1. Inclusion Criteria
Adults 18–65.
Active Group must have neck/upper trapezius pain for 3 months or more and a palpable nodule which when palpated produces pain that is characteristic of the pain they identify
Control Group must have a normal physical examination, no active trigger points
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2. Exclusion Criteria:
Fibromyalgia, other pain syndromes
Cervical or lumbar radiculopathy
Atypical facial neuralgia
History of head, neck, cervical spine or shoulder surgery
Recently prescribed (<6 weeks) pain medication
Current throat or ear infection
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3. Assessments:
Palpation of neck and upper trapezius
Relevant medical history
Kendall 10 point Manual Muscle Test: cervical and shoulder muscles
CROM measure neck ROM
Algometry: 4 upper trapezius sites (see Table 2)
Standardized Self-reports: Visual Analog Scale for Pain, SF-36, Profile of Mood States (POMS), Oswestry Disability Index (ODI), Brief Pain Inventory (BPI)
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