Both treatment techniques increased neck ROM in direction of left lateral flexion and rotation to
left. In addition, ischemic compression followed by passive stretching technique increased neck ROM
in direction of right lateral flexion and rotation to right. Pain intensity, pressure pain threshold, and
patient’s perception of change did not different in both groups. But, subjects both groups seemed to
appreciate with strain counter-strain technique as well as ischemic compression followed by passive
stretching technique. The results suggested that clinicians could apply strain counter-strain technique
or ischemic compression followed by passive stretching technique for treatment patients with
myofascial pain syndrome because effect of both treatment groups was in the same way. Further study
should be considered of addition of control group, and more subjects should be recruited.