Effect of Strain-counterstrain Technique on Upper Trapezius Trigger Points

Aim: To find out the effect of Strain-Counterstrain technique on pain and functional restriction due to active myofascial trigger point in upper trapezius muscle.

Objectives: To assess the pain and function of subjects with active myofascial trigger point in upper trapezius using Visual Analogue Scale and Neck Disability Index, respectively.

Methodology: This is a Quasi experimental study with sample size of 24. Subjects with Active myofascial trigger point in upper trapezius are included by using Convenience sampling and subjects with Open wounds, Sutures, Healing Fractures, Hematoma, Systemic or Local Infection, Hypersensitivity of the Skin are excluded. Baseline data was collected by assessing pain and function. Same therapist treated all Subjects for 6 days consecutively by Strain-Counterstrain technique. Pain was assessed daily pre and post treatment for 6 days and function was assessed after 6th day.

Data Analysis: Data was analysed using Wilcoxon Signed rank test for Neck disability index and Paired t-test for Visual Analogue Scale.

Results: There was a statistically significant reduction in pain and improvement in neck function after application of strain-Counterstrain technique at p=0.001.

Conclusion: Results suggests that Strain- Counterstrain technique is useful in relieving the pain and improving functional abilities in patients with active myofascial trigger points in upper trapezius.