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Post Facilitation Stretch over Trapezius and Suboccipital Region Along with Cervical Mobilization in Patient with Chronic Neck Pain: A Case Report

Stretching seeks to increase performance by promoting flexibility. In addition to muscle strength and endurance training, flexibility training is a crucial part of physical conditioning programs. A joints or group of joints’ potential range of motion can be used to describe flexibility. Post-facilitation stretching techniques are important to increase muscle flexibility and may be the technique of choice in therapeutic practice. It uses a mechanical stimulus in order to trigger several neurophysiological responses, which may include hypoalgesia sympathetic responses, neuromuscular adaptations, kinesthetic sensibility improvements and changes in biomarkers levels. A 28-year male patient came to OPD with pain in suboccipital region and right-side upper neck since last 6 days. He was having history of heavy weight lifting in gym and due to repeated weight lifting patient is having severe pain. On observation patient right shoulder is elevated due to hyperactive right upper trapezius muscle. Tenderness is present over suboccipital region and over right upper trapezius. On examination left cervical side flexion Range of motion is restricted and having spasm of upper trapezius and suboccipital muscles. Physiotherapy treatment was given for 6 days. This case report shows the application of post facilitation stretching over upper right-side trapezius and suboccipital muscle along with cervical spine mobilization to have a greater improvement.