinson’s disease is the most progressive disorder of the nervous system. The four major features of Parkinson’s disease are tremors at rest, rigidity, hypokinesia, and postural instability. Aim: To evaluate outcomes of virtual based games in patients suffering from Parkinson disease and their effects on balance and gait training. Methodology: It was a 6-month randomized clinical trial study. 16 patients were taken for the study after the sample was calculated through G power analysis software. According to the inclusion criteria, patients between age 40 and 65, both males and females, with stage 1, 2, or 3, patients with gait and balance disorders were taken for study. Patients not fulfilling the criteria were excluded. Group 1 received an exercise gaming treatment plan which included wii perfect ten balances, wii-skiing, and wii-cycling. Patients received three sessions per week for two months. Each treatment session lasted 50 minutes with two minutes of rest between each exercise. Group 2 received a conventional treatment plan which included balance training, gait training, stretching and strengthening exercises. Patients received three sessions per week for two months. Results: The mean difference of UPDRS was 87.25 before treatment and 81.12 after treatment in group 1, while it was 86.25 before and 86.00 after treatments. The dynamic gait index was 14.12 before treatment and 19.12 after treatment in group 1. The average group score was 14.12 before treatment and 16.21 after treatment. Conclusion: The study concluded that Exer-games have shown a significant impact on the balance and gait of Parkinson’s patients as compared to conventional physical therapy alone. Keywords: Gaming, UPDRS, DGI, Parkinson, Postural Instability