The purpose of the present study was to examine the level of pain gets reduced whether by dry-land based concentric-eccentric exercises or by the equivalent type of aquatic exercises in the elite swimmers complaining of chronic shoulder pain. Elite swimmers from India of both genders with an age group of 16-30 years were chosen having pain rated as ≤7 on visual analog scale with an exception of Bak’s Grade E provided with an absence of past shoulder surgeries and acute injuries. 46 of swimmer’s shoulder athletes were randomly divided in a group of two. 23 in each group were provided with respective sets of dry-land and aquatic concentric-eccentric exercises for 3 times/week for a period of 4 weeks. Outcome was measured using three parameters which included visual analog scale (VAS), 50m freestyle sprint and shoulder pain and disability index (SPADI) scoring before and after the treatment in relation to freestyle and backstroke pattern of swimming. In results, the descriptive statistics of swimmers with aquatic and dry-land exercises; for VAS 0 sessions to
the 12th session were measured. The swimmers with dry-land exercises had the higher mean values than the swimmers with aquatic exercises, showing statistically significant differences (p≤ 0.05-0.001). Whereas in case of before and after 50 metre sprint, no significant differences were there between these two sets of populations. In case of before and after
SPADI scoring, swimmers with aquatic exercises had the lower mean values than those with the dry-land exercises, showing statistically significant differences (p ≤ 0.001). In conclusion, it may be stated that the aquatic concentric-eccentric exercises proved to be efficient for swimmers suffering from swimmer’s shoulder condition and early prognosis can be brought with aquatic rehabilitation as compared to the dry-land concentric-eccentric exercises.