 This randomized controlled trial found that adding instrument assisted soft tissue mobilization, IASTM, to routine physical therapy resulted in greater improvements in neck flexion, right bending, left bending, and extension than routine physical therapy alone. This suggests that IASTM may be beneficial in improving neck range of motion in patients with upper cross syndrome. This article was authored by Tahir Mahmood, Wakkar Afzal, Umair Ahmad, and others.