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Background/Objective: The intent of the current study was to compare the immediate effects of positional release therapy (PRT) and manual trigger point release (MTpR) on neck range of motion and pain in upper trapezitis. Materials and Methods: Sixty participants with upper trapezius myofascial trigger points (MTrPs)’ participated in this study. Subjects were randomly classified into two groups (30 in each group): the subjects in Group A received PRT in a shortened position while those in Group B received MTpR in the neutral position for the upper trapezius muscle. They received four therapy sessions every day for four days. The pain intensity and range of motion were measured using the Numerical Pain Rating Scale (NPRS) and cervical range of motion (CROM), respectively, before treatment sessions and repeated immediately after the first and fourth treatment sessions in each group till the last day of their interventions. Results: Paired and unpaired t-Test was used for the data analysis. Pre- and postinterventional effects measured on each day and between groups, revealed that CROM and NPRS values were significantly improved in (MTpR) group (CROM, and NPRS P < 0.05). Conclusion: Both groups (PRT and MTpR) showed an increase in range of motion on CROM and a decrease in pain intensity on the NPRS during four sessions of therapy, but MTpR showed to be more effectual in these participants.

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Stretching seeks to increase performance by promoting flexibility. In addition to muscle strength and endurance training, flexibility training is a crucial part of physical conditioning programs. A joints or group of joints’ potential range of motion can be used to describe flexibility. Post-facilitation stretching techniques are important to increase muscle flexibility and may be the technique of choice in therapeutic practice. It uses a mechanical stimulus in order to trigger several neurophysiological responses, which may include hypoalgesia sympathetic responses, neuromuscular adaptations, kinesthetic sensibility improvements and changes in biomarkers levels. A 28-year male patient came to OPD with pain in suboccipital region and right-side upper neck since last 6 days. He was having history of heavy weight lifting in gym and due to repeated weight lifting patient is having severe pain. On observation patient right shoulder is elevated due to hyperactive right upper trapezius muscle. Tenderness is present over suboccipital region and over right upper trapezius. On examination left cervical side flexion Range of motion is restricted and having spasm of upper trapezius and suboccipital muscles. Physiotherapy treatment was given for 6 days. This case report shows the application of post facilitation stretching over upper right-side trapezius and suboccipital muscle along with cervical spine mobilization to have a greater improvement.