Assessment of Tear Film Instability in Glaucomatous Patients Using Anti-Glaucoma Drugs

Purpose: Mechanical Neck Pain (MNP) is commonly aggravated by posture or movement and is frequently linked to myofascial trigger points (MTrPs)-hyperirritable nodules within taut muscle fibers.This study compared the effectiveness of Active Release Technique (ART) and Muscle Energy Technique (MET) in improving pain, cervical mobility, and functional status among individuals with MTrPinduced MNP.Methods: A quasi-experimental study was conducted on 44 women aged 25-44 years diagnosed with MTrP-related MNP at Social Security Hospital, Kot Lakhpat, and Nishat Linen Clinic.Participants were randomly allocated into two groups receiving either ART or MET.Outcome measures included the Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), and cervical range of motion (ROM) assessed via goniometry.Assessments were performed at baseline, immediately postintervention, and on day 14.Data were analyzed using paired and independent t-tests (p < 0.05) with SPSS version 26.Results: Both interventions produced significant improvements in all outcome measures (p < 0.001).ART showed superior pain reduction, while MET resulted in greater improvement in neck disability.Both techniques equally enhanced cervical rotation, lateral flexion, and extension.Conclusion: ART and MET are effective for treating MTrP-induced MNP.ART better alleviates pain, whereas MET more effectively enhances functional performance.Combining both approaches may yield comprehensive therapeutic benefits.