Emmett Technique Versus Bowen Technique for Upper Trapezius Myofascial Pain Syndrome

This randomized clinical trial compares the Emmett Technique and Bowen Therapy for patients with upper trapezius myofascial pain syndrome, focusing on their effects on pain, cervical range of motion, and functional disability. The study includes 46 participants, randomly allocated into two groups of 23: Group A receives the Emmett Technique with conventional physiotherapy, while Group B receives Bowen Therapy with conventional physiotherapy. Outcomes are assessed using the Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Universal Goniometer before and after treatment. The study aims to determine which manual therapy provides greater improvement in pain reduction, cervical mobility, and functional ability.

Inclusion Criteria: * Participants including both male and female * Age: 18-45 years * Clinical diagnosis of upper trapezius myofascial pain syndrome according to -----Travell and Simons' criteria, including: Taut band Hypersensitive trigger point Referral pain pattern Restricted range of motion * Reproduction of pain upon probing * Pain duration surpassing 3 months * NPRS score: 3-10 Exclusion Criteria: * Cervical trauma or surgical history * Cervical radiculopathy and/or other neurological conditions * Psychiatric disorders, malignancies, rheumatologic conditions, or systemic illnesses * Fibromyalgia * Recent dry needling, trigger-point injection treatments, or other invasive procedures * Pregnancy