The trapezius muscle is a muscle located between the shoulder and the neck, playing the role of shrugging the shoulders and assisting the upper limbs to do the top position movement The trapezius muscle strength is weakened or even atrophied commonly in the innervating nerves of the injury, that is, the paraspinal nerve injury. It is often caused by direct injury to the neck and upper limbs. Disease progression varies depending on the cause of the injury; injuries caused by blunt force may recover within 1-2 months, however, puncture injuries may not recover and require early surgical intervention. The surgical approach focuses on compensating for the function of the trapezius muscle through other muscle substitutions. If muscle replacement surgery is still not fully adequate for daily living, then thoracic scapular immobilization may be necessary. Studies have shown that about 86% of patients are satisfied with the results of the surgery and 14% still have reservations about the results. Basically, 90% of the patients had significant pain relief and functional substitution of the affected limb to meet the demands of daily life.