Longitudinal osteo-articular decoaption stretching (loads) in patients with forward head posture: a systematic review
摘要
Forward head posture (FHP) is a postural deviation that is very prevalent and is associated with musculoskeletal dysfunction. It has been reported to cause reduced cervical mobility, neck pain, headache as well as altered shoulder alignment. ELDOA exercises have been used as an intervention in musculoskeletal conditions, including FHP, but its effectiveness remains unclear. This systematic review aims to evaluate the impact of ELDOA on various parameters related to posture in individuals with FHP.
ObjectivesTo evaluate the effect of ELDOA technique on parameters, such as cervical range of motion, cervical pain, and functional disability.
MethodsA systematic review was conducted based on the PRISMA guidelines. The databases included Google Scholar, PubMed Central, Research Gate, PEDro, Cochrane Library, and Semantic Scholar. Risk of bias was assessed using the PEDro tool and, ROB 2 tool. Data extraction was done using a standardized form that included study characteristics, author, year, design of the study, and sampling size of the study. It included the participant demographics, such as age and gender. Details of the intervention including duration, frequency, intensity along with the outcome measures and results were included.
ResultsOut of 198 screened studies following the inclusion criteria, four studies, three RCTs and one quasi-experimental study, were included in this review. The findings of all four studies align, reporting that ELDOA improved cervical range of motion, reduced cervical pain, and reduced functional disability along with reducing shoulder and tragus to wall distance.
ConclusionsELDOA exercises show potential as an intervention for improving cervical pain, ROM, and posture in individuals with FHP. However, the limited number of studies highlight the need for further studies with larger sample sizes to confirm the generalizability of these findings.