KT vs IASTM on Upper Trapezius Myofascial Trigger Points To Compare Effect of KT VS IASTM on Pain Intensity, Pain Pressure Threshold, Cervical Range of Motion and Functional Disability Level.

KINESIOTAPING VERSUS INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION ON UPPER TRAPEZIUS MYOFASCIAL TRIGGER POINTS: A RANDOMIZED CONTROLLED TRIAL Kinesiotaping (KT) is a Non-invasive Method to Treat Musculoskeletal Disorders. it is Non-invasive, Painless, and Less Time-consuming Than Other Options With Fewer Side Effects. IASTM is a Traditional Chinese Therapy Known as "Guasha". IASTM is a Simple and Practical Technique

This study would answer the following question: Is there a difference in the effects between IASTM and KT on pain intensity level, pain pressure threshold, cervical range of motion (ROM), functional disability level and satisfaction level in subjects with upper trapezius myofascial trigger points?

The aims of this study are:

1. To investigate the effect of KT and IASTM on pain intensity level in subjects with upper trapezius myofascial trigger points.
2. To investigate the effects of KT and IASTM on pain pressure threshold in subjects with upper trapezius myofascial trigger points.
3. To investigate the effects of KT and IASTM on cervical range of motion (ROM) in subjects with myofascial trigger points.
4. To investigate the effect of KT and IASTM on functional disability level in subjects with upper trapezius myofascial trigger points.
5. To investigate the effects of KT and IASTM on satisfaction level in subjects with myofascial trigger points.

Inclusion Criteria:

- 1) Fifty subjects with age ranged from 18 to 23 years old (Formen et al., 2014).

2) From both genders with normal BMI ranges between 18.5:24.9 kg/m2. Had MTrPs of unilateral UT muscle (Shamseldeen et al., 2023).

Exclusion Criteria:

• 1. History of whiplash injury (Emshi et al., 2021). 2. History of head, neck, cervical spine or shoulder surgery (Emshi., et al 2021) 3. History of cervical radiculopathy (Emshi et al., 2021) 4. Patients with malignancy (Shamseldeen et al., 2023). 5. Cervical spine fractures (Shamseldeen et al., 2023). 6. Myelopathy (Shamseldeen et al., 2023). 7. Having undergone physical therapy within the past three months before the study.

  8. Non - rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infection.

  9. Rheumatologic condition as poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

  10. Presence of skin diseases (Luz Júnior et al., 2015). 11. Pregnancy (Luz Júnior et al., 2015).