International Journal For Multidisciplinary Research

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Volume 8 Issue 3
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Effect of Hold Relex Technique in Improving Pain in the Subjects of Subjects of Subocciput Myofacial Trigger Points

Author(s) Ms. Ayushi Mathur, Dr. Swati Dubey, Prof. Dr. Maliram Sharma
Country India
Abstract Background
Suboccipital myofascial trigger points are a common cause of neck pain, muscle tightness, tenderness, and functional discomfort. Prolonged poor posture, repetitive activities, and muscular strain contribute to the development of trigger points in the suboccipital muscles. Various physiotherapy interventions are used for the management of myofascial trigger points, among which Hold Relax Technique is considered effective in reducing muscle spasm and improving muscle flexibility.
Aim of the Study
To evaluate the effect of Hold Relax Technique in improving pain among subjects with suboccipital myofascial trigger points.
Methodology
An experimental study was conducted on 30 subjects diagnosed with suboccipital myofascial trigger points. Subjects were randomly divided into two groups:
• Group A (Experimental Group): Received Hold Relax Technique along with conventional physiotherapy.
• Group B (Control Group): Received conventional physiotherapy alone.
Each group consisted of 15 subjects. Pain intensity was assessed using the Numerical Pain Rating Scale (NPRS) before and after the intervention. Statistical analysis was performed using paired t-test for within-group comparison and independent t-test for between-group comparison.
Results
The experimental group showed significant reduction in pain intensity, with NPRS scores improving from 8.20 ± 1.15 pre-treatment to 2.73 ± 1.44 post-treatment. The control group also showed improvement from 7.67 ± 1.23 to 5.07 ± 0.80. Paired t-test analysis revealed highly significant improvement in both groups (p < 0.001). Independent t-test analysis demonstrated a statistically significant difference between groups in post-test scores, favoring the experimental group (p < 0.001).
Conclusion
The study concluded that Hold Relax Technique is effective in reducing pain among subjects with suboccipital myofascial trigger points. The addition of Hold Relax Technique to conventional physiotherapy produced greater improvement compared to conventional physiotherapy alone. Therefore, Hold Relax Technique can be considered an effective therapeutic intervention in the physiotherapy management of suboccipital myofascial trigger points.
Keywords Hold Relax Technique, Suboccipital Muscles, Myofascial Trigger Points, Neck Pain, NPRS, Physiotherapy, Proprioceptive Neuromuscular Facilitation
Field Biology > Medical / Physiology
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-06-02
DOI https://doi.org/10.36948/ijfmr.2026.v08i03.80099
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