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Abstract
Background: Manual therapy is an important category of myofascial pain syndrome treatment, which is one of the most common musculoskeletal pain diseases and is characterized by myofascial trigger points, taut bands, and local twitch responses. Objectives: The purpose of this study was to compare the effects of manual progressive ischemic pressure to the post isometric facilitation in the treatment of Rhomboid latent myofascial trigger points . Results: Statistical analysis between groups analysis revealed that there was no significant difference among group (A), (B) and (C) in visual analogue scale (VAS) (P<0.05) or shoulder pain disability index (SPDI) (P<0.05),but there was significant difference among group (A), (B) and (C) in pain pressure threshold (PPT) (P<0.05) in favor of group (A). Conclusion: Ischemic pressure technique was more effective than post isometric facilitation and traditional treatment in reduction of tenderness of Rhomboids latent myofascial trigger point; and there was no difference between Ischemic pressure technique post isometric facilitation and traditional treatment in reduction of pain severity or improving functional level of shoulder