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Studies have identified that muscle imbalance is seen often. Muscle that is shortened over a long time results in tightness. This can be treated by modalities, postural modifications and releases. Deep releases cause myogenic condition that is muscles soreness. Due to forceful pressure taut bands break, that causes adhesions and inflammation in muscle which produces pain and reduces Range of Motion (ROM) of joint. In this study we used myokinetic active releases. Active Release Technique (ART) helps to alleviate pain and tightness and has shown improvement in increased flexibility and ROM immediately after the treatment. Objective: This study is aimed to determine effect of change in direction of ART on experimentally induced muscle soreness. Materials and Methods: Individuals with chronic neck pain, specifically due to trapezius muscle tightness were selected by random sampling and divided into Group A and B. Each group consisted of 20 patients. Neck range of motion (ROM) was measured with goniometer and Intensity of pain was scored with visual analogue scale (VAS) for both groups. Group A was treated with myokinetic active release towards the painful area and group B was treated with Myokinetic active release opposite to the painful area for 3 consecutive days. Results: Reduction in pain in Group A was statistically significant at p<0.05 but not in Group B. Pre versus post intervention, increase in ROM in both groups was significant at p<0.05. Conclusion: The study concluded that both methods result in increase of ROM, but only release given towards the painful area produces less muscle soreness and pain after intervention.

To study the variability in intensity of muscle soreness by the change in direction of application of myokinetic active release