Introduction: Upper crossed syndrome is a common postural dysfunctional pattern that describes the dysfunctional tone of the musculature of the shoulder girdle/ cervicothoracic region of the body. Objective: To determine association of Upper Crossed Syndrome and Neck pain among general population in Islamabad. Materials & Methods: A cross sectional survey was conducted from December 2017 to February 2018 in Rawal General and Dental Hospital Islamabad, and National Institute of Rehabilitation Sciences Islamabad after approval of synopsis from Advanced Studies and Research Board. Convenience sampling was used to collect data from male and female participants having neck pain after obtaining informed consent. The questionnaires provided for a subjective assessment from the patient and an objective measure for the clinician. REEDCO scale was used to analyze the proper alignment of head, neck and shoulder, while wall push test was used to assess the abnormal protrusion of scapula. Data were analyzed for descriptive and inferential statistics by SPSS 20; continuous variables were expressed as mean ± SD, and categorical variables as frequency and percentage. A p≤0.05 denoted significance. Results: The occurrence of upper crossed syndrome was 24.1%.  Out of 340 respondents, 143 (42.06%) had poor posture whereas 197 respondent (57.94%) had good posture. There was strong association between posture and upper crossed syndrome (p˂0.05). Conclusion: Most patients with neck pain are exposed to the risk of adopting poor posture which can lead to Upper Crossed Syndrome in future; hence the importance of postural awareness among general population of Islamabad.

Objective: To compare the effectiveness of trigger point release and conventional physical therapy in tension type headaches. Materials & Methods: Randomized controlled trial (RCT) conducted from 18th February 2017 to 13 July 2018, at Isra institute of Rehabilitation Sciences (IIRS) Isra University, Islamabad Campus, Pakistan. A total of n=31 healthy individuals with tension type headache below the age of 50 years, were selected through non probability convenient sampling technique and randomly divided into conventional physical therapy and trigger point therapy group. The pain and Headache disability index data was compared at baseline and during and after the intervention while quality of life was measured pre and post the sessions. For within the groups changes RM-ANOVA was used and for between the groups differences independent sample t-test was used. Results: The results showed that pain was significantly reduced at the end of intervention in conventional physical therapy group as compare to trigger point therapy group (1.31±0.47 ver. 2.13±0.64, p<0.001). Regarding headache disability index, at the end of intervention trigger point therapy group show better results as compare to conventional physical therapy group (32.75±12.83 ver. 53.27±26.57, p=0.01). While comparing quality of life between the groups, no significant difference was observed after intervention. Conclusion: It was concluded that both conventional physical therapy and trigger point therapy are effective in the management of tension type headache. It decreased pain and disability caused by headache but no effect on quality of life due to shorter duration of study. Keywords: Tension type headache, trigger point therapy, stretching exercises.