Abstract:
BACKGROUND:Trapezitis is an inflammation of the trapezius muscle leads to formation of myofascial trigger points which will get aggravated by forward head posture which causing pain and reduced range of motion. Dry needling and instrument assisted soft tissue mobilization will help to release myofascial trigger points to restoring the muscle structure and function.
METHOD AND METHODOLOGY :Forty eight patients with pain in neck and with positive jump sign were randomly assigned into 3 groups by group A dry needling + conventional therapy, group B instrument assisted soft tissue mobilization + conventional therapy, group C conventional therapy. All three groups were treated for 3 sessions in 10 days. For all three groups IFT, hot pack and self-trapezius stretching exercise were given
RESULT:All the three groups showed statistical significant improvement but IASTM group was more effective in improving ROM, normalizing CVA angle and reducing functional disability and dry needling was more effective in decreasing pain.
DISCUSSION:On the basis of results of present stud, dry needling, IASTM and conventional therapy all three are effective in upper trapezitis but dry needling is more effective in treating pain so, we can say that it will be more helpful to as latent trigger point (as it is using in muscle belly), IASTM reduces local pain, increases range of motion and alters neuronal activity. It affects soft tissues by creating microtrauma which will improve tissue repair by stimulating fibroblast proliferation.
CONCLUSION:Dry needling is more effective in faster pain relief than IASTM than conventional therapy and IASTM. Along with this both the techniques showed improvement in postural correction but IASTM will be more effective than dry needling.