Background and Objective: Myofacial trigger point is a common problem worldwide. Myofacial trigger points of upper trapezius muscle leads to neck pain and decreased cervical range of motion that profoundly influence all aspects of daily life.The purpose of the study was to compare the efficacy of deep transverse friction massage (DTFM) and ultrasound in relieving pain, improving cervical ROM (lateral flexion both sides) and ADL’s in patients suffering with upper trapezius trigger points.Materials and Methods: The study was performed among 20 patients of both genders, aged 18-50 years. Subjects were selected on the basis of inclusion criteria and randomly divided into two groups by convenience sampling and allocating alternate patient group A and group B, 10 in each group. Group A was treated with DTFM (5 minutes), Group B was treated with ultrasound (5 minutes), and both the groups along with treatment receive moist pack (15 minutes), passive trapezius stretching, TENS (15 minutes) and cervical isometric exercise (home protocol). Baseline assessments were taken on the 1st day and reassessment was done on 5th and 10th day of treatment session using NPRS, NDI and cervical ROM and data was analyzed.Results: Both the groups showed significant differences in all variables. DTFM and ultrasound both were effective in resolving pain and improving cervical ROM which further lead to improvement in ADL’s. But on comparing the mean of both the groups: Group A showed better results than Group B.Conclusion: This study concluded that DTFM and ultrasound both are effective in treatment of myofacial trigger points of upper trapezius muscle but clinically DTFM shows better results.
Myofacial trigger points, DTFM, ultrasound
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