Keywords: اختلال ترومای تجمعی; (MMT); modeled manual therapy; (centiNewton); cN; (ECM); extracellular matrix; (FRC); food-restricted control; (HRHF); high repetition high force; (ms); milliseconds; (MSDs); musculoskeletal disorders; (TGF-β1); transforming growth factor beta; (TNFα);