Effect of Muscle Energy Technique Versus Strain-counterstrain on Upper Trapezius Trigger Points

Effect of Muscle Energy Technique Versus Strain-Counterstrain on Upper Trapezius Myofascial Active Trigger Points. A Randomized Control Trial

Aim of the study To determine the comparative effects of muscle energy technique and strain counter strain in upper trapezius trigger point.

A Randomized Controlled trial will be conducted after approval of synopsis. To enroll patients Purposive sampling technique will be used. Patients will be selected according to the pre-defined inclusion and exclusion criteria. The enrolled patients will be allocated into two groups, group A and group B. On Group A muscle energy technique will be applied for 30 seconds and repeat 3 to 5 times per on treatment session and Group B will be treated with strain counter strain for 20-30 seconds and repeat this process for up to five times. Assessment will be done at baseline, 2nd week, 4th week and 6th week of treatment. Follow up will be assessed 15 days after completion of treatment protocol. The patients' outcome will be measured by Visual Analog Scale for pain intensity and Neck Disability Index . Informed consent will be taken from each patient. Statistical Package of Social Sciences software, version 20 will be used for the analysis of data.

Inclusion Criteria:

1. Participants who are 18 to 34 years old
2. In upper trapezius From 2 weeks Had mechanical neck pain and was diagnosed with active myofacial Trigger points
3. Subjects have to exhibit a tendor point in the upper trapezius muscle either on the left or right side
4. Local pain is greater than 3/10 on Visual Analog scale

Exclusion Criteria:

1. Patient with cervical radiculopathy
2. Patients with Fibromyalgia syndrome
3. Patients who had cervical spine surgery
4. Patient with myelopathy
5. Patients who had myofacial pain therapy