TY - BOOK AU - Dina Alamir Mohamed Hussein AU - Manal Mohamed Gaber, AU - Ragia Mohamed Kamal , AU - Yasser Mohamed Aneis , TI - The combined effect of extracorporeal shockwave therapy and integrated neuromuscular inhibition on myofascial trigger points of upper trapezius: a randomized controlled trial : : A randomized controlled trial / PY - 2021/// CY - Cairo : PB - Dina Alamir Mohamed Hussein , KW - Extracorporeal shockwave therapy KW - Myofascial trigger point KW - Upper Trapezius N1 - Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science; Issued also as CD N2 - Objective: To investigate the combined effect of the Extracorporeal Shockwave Therapy (ESWT) and Integrated Neuromuscular Inhibition (INI) on Myofascial Trigger Points of the Upper Trapezius. Methods: Sixty subjects aged 18-24 years old with active myofascial trigger point in upper trapezius. Participants were assigned randomly to either; group A, received ESWT one session/week, group B, received INI three sessions/week, and group C, received ESWT in addition to INI. All groups completed four weeks of intervention. Main outcome measures: At baseline and after four weeks of intervention, pain intensity, functional disability, pressure pain threshold (PPT), sympathetic skin response (SSR), and neuromuscular junction response (NMJR) were evaluated. Results: The within-group analysis revealed a significant decline in Visual analogue scale (VAS), Arabic neck disability index (ANDI), and NMJR and incline in PPT and SSR latency post-intervention where (P < 0.001). Multiple comparison analysis showed a substantial difference between groups, while the major changes favored group C, where (P < 0.05) UR - http://172.23.153.220/th.pdf ER -