International Journal For Multidisciplinary Research

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Immediate Effect of Positional Release Technique versus Active Release Technique on Upper Trapezius Myofascial Pain, Tightness and Neck Disability in College‑Going Students: A Comparative Study

Author(s) Dr. Priyal Shah (PT), Dr. Vidhi Jha Upadhyay (PT)
Country India
Abstract Background : Upper trapezius myofascial pain is common among college-going students due to prolonged static postures, increased screen time, and academic burden, resulting in pain, muscle tightness with restricted cervical mobility, and neck-related disability. Positional Release Technique (PRT) and Active Release Technique (ART) are widely used manual therapy interventions . However, a comparative evidence on their immediate effects remains limited.
Objectives : Aim of the study is to compare the effectiveness of Positional Release Technique to Active Release Technique on Upper Trapezius Myofascial Pain among college-going students.
Methodology : Based on a previous study that reported a minimum sample size of 38 participants using the Visual Analogue Scale (VAS), 40 participants were recruited for this present study. 40 college-going students aged 20–25 years with upper trapezius myofascial pain were randomly assigned to Group A (PRT, n=20) or Group B (ART, n=20). Pain intensity, neck-related disability, cervical range of motion, and pain during manual pressure application were assessed using VAS, NDI, cervical ROM measurements, and VAS with manual pressure, respectively. Changes within each group were analyzed using the Wilcoxon Signed-Rank Test, while differences between groups were assessed using the Mann–Whitney U test.
Results : Both Groups showed statistically significant results with improvements in pain intensity, neck disability , and cervical mobility following intervention (p < 0.001). Between-group analysis demonstrated significantly greater improvements in VAS, NDI, and cervical range of motion in the PRT group compared to the ART group (p < 0.001).
Conclusion : Both techniques are effective for immediate relief from symptoms but however, PRT group demonstrates or showed superior immediate clinical improvement with decrease in symptoms . Due to its gentle, non-invasive approach and higher patient comfort, PRT may be considered a preferred initial intervention for rapid pain relief and functional improvement in young adults with Upper Trapezius Myofascial pain.
Keywords : Positional Release Technique (PRT), Active Release Technique (ART), Cervical Range of Motion (CROM) , Visual Analogue Scale (VAS)
Field Medical / Pharmacy
Published In Volume 8, Issue 4, July-August 2026
Published On 2026-07-04
DOI https://doi.org/10.36948/ijfmr.2026.v08i04.82425
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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