 Fifty-four participants with NP will randomly allocated to either an physium therapy five sessions or a physical therapy PT groups ten sessions during two weeks. Multimodal PT program included: ultrasound therapy US, transcutaneous electric nerve stimulation TENS and massage. Visual Analogue Scale VAS, range of motion and CROM PPTs in sub-occipital and upper trapezius muscles were measured at baseline, at the end of treatment and at 1 month follow-up. T-tests and a repeated-measures multivariate analysis of variance RM-MANOVA were used for VAS, CROM and PPTs, respectively. 