Inclusion Criteria:  being aged between 18-50 the presence of a minimum of 3 latent trigger points in Upper Trapezius, Levator Scapulae, Supraspinatus, Infraspinatus, Deltoid Anterior, Pectoralis Major, Pectoralis Minor muscles no health problems signed the voluntary consent form  Exclusion Criteria:  have a neck, spine or shoulder injury in the last 6 months continued neck and back pain in the last 6 months having a skin disease that may affect upper extremity assessment malign and benign tumors pain relief medication having psychiatric treatment. -