Comparative Effects of Elongation Longitudinal Avec Decoaptation Osteo Articulaire Versus Upper Thoracic Mobilization and Mobility Exercise for Treatment of Forward Head Posture

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.