Effects of IC With and Without MET on Upper Trapezius Trigger Points

Effects of Ischemic Compression With and Without Muscle Energy Technique on Pain, Range of Motion and Functional Disability in Patients With Trigger Points in Upper Trapezius; A Randomized Clinical Trial

the aim of the study is to check the effects of ischemic compression with and without muscle energy technique on Pain, Range of motion, and Functional Disability on myofascial trigger points in the upper trapezius. In previous studies, Muscle Energy Technique and Ischemic Compression are compared with different conventional and combined therapy approaches, including most of the techniques used to treat Trigger Points in the upper trapezius. No study has evaluated the effects of ischemic compression with and without muscle energy technique on Pain, Range of motion, and Functional Disability on myofascial trigger points in the upper trapezius. The outcome measures are a Numeric pain rating scale, universal goniometer and neck disability index questionnaire.

Inclusion Criteria:

• Both gender Aged 18 to 50 years (40)
• Participants with active myofascial trigger points in the upper trapezius diagnosed by a senior physiotherapist on the basis of Travel and Simon criteria will be randomly allocated into two clinical groups.
• Taut band having palpable nodule within upper trapezius muscle
• Pain produced in a specific pattern which is radiating in character when firm pressure is applied on trigger points

Exclusion Criteria:

• Trauma (whiplash injury)
• Injury to Cervical Spine
• Cervical Spine surgery
• Cervical Myelopathy and Radiculopathy
• Osteoporosis of the cervical spine
• Cervical myeloma
• Complex regional pain syndrome
• Patients with the H/O any Neurological, Rheumatology and other serious medical illnesses.