International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
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ISSN: 2319-7064


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Experimental Research Paper | Physiotherapy | Volume 15 Issue 5, May 2026 | Pages: 831 - 838 | India


Comparative Effects of Integrated Neuromuscular Inhibitory Technique Combined with Surged Faradic Current Versus Manual Trigger Point Release in Chronic Upper Trapezius Myofascial Pain: A Randomized Controlled Trial

Subhankar Saha, Dr. Smruti Swagatika Dash, Dr. Rajendra Kachhwaha

Abstract: Background of the study: Chronic upper trapezius pain is associated with pain, reduced cervical mobility, and functional limitation. Comparative evidence for combined manual and electrotherapeutic interventions remains limited. Aim: To compare the effects of integrated neuromuscular inhibitory technique combined with surged faradic current versus manual trigger point release on pain, cervical range of motion, and disability in adults with chronic upper trapezius pain. Objective: 1) To examine the efficacy of Integrated neuromuscular inhibitory technique with surged faradic current v/s manual trigger point release technique on pain in patients with chronic upper trapezius myofascial pain. 2) To examine the efficacy of Integrated neuromuscular inhibitory technique with surged faradic current v/s manual trigger point release technique on cervical range of motion in patients with chronic upper trapezius myofascial pain. 3) To examine the efficacy of Integrated neuromuscular inhibitory technique with surged faradic current v/s manual trigger point release technique on functional disability in patients with chronic upper trapezius myofascial pain. Methodology: Fifty-six participants were randomized into two groups (n=28 each). Group A received INIT plus surged faradic current, and Group B received manual trigger point release. Both groups also received conventional care. Outcomes included VAS, NDI, and cervical ROM before and after 4 weeks. Appropriate within-group and between-group statistical analyses were performed. Results: Both groups improved significantly after treatment. Group A demonstrated greater improvements in pain, disability, and cervical ROM compared with Group B (p less than 0.001). Conclusion: INIT combined with surged faradic current may provide greater short-term benefit than manual trigger point release in this study population. Larger rigorously designed trials are needed.

Keywords: Upper trapezius pain, Myofascial trigger point, Integrated neuromuscular inhibitory technique, Manual trigger point release, Surged faradic current, Neck disability index, Cervical range of motion, Randomized controlled trial

How to Cite?: Subhankar Saha, Dr. Smruti Swagatika Dash, Dr. Rajendra Kachhwaha, "Comparative Effects of Integrated Neuromuscular Inhibitory Technique Combined with Surged Faradic Current Versus Manual Trigger Point Release in Chronic Upper Trapezius Myofascial Pain: A Randomized Controlled Trial", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 831-838, https://www.ijsr.net/getabstract.php?paperid=SR26505115713, DOI: https://dx.dx.doi.org/10.21275/SR26505115713

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