Methods: 18 patients mean age 27± of 14.78 years were screened for inclusion/exclusion criteria. The INIT was administered three times a week for 4 weeks. The verbal Numerical Pain Rating scale (NPRS), cervical lateral flexion ROM and Neck Disability Index (NDI) were recorded at baseline, 2 and 4 weeks.

Results and Conclusion: There were positive changes in all outcome measures for all eighteen participants. An increase in ROM and reduced levels of pain and disability were noted. This case series suggests that a short-term multimodal therapy would be beneficial for individuals with upper trapezius MTrPs. Important preliminary data was collected that will inform more rigorous research in this field of research.