Background: Archery is a practice, which is highly repetitive and loaded massively on the upper extremities, which are asymmetrical. Although it may seem that the biomechanical requirements of the Draw and Hold phases of the sport are mild, they pose huge loads on the glenohumeral joint. The rotator cuff and especially the supraspinatus and infraspinatus tendons are vulnerable to overuse trauma, subacromial impaction and tendinopathy. Purpose: This research paper is a critical evaluation of the synergistic effectiveness of a multimodal treatment protocol of the Muscle Energy Technique (MET) combined with Cryotherapy as part of a traditional exercise program. The proposal will focus on establishing the efficacy of this method in the restoration of Range of Motion (ROM), pain, and shooting accuracy in injured archers. Methods: Review of existing literature in sports medicine was carried out on rehabilitation measures on overhead athletes. There are outcome measures that are the Visual Analog Scale (VAS), Shoulder Pain and Disability Index (SPADI), and proprioceptive acuity. Conclusion: MET and Cryotherapy used simultaneously deal with the two-factor pathology of mechanical stiffness and biochemical inflammation. MET recreates the physiological length-tension relationship of external rotators, corrects scapular dyskinesis, and Cryotherapy controls the acute inflammatory response. Such a combination strategy makes it easier and safer to get back to elite performance faster than single therapies.
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