Effect of Muscle Energy Technique Versus Myofascial Release on Cervical and Lumbar Pain

Effect of Muscle Energy Technique Versus Myofascial Release on Cervical and Lumbar Pain in Premenopausal Women With Fibromyalgia

The aim of the study is to determine the effect of muscle energy technique versus myofascial release on cervical and lumbar pain in premenopausal women with fibromyalgia

Fibromyalgia is an idiopathic, non articular pain syndrome with generalized tender points. It is multisystem disease characterized by sleep disturbance and fatigue. It affect 5% of the world population. The incidence is higher in women than in men. And the age is between 30 and 35 years old.

Two groups, one group will be treated by muscle energy technique and other will be treated by myofascial release

The patients will receive myofascial release technique on cervical and lumbar regions three times per week for four weeks

The patients will receive muscle energy technique for cervical and lumbar regions three times per week for four weeks

Is Facilitation of mechanical and neurological adaptive capacity as integrated through the Myofascial system

Is manual therapy procedure that involves alternating periods of resisted muscle contraction and assisted stretching

Used to assess health related quality of life before and after the treatment, maximum score means worse outcome

Used to assess the severity of cervical and lumbar pain of each premenopausal women in both groups before and after the treatment, maximum score means worse outcome

Measurement of active flexion, extension, lateral flexion in cervical and lumbar regions before and after the treatment

Inclusion Criteria: Premenopausal women with fibromyalgia Ages ranges between 30 - 45 years old Body mass index < 35 kg/m2 All are medically stable Exclusion Criteria: specific cervical and lumbar pain Smokers Pregnant women Medically unstable Postmenopausal women