The goal of this clinical trial is to determine whether two manual therapy techniques-Integrated Neuromuscular Inhibition Technique (INIT) and Active Release Technique (ART)-can reduce pain, improve neck range of motion, and decrease functional disability in adults with upper trapezius myofascial trigger points.
The main questions it aims to answer are:
Does INIT reduce pain, improve ROM, and reduce functional disability more effectively than ART?
Does ART provide similar or different treatment benefits compared to INIT?
Researchers will compare INIT with ART to see which technique produces greater improvements in pain, ROM, and functional disability.
Participants will:
Receive treatment sessions of either INIT or ART.
Undergo assessment of pain, cervical range of motion, and functional disability before and after the intervention.
Presence of active trigger points in the upper trapezius muscle.
Forward Head Posture (measured by craniovertebral angle).
Pain duration less than 3 months.
History of trauma or surgery involving the cervical spine or shoulder
Neurological disorders (e.g., cervical radiculopathy)
Systemic conditions like diabetes or rheumatoid arthritis
Use of corticosteroids