A Study to Compare the Effect of Instrument Assisted Soft Tissue Mobilization (IASTM) And Active Release Technique (ART) For Upper-Trapezius Trigger-Points Pain.

Abstract

Introduction: The upper trapezius is designated as a postural muscle and it is highly susceptible to overuse. Trapezitis is mainly caused due to stress and tension, repetitive movements, poor posture, prolonged head bending activity, using a thick pillow, tight pectoral major muscle, and severe neck spasms. Active Release Technique (ART) is based on the theory of cumulative trauma disorder (CTD). The Active release technique aims to return complete translation or relative motion to the full length of the affected soft tissue and its adjacent soft-tissue structures. IASTM is a skilled myofascial intervention thought to be based upon the rationale by James Cyriax. IASTM is applied using specially designed instruments to provide a soft-tissue mobilization.

Method: 30 subjects who fulfilled the selection criteria, were selected and randomly allocated to either Group A–IASTM or Group B–ART. Each intervention was given for 5 days following which post-data was taken. Outcome measures–NPRS and Contralateral side-flexion range of motion.

Result: It shows a significant difference within the group but there is no significant difference between groups.

Conclusion: The study concludes that there is a significant improvement in outcome measures among both the groups. And both techniques are equally effective for decreasing cervical pain and improving ROM. Hence any treatment can be preferred when patients with similar conditions present at the clinic.