Effects of Post-Isometric Relaxation Versus Static Stretching in Patients With Levator Scapulae Syndrome.

Effects of Post-Isometric Relaxation Versus Static Stretching on Pain, Range of Motion, Disability and Muscle Length in Patients With Levator Scapulae Syndrome.

Group A will be treated with Postisometric relaxation technique and Group B will be treated with Static stretching technique. Postisometric relaxation will be performed with the frequency of 5 times, such that it includes (30 isometric contraction of the muscle to be stretched for 10 seconds, followed by rest period of 5 seconds and then a stretch of 10 seconds hold. Stretching exercise will be performed with 30 second hold and with 5 repetitions. All Exercises will be performed 3 times per week for total of 4 weeks. Outcome measures will be conducted through pain, range of motion, disability and muscle length after 4 weeks.

A Randomized Clinical Trial will be conducted at Tehsil Head Quarter Hospital Daska through consecutive sampling technique on 42 patients which will be allocated using computer generated sampling (random number table) into Group A and Group B. Group A will be treated with Postisometric relaxation technique and Group B will be treated with Static stretching technique. Postisometric relaxation will be performed with the frequency of 5 times, such that it includes (30 isometric contraction of the muscle to be stretched for 10 seconds, followed by rest period of 5 seconds and then a stretch of 10 seconds hold. Stretching exercise will be performed with 30 second hold and with 5 repetitions. All Exercises will be performed 3 times per week for total of 4 weeks. Outcome measures will be conducted through pain, range of motion, disability and muscle length after 4 weeks. Data will be analyzed during SPSS software version 25. The normality of data will be assessed by Shapiro-wilk test after which it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Inclusion Criteria:

• Both males and females.
• Age range of 24-59 years.
• Neck and medial border scapular pain for at least 3 months.
• NPRS score greater than 3.
• Reduced side flexion and rotation of neck.
• Symptoms persisted for at least 3 months.
• Positive levator scapulae length test.
• Have suffered from myofascial pain

Exclusion Criteria:

• Neuropathies.
• Vertebral fractures.
• Pregnancy.
• Fibromyalgia.
• Cancer.
• Traumatic neck injury.
• Previous cognitive and functional disorders.
• Coagulopathy(