Integrated neuromuscular inhibition technique versus spray and stretch technique on upper trapezius trigger points:A randomised clinical trial

INTERVENTION: integrated neuromuscular inhibition technique spray and stretch technique traditional treatment CONDITION: ; Musculoskeletal Diseases Musculoskeletal Diseases PRIMARY OUTCOME: muscle activity for upper trapezius by surface EMG for calculating the root mean square SECONDARY OUTCOME: assessment of nack function by arabic neck disability index assessment of pain intensity by visual analogue scale INCLUSION CRITERIA: 1‐Forty five patients from both genders. 2‐Their age between 19 and 38 years, 3‐patients is required to have active TrPs in the upper trapezius muscle unilaterally, 4‐ de?ned as a tender nodule in a taut band that referred pain beyond the area of contact