Effect of MET vs Neck Calliet Exercises on Neck Pain and Disability in Nurses

Comparative Effectiveness of Muscle Energy Technique and Neck Calliet Exercises on Mechanical Neck Pain and Disability Due to Trapezius Trigger Point Among Nurses

This study compares the effectiveness of Muscle Energy Techniques (MET) and Neck Calliet Exercises in managing mechanical neck pain and associated disability due to trapezius trigger points among nurses. A total of 38 female nurses were randomly assigned to two intervention groups, each receiving therapy for four weeks. Pain, cervical range of motion, and disability outcomes were assessed.

Musculoskeletal disorders, particularly neck pain, are highly prevalent among nurses due to repetitive strain, prolonged standing, and non-ergonomic work postures. One of the major contributors to mechanical neck pain is the presence of active myofascial trigger points in the trapezius muscle, which limit cervical range of motion (CROM) and increase disability.This single-blinded, randomized clinical trial aimed to compare the effectiveness of Muscle Energy Techniques (MET) and Neck Calliet Exercises in reducing mechanical neck pain and disability among nurses with trapezius trigger points. Thirty-eight participants were randomly divided into two groups: Group A received MET, and Group B performed Neck Calliet Exercises. Both groups also received TENS (Transcutaneous Electrical Nerve Stimulation) therapy as a baseline treatment. Each participant received treatment three times per week for four weeks.

Inclusion Criteria:

• Female nurses
• Between 18 and 30 years of age
• Having mechanical neck discomfort that is confined to the cervical or bilateral scapular regions (pain level must be 3-5 VAS)
• There must be at least one trigger point in trapezius muscle
• The participant must be ready to participate No clinical therapy for neck pain must have been performed in the preceding month

Exclusion Criteria:

• A recent medical history including surgery on the shoulder or neck
• Signs of myelopathy in the clinic or radiculopathy
• Diagnosed Fibromyalgia syndrome, psychiatric problems
• Pregnancy
• Cervical stenosis, malignancy (cervical, breast cancer)
• Thoracic outlet syndrome
• Vestibulobasilar artery syndrome
• Whiplash injury
• Diagnosis of migraine
• Diabetes type I, systematic illness of cardio-respiratory system
• Congenital deformities affecting the spine, shoulders, and limbs
• Osteoporosis of cervical spine or cervical myeloma