International Journal For Multidisciplinary Research

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Volume 8 Issue 4
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Impact of Positional Release Therapy Combined with Conventional Physiotherapy on Pain and Functional Disability in Upper Trapezius Myofascial Pain Syndrome: A Randomized Controlled Trial

Author(s) Ms. Sanjana Aggarwal, Dr. Reena Arora (PT), Dr. Lalit Arora (PT), Dr. Shiny George Gill (PT), Dr. Harjeet Kaur (PT)
Country India
Abstract Abstract
Background: Myofascial pain syndrome (MPS) is a clinical disorder characterized by combination of sensory, motor and autonomic manifestations resulting from myofascial trigger points (MTrPs). MTrP is considered as hyperirritable spot with a palpable nodule inside a taut band of skeletal muscle fascia. Trigger points are excessive sensitive regions in the fascia that results in referred pain. It can cause neck pain, stiffness, functional limitations
Purpose: To evaluate the impact of Positional Release Therapy combined with conventional physiotherapy on pain and functional disability in upper trapezius myofascial pain syndrome.
Methods: Thirty participants diagnosed with upper trapezius myofascial pain syndrome were randomly assigned into two groups: Group A received positional release therapy along with conventional physiotherapy and Group B received conventional physiotherapy alone. Treatment was administered for three times four weeks. Outcome measures included Numeric Pain Rating Scale and Neck Disability Scale used to assess pain and functional disability.
Results: Both groups showed statistically significant improvements. however, Group A demonstrated significantly greater reductions in pain and improved functional disability compared to Group B (p < 0.0001).
Conclusion: The addition of PRT to conventional physiotherapy is more effective in reducing pain, decreasing tenderness and improving functional disability in patients with upper trapezius MPS.
Keywords Keywords: Myofascial Pain Syndrome, Positional Release Therapy, Trigger Points, Neck Disability
Field Medical / Pharmacy
Published In Volume 8, Issue 4, July-August 2026
Published On 2026-07-19
DOI https://doi.org/10.36948/ijfmr.2026.v08i04.82846
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