A COMPARATIVE STUDY BETWEEN POSTURAL CORRECTION AND STRENGTH TRAINING IN IMPROVING RANGE OF MOTION AMONG FEMALES RECEIVING INTEGRATED NEUROMUSCULAR INHIBITORY TECHNIQUE FOR UPPER TRAPEZIUS TRIGGER POINT

BACKGROUND TRIGGER POINT The discrete, focal, hyperirritable, palpable nodule in the taut bands of the skeletal muscle fascia is known to be a Trigger point. With trigger point, pain is produced locally and with a referred pattern. These often are present collaterally with chronic musculoskeletal disorders. The striking behavioural response with pressure on a trigger point is a Jump sign. INTEGRATED NEUROMUSCULAR INHIBITORY TECHNIQUE(INIT) Application of ischemic pressure with stretch (muscle energy technique) in combination with deactivation of the trigger point manually is said to be the integrated neuromuscular inhibitory technique. Muscle Energy Technique(MET) Usage of muscle's own energy (isometric contraction) to relax the muscle via autogenic/reciprocal inhibition and lengthen the muscle is defined to be as Muscle Energy Technique. POSTURAL CORRECTION Holding the body upright against gravity while standing, sitting or lying down positions is Posture. A posture which makes you look great, feel more energetic and confident and which helps in preventing injury and reducing pain is said to be a good posture. AIM The aim of this study is to evaluate the efficacy of postural correction and strength training in improving the range of motion among females who are receiving integrated neuromuscular inhibitory technique for upper trapezius trigger point. OBJECTIVE To assess the functional status and neck flexibility in patients receiving postural correction and strength training along with integrated neuromuscular inhibitory technique for trapezius trigger point. HYPOTHESIS Null Hypothesis There is no significant difference between postural correction and strength training in patients receiving integrated neuromuscular inhibitory technique for upper trapezius trigger point. Alternate Hypothesis There is a significant difference between postural correction and strength training in patients receiving integrated neuromuscular inhibitory technique for upper trapezius trigger point. MATERIAL & METHODOLOGY MATERIALS • Visual analogue scale • Dumbbell • Pillows • Sand bags STUDY DESIGN: Pre and Post experimental SAMPLING METHOD : Random sampling method SAMPLE SIZE : 30 SAMPLE SIZE : VAPMS college of physiotherapy KGH out patient department DURATION OF STUDY : 1 year. MEASURING TOOLS: VAS scale. • Universal goniometer. • CRITERIA Inclusion Criteria: Age :20 - 40 • Gender : Females • Range of Motion : Less than 75º rotation of neck • Pain : At least 3 on VAS scale • Exclusion Criteria Shoulder, cervical, thoracic degenerative pathology. • Spine, neck and shoulder region traumatic history. • Surgery to spine and shoulder. • Congenital and acquired spinalde formities. • Exposed to Trigger point injections. • METHODOLOGY Treatment protocol for two groups 1 session (30 min) a day on alternate days for 4 weeks. Group – A with integrated neuromuscular inhibitory technique and strength training exercises. Group – B with integrated neuromuscular inhibitory technique and postural correction techniques. STATISTICAL ANALYSIS: In the study, the data collected will be analyzed by student ‘t' test.