“…Manipulative therapy encompasses a variety of techniques, and in this research, one of the methods employed involves manipulation through effleurage, pressure (trigger point), and friction, using the palm or thumb. The use of these techniques aims to provide energy, relaxation of thickened muscles, and improve blood flow [12]. The third treatment of manipulation, starting from the feet upwards, aims at the heart, which serves to relax the muscles by destroying myoglosis in the body.…”