This study aims to investigate the effects of the integrated neuromuscular inhibition technique on patients with upper trapezius myofascial trigger points by evaluating its impact on neck pain intensity, pressure pain threshold, hand grip strength, pinch grip strength, wrist joint range of motion, and upper extremity function.
Subjects will be selected from out patient clinic of Delta University hospital, Dakahlia, Egypt.
Subjects aged between 18 and 55 years.
Their body mass index (BMI) were ranged from 18-30 kg/m2.
Subjects diagnosed as myofascial pain syndrome with a unilateral upper trapezius myofascial trigger point on the dominant side by a physician.
A history of any major neurological or musculoskeletal disorders, cardiovascular or respiratory diseases.
Neck pain due to cervical spine pathology.
Any history of cervical trauma, fractures or dislocations, carcinoma.
Uncooperative behavior, and unwillingness to participate.