High Intensity Laser Versus Ischemic Compression on Myofascial Trigger Points in the Upper Trapezius

High Intensity Laser Versus Ischemic Compression on Myofascial Trigger Points in the Upper Trapezius

TO Investigate the effect of high intensity laser versus ischemic compression on myofascial trigger points on neck pain, cervical range of motion,pressure pain thershold and cervical disability and to show that the more effectivness therapy will provide significant clinical value

Randomized controlled Trial , participants will be assigned into three groups (study group A ,study group B and study group c ) Subject selection will be 63 subjects , 21 subjects in each group with trigger points in the upper trapezius.

Groups

Inclusion Criteria:

• The age of patients range from 20 to 50 years .
• patient Body mass index starting from 19 to 25 kg\m.
• presence of myofascial trigger points in the shortened upper trapezius muscle evaluated .

Exclusion Criteria:

• patients with fibromyalgia syndrome.
• cancer or tumor or any type diagnosed .
• patients with disc herniation or spinal canal stenosis.
• pregnancy -
• patients diagnosed with epilepsy.