Shoulder pain is a common and disabling complaint with increasing incidence and prevalence rate. Shoulder pain being very common problem in human population and many reasons affected the shoulder mobility, and having different ideology of treatment by individual specialty. Major thought in shoulder rehabilitation were, in patients having limited shoulder range of motion (ROM), there is always an underlying structural problem near shoulder or associated to shoulder joint. The true statement is we do maximum movement of holding through distal and distal is most neglected during the treatment of proximal, and need to explore that proximal is major culprit and enhancer, responsible for proximal dyskinesia. Evidence states that integrating the Kinetic Chain activation Technique (K CAT) during shoulder rehabilitation may increase axioscapular muscle recruitment, produce lower trapezius muscle ratios and reduce the demands on the rotator cuff. Although classical anatomy still relegates muscular fascia to a role of contention. Nonetheless, different hypotheses concerning the function of this resilient tissue have led to the formulation of numerous soft tissue techniques for the treatment of musculoskeletal pain. Fascial Manipulation technique are effective in reducing pain in chronic shoulder dysfunctions. The anatomical substratum of the myofascial continuity has been documented by dissections and the biomechanical models. These myofascial chains and their mechanical relevance were explicit in stating that K CAT of distal chain to facilitate the reactivation of proximal chain is evident. But from the review it is evident that, while we treat proximal through distal it is easier and faster communicating to entire system, till distal to proximal and change muscle movement physiology which alter the bony anatomy which causing dissociation may result in proximal joint ROM gain