Effectiveness of Tele-Rehabilitation in Managing Rhomboid Trigger Points in Patients With Myofascial Pain Syndrome

This randomized controlled trial aims to assess the effectiveness of tele-rehabilitation, including self-myofascial release and exercise therapy, in reducing pain, improving functional range of motion, and decreasing neck disability in patients with rhomboid trigger points associated with myofascial pain syndrome.

Inclusion Criteria: * Participants falling in this category would be recruited into the study. * Age 18-35 years * Both Genders: Male and Female * Paitents experiencing Neck and upper back pain due to active trigger points.(16) According to Travell and Simons (1999)criteria, active myofascial trigger points (MTrPs) are identified. * NPRS ≥4 * Presence of maximum one or more than one MTrPs in the Romboids muscle. * Prolong sitting at least 6 hours per day. * Access to a device with internet connection ( for tele rehabilitation group). Exclusion Criteria: * Participants falling in this category would be excluded from the study. * Participants fall in this category would be excluded of the study. * Patients currently taking analgesics (painkillers) or muscle relaxants. * Any inflammatory pathology, neurological impairment, and cervical tumor. * Other deformities such as scoliosis or torticollis. * Spinal Injuries and any other co morbidity. * Any surgery, trauma, fracture and fall. * Pregnancy. * Patient unwilling to comply follow up schedule. * Patient involvement in another interventional study.