English

Abstract

BACKGROUND AND OBJECTIVE: Trapezius pain is the classic stress pain and it is the most common musculoskeletal disorder. It is usually caused by placing too much stress or strain over the trapezius muscle. The upper trapezius muscle is designated as postural muscle and it is highly susceptible to overuse. Trapezius muscles help with the function of neck rotation, side bending and extension. Tightness in the muscles can decrease the range of motion of the neck. The decrease in motion can negatively affect the mobility of the cervical joints. Limited range of motion creates an increase in soft tissue tightness, with an ensuing pain-spasm cycle which can be difficult to break. Physiotherapy techniques like myofascial release technique and Positional release therapy has been proposed as an adjunct to conventional therapy to treat trapezitis. Giving myofascial release technique and positional release therapy along with LASER and exercises improves the cervical range of motion and relieves pain and enhances quality of life in the patient with trapezitis. Hence this study is aimed to determine the effect of myofascial release technique and positional release therapy in trapezitis. STUDY DESIGN: Comparative study design SETTING: Out Patient Department of Orthopedics, Kempegowda Institute of Medical Science Hospital and Research Center, Bangalore. Out Patient Department of Physiotherapy, Kempegowda Institute of Physiotherapy, Bangalore. OUTCOME MEASURES: Visual analog scale (VAS) for pain, Cervical ROM, Neck disability index. METHOD: Comparative Study design was used for this study. Inclusion criteria- Age: 20-50 year, Patients with unilateral trapezitis. Exclusion criteria- Traumatic Neck Injury, Fracture of cervical vertebras, Cervical Spinal Cord Compromise, Cervical Radiculopathy, Spondylolysthesis of the cervical spine, A history of heart disease or the presence of a pacemaker, epilepsy, a psychological disorder or pregnancy .Sixty subjects with unilateral upper trapezius spasm were randomly allocated into two groups namely Group A and Group B and treated with LASER which was common to both the groups Myofacial release technique was given to group A and Positional Release Therapy was given to the Group B respectively for Alternatively 3 days for four weeks after obtaining informed consent. RESULT: This study showed statistically significant improvement in lateral flexion (p=0.001), reduction in Pain intensity (p=0.001) and improvement in functional ability (p=0.001) in both the