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
DOI:
https://doi.org/10.61919/jhrr.v4i3.1221Keywords:
Forward Head Posture, Neck Pain, ELDOA, Thoracic, Mobilization, Manipulation, SpinalAbstract
Background: Forward head posture (FHP) is a common postural deviation associated with neck pain, functional disability, and musculoskeletal imbalances. ELDOA and upper thoracic mobilization are therapeutic interventions aimed at correcting FHP and improving associated symptoms.
Objective: To compare the effectiveness of Elongation Longitudinaux Avec Decoaptation Osteo Articulaire (ELDOA) versus upper thoracic mobilization and mobility exercises (UTMME) in treating forward head posture.
Methods: A randomized clinical trial was conducted involving 36 participants with FHP, aged 20-40 years, divided into two groups (n=18 each). Group A received ELDOA, and Group B received UTMME, both for three sessions per week over four weeks. Outcomes measured included Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), Craniovertebral Angle (CVA), and cervical range of motion (ROMs). Data were analyzed using the Friedman and Mann-Whitney U tests.
Results: Both groups showed significant improvements; however, ELDOA demonstrated greater reductions in NPRS (4.00 vs. 5.00), NDI (9.00 vs. 12.50), and greater improvements in CVA (54.22 vs. 50.05) at week 4 (p<0.05).
Conclusion: ELDOA was more effective than UTMME in reducing pain, disability, and improving postural alignment in patients with FHP.
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References
Kripa S KH. Identifying relations between posture and pain in lower back pain patients: a narrative review. Bulletin of Faculty of Physical Therapy. 2021:1-4.
Kim G, Lee, S., & Jeong, H. (2011). . Effects of forward head posture on static and dynamic balance control. Journal of Physical Therapy Science. 2011;28(1):274-7.
Arooj A, Aziz, A. ., Khalid, F. ., Hussain Iqbal, M. ., & Binte Ashfaq, H. . Forward Head Posture in Young Adults: A Systematic Review: Forward Head Posture in Young Adults. (Journal of Therapies &Amp; Rehabilitation Sciences). 2022.
Weon JH, Oh JS, Cynn HS, Kim YW, Kwon OY, Yi CH. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. Journal of bodywork and movement therapies. 2010;14(4):367-74.
Haleema Bibi FU. The effect of eldoa alone and eldoa with core muscle strengthening to treat pain in patients with pivd: A comparative interventional study.
International Journal of Physical and Social Sciences. 2020; Volume : 10(Issue : 12).
Ramalingam V, Subramaniam A. Prevalence and associated risk factors of forward head posture among university students. Scopus IJPHRD Citation Score. 2019;10(7):775.
Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion. Osong Public Health Res Perspect, . 2018;9(6):PP, 309-13.
Suresh Mani SS, Devinder Kaur Ajit Singh. WEB PLOT DIGITIZER SOFTWARE: CAN IT BE USED TO MEASURE NECK POSTURE IN
CLINICAL PRACTICE? Asian Journal of Pharmaceutical and Clinical Research. 2018.
Cho J, Lee E, Lee S. 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. BMC musculoskeletal disorders. 2017;18(1):525.
Kanlayanaphotporn R CA, Vachalathiti R. The immediate effects
of mobilization technique on pain and range of motion in patients
presenting with unilateral neck pain: a randomized controlled trial. Arch Phys Med Rehabil 2009;. 2009/02/25.;90(2)::187–92. .
Mylonas K AP, Billis E, Tsepis E, Tsekoura M, Fousekis K. . The effects of therapeutic exercise in improving forward head posture and functionality in patients with neck pain A literature update. Arch Iatr Hetaireon. 2021;83(5).
Schwanke NL PH, Reuter CP, Borges TS, de Souza S, Burgos MS. . Differences in body posture, strength and flexibility in schoolchildren with overweight and obesity: a quasi-experimental study. Man Ther. 2016;22:138-44.
Tunwattanapong P KR, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clin Rehabil. 2016;30(1):64.
Sajjad AG JM, Rasul A, Hussain SA, Naqvi SA. ;. comparison of the effects of decompression and eldoa on pain and disability in lumbar disc protrusion. Rehman J Health Sci. 2021;3(2):92-6.
Shamshad M KR, Butt R, et al. Effects of ELDOA technique
versus McKenzie extension exercises on non-specific low back pain
patients.: a randomized clinical trial. . Rehabil J. 2022;6:429-34.
Gross ARMH, Jan L. PhD‡; Haines, Ted A. MSc*; Goldsmith, Charles H. PhD*; Kay, T MSc§; Aker, Peter MSc∥; Bronfort, Gert PhDpara. the Cervical Overview Group. A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders. . Spine. July 15, 2004;29((14)):p 1541-8.
Carlesso LC, Macdermid, J. C., Gross, A. R., Walton, D. M., & Santaguida, P. L. . Treatment preferences amongst physical therapists and chiropractors for the management of neck pain: results of an international survey. Chiropractic & manual therapies. 2014;22(1):11-22.
Farooq M, Bashir MS, Arif A, Kashif M, Manzoor N, Abid F. Effects of elongation longitudinaux avec decoaption osteo-articulaire and post-facilitation stretching technique on pain and functional disability in mobile users with text neck syndrome during COVID-19 pandemic: A randomized controlled trial. Medicine. 2023;102(12):e33073.
Langevin P DF, Lamothe M, Robitaille S, Roy JS. 2015 Jan;45(1):4-17. Comparison of 2 manual therapy and exercise protocols for cervical radiculopathy: a randomized clinical trial evaluating short-term effects. journal of orthopaedic & sports physical therapy. 2015 jan;45((1)):4-17.
Clement AAL. The prevalence of playing-related injuries in collegiate violinists and the physical, emotional, and mental effects of ELDOA. 2016.
Shahzad M, Rafique, N., Shakil-Ur-Rehman, S., & Ali Hussain, S. . Effects of ELDOA and post-facilitation stretching technique on pain and functional performance in patients with piriformis syndrome: A randomized controlled trial. Journal of back and musculoskeletal rehabilitation,. 2020;33(6): 983–8.
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Copyright (c) 2024 Faiza Khalid Khalid, Mahvish Musharaf, Umaira Ijaz, Muhammad Junaid Aslam, Ammara Malik, Umaira Latif
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