Effects of Elongation Longitudinaux Articular Vertebral and Columnar Decoaption Osteo Articulaire versus Upper Thoracic Mobilization on Forward Head Posture in Upper Cross Syndrome
DOI:
https://doi.org/10.55735/hjprs.v5i2.340Keywords:
Forward head posture, Upper cross syndrome, Upper thoracic mobilizationAbstract
Background: Upper-crossed syndrome is a common musculoskeletal disorder characterized by forward head posture. Elongation longitudinaux articular vertebral and columnar decoaption osteo articulaire and upper thoracic mobilization are two manual therapy approaches used to address upper cross syndrome, but their comparative effects on forward head posture are unknown. Objective: To compare the effects of elongation longitudinaux articular vertebral and columnar decoaption osteo articulaire and upper thoracic mobilization on forward head posture with upper cross syndrome. Methodology: A randomized controlled trial was conducted in Athwal Hospital, Nawan Lahore, involving 38 participants with forward head posture. Participants were randomly allocated to either group A or group B. Group A received elongation longitudinaux articular vertebral and columnar decoaption osteo articulaire, also known as ELDOA, and group B received upper thoracic mobilization treatment. The intervention was given for thrice a week for 6 weeks, and outcomes were measured, including cervical range of motion, Targus to wall test, numeric pain rating scale, neck disability index, and craniovertebral angle. Data were analyzed by using ANOVA and a t-test. Both groups showed significant improvement; however, experimental group demonstrated greater reduction in symptoms (p<0.05) at the 6th week. Results: It showed that Group A has a mean age of 34.00 years (SD=7.63) with ages ranging from 22 to 45 years, while Group B has a slightly higher mean age of 34.26 years (SD=7.37) with ages ranging from 20 to 45 years. Both groups experienced a reduction in pain levels over time, with Group B reporting higher pain levels at baseline but showing a similar trend in pain reduction compared to Group A. Conclusion: Elongation longitudinaux articular vertebral and columnaire decoaption osteo-articulaire is more effective than upper thoracic mobilization in the reduction of forward head symptoms.
References
Babaei H, Alizadeh MH, Minoonezhad H, Movahed A, Maher RJPT-SPTJ. Effectiveness of the Alexander Technique on quality of life in young men with upper crossed syndrome. 2024; 14(2): 125-36.
Sepehri S, Sheikhhoseini R, Piri H, Sayyadi PJBmd. The effect of various therapeutic exercises on forward head posture, rounded shoulder, and hyperkyphosis among people with upper crossed syndrome: a systematic review and meta-analysis. 2024; 25(1): 105.
Naseer R, Tauqeer SJPJoPT. Prevalence of upper cross syndrome in different occupations. 2021: 03-7.
Morris CE, Bonnefin D, Darville CJJob, therapies m. The Torsional Upper Crossed Syndrome: A multi-planar update to Janda's model, with a case series introduction of the mid-pectoral fascial lesion as an associated etiological factor. 2015; 19(4): 681-9.
Mocke RCF. A Comparison of Cervical and Thoracic Manipulation, Kinesio™ Abdominal Core Taping and the Combination of the Two in the Management of Upper Cross Syndrome: University of Johannesburg (South Africa); 2019.
Qamar MM, Basharat A, Kiran QJPJoR. Effects of Bowen therapy in patients with tension-type headache: a randomized controlled trial. 2023; 12(1): 28-34.
Gillani S, Rehman S, Masood TJJotPMA. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. 2020; 70(3): 1.
Kiran Q, Ramzan R, Siddiq Z, Tariq A, Tahir MJJoH, Education. Association of Stress-Induced Upper Trapezius Tightness and Burnout Syndrome in Physical Therapy Interns of Lahore. 2024; 1.
Waqar S, Khalid M, Khalid NJTRJ. Effectiveness of elongation longitudinaux avec decoaption osteoarticulaire in correcting forward head posture: soi: 21-2017/re-trjvol06iss01p284. 2022; 6(01): 284-9.
Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AGJCrimm. The relationship between forward head posture and neck pain: a systematic review and meta-analysis. 2019; 12(4): 562-77.
Clement AAL. The prevalence of playing-related injuries in collegiate violinists and the physical, emotional, and mental effects of ELDOA. 2016.
Zaghloul HMS, Ghally SAO, Abdelkhalek MMT, Mohamed MT, Mahmoud LSE-D, Ghaly LAOJST-REdCdD. Comparison between upper thoracic spine mobilization and the Ergon technique in the treatment of mechanical neck pain. 2022: 3-.
Farooq M, Bashir MS, Arif A, Kashif M, Manzoor N, Abid FJM. Effects of elongation longitudinale avec decoaption osteo-articulaire and post-facilitation stretching technique on pain and functional disability in mobile users with text neck syndrome during the COVID-19 pandemic: A randomized controlled trial. 2023; 102(12): e33073.
Khalid FK, Musharaf M, Ijaz U, et al. Comparative Effects of Elongation Longitudinal Avec Decoaptation Osteo Articulaire Versus Upper Thoracic Mobilization and Mobility Exercise for Treatment of Forward Head Posture: Comparative Effects of ELDOA vs. Thoracic Mobilization for FHP. 2024; 4(3): 1-6.
Rafique RJJoH, Research R. Comparison of the Effects of ELDOA Technique and Sub-occipital Muscle Inhibition Technique on Pain in Patients with Text Neck Syndrome. 2024; 4(ICIC1).
Maqsood N, Zulfqar R, Zahir S, et al. Comparative effects of elongation longitudinaux avec decoaption osteo articulaire and sustained natural apophyseal glide on pain, range of motion and disability in patients with unilateral cervical radiculopathy: a randomized clinical trial. 2024; 2(2 (Health & Allied)): 496-504.
Cho J, Lee E, Lee SJBmd. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. 2017; 18: 1-10.
Park SJ, Park SEJJoiaoptr. Effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture: A case study. 2018; 9(2): 1513-6.
Downloads
Published
License
Copyright (c) 2025 The Healer Journal of Physiotherapy and Rehabilitation Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
