To Compare the Efficacy of Instrument Assisted STM vs BT in Alleviating Pain and Tightness of Trapezius Muscle

To Compare the Efficacy of Instrument Assisted Soft Tissue Mobilization vs Bowen Therapy in Alleviating Pain and Tightness of Trapezius Muscle

Trapezius muscle pain and tightness are common musculoskeletal issues that can significantly impair movement and quality of life. Instrument Assisted Soft Tissue Mobilization (IASTM) and Bowen Therapy are gaining attention as non-invasive treatments for myofascial pain and tension.

It will be single blinded randomized clinical trial (RCT). The study will be conducted on 26 participants which will be categorized into two groups. Group one will be given IASTM and group two will receive Bowen technique. Non-probability convenience sampling technique will be used for data collection at physiotherapy department at Fatima memorial hospital followed by lottery method of allocation of groups. Data will be collected by using visual analogue scale, goniometer and neck disability index.

Inclusion Criteria:

• Age from 18 to 50 years
• Both gender
• Bilateral trapezius muscle tightness assessed by palpation.
• Subject with the presence of myofacial trigger points in upper trapezius muscle assessed on palpation.
• Patient with symptoms for the past two weeks.
• People with pain of neck due to tight muscle more than 3 on VAS.

Exclusion Criteria:

• Participant with any fracture of cervical spine or surgery within the 6 month timespan.
• Participant with radiating neck pain towards the upper extremity.
• People with other conditions like disc prolapse, spondylolisthesis, tb of spine etc.
• People with any instrument assistance soft tissue mobilisation technique contraindication.
• People with whiplash injury history.
• Participant who has been diagnosed with myopathy or fibromyalgia.
• Pregnant females who has already gone under myofacial therapy within the past month.