Effects of Upper Trapezius Stretching with Clavicular Protraction on Cervical Range of Motion and Pressure Pain

Background Although the upper trapezius could affect clavicular movement, there have been no studies that have verified the effectiveness of upper trapezius stretching in relation to clavicular movement. Purpose This study investigated the influences of upper trapezius stretching with clavicular protraction on the pressure pain threshold (PPT) of the upper trapezius and the cervical range of motion (ROM). Study design Case series study Methods Fifteen adults with tender point in an upper trapezius muscle performed upper trapezius stretching with clavicular protraction. Before and after stretch, the PPT of upper trapezius and cervical contralateral lateral flexion and ipsilateral rotation ROM were measured. Results Significant increase in the PPT of the upper trapezius and the ROM of cervical contralateral lateral flexion and ipsilateral rotation were found after stretching (p<0.05). Conclusions The findings suggest that upper trapezius stretching with clavicular protraction could be an effective intervention for upper trapezius pain and limited cervical ROM.