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Background: This study was designed to inspect the effects of integrated neuromuscular inhibition technique (INIT) and kinesiotape (KT) on upper trapezius myofascial trigger points.Methods: Sixty subjects with active trigger points (53 females and seven males) were divided haphazardly into three equal groups. Group "A" received INIT three times/week while group "B" received KT twice per week for four weeks. Group "C" (control group) didn't receive any treatment but follow instructions. Visual Analogue Scale (VAS), Arabic Neck disability index (ANDI) and cervical range of motion (CROM) were used to evaluate subjects at two intervals (pretreatment and post-treatment).Results: Statistical analysis shown that there was a significant change within-group of VAS, ANDI, side bending at both side pre-post treatment at groups A, B and C while (p<0.05). Between-group analysis there was no significant change in pre value of all variables as (p>0.05) while post-treatment there was a significant change in all variables as (p<0.05). Conclusion:INIT and KT are most effective methods in the management of subjects with active trigger points at upper trapezius myofascial trigger points with superiority for INIT.

Background: Chronic Mechanical Low Back Pain (CM-LBP) represents a significant public health problem and an economic burden to employers. There is a gap in literature concerning the investigations on changes of the motor nerve excitability during rehabilitation of lumbar lordotic curve which represent a major barrier preventing the exploration of the most effective conservative treatment on restoring the lumbar lordosis. The Denneroll is a relatively new sagittal plane orthotic device designed to passively stretch the lordotic curve into a more lordotic position. Aim of Study: This study designed to study the effect of lumbar Denneroll traction on motor nerve excitability on chronic low back pain patients. Material and Methods: Thirty patients had participated in this study; they were assigned randomly into two groups (A) experimental group, and (B) control group. Group (A) consisted of 15 patients; they received combined program of Denneroll traction and conservative physical therapy treatment. Group (B) which consisted of 15 patients; they received the same conservative treatment as group (A) in form of (ultrasonic therapy, infrared and stretching exercise). Treatment was given 3 times per week, each other day, for ten consecutive weeks. Patients were evaluated pre-treatment and posttreatment for the H-reflex, H/M ratio and Absolute Rotatory Angle (ARA). Results: Using repeated measures multivariate analysis of variance (MANOVA) test, patients showed significant improvement in the combined dependent variables in both groups but between groups difference group (A) showed a more significant improvement than group (B) in the combined dependent variables. Both of the Denneroll and traditional treatment had a significant effect onthe H-reflex, H/M ratio and absolute rotatory angle indicated that there were significant effects of the tested group (the first independent variable) on the all tested dependent variables; H-reflex, H/M ratio and ARA (F=31.357, p=0.0016). However, there were significant effects of the measuring periods (the second independent variable) on the tested dependent variables (F=114.404,