This randomized controlled study will examine the patient of forward head posture who suffering with upper cross syndrome. There will be comparison of two treatment methods 1st one is elongation longitudinaux articular vertebral and columnar decoaption osteo-articulaire also known as ELDOA and 2nd is upper thoracic mobilization .

This study includes 42 participants, both male and female, age between 20 to 45. ELDOA target the cervical and upper thoracic spine to improve range of motion, restore normal cervical and thoracic spine alignment and reduce muscle tension. Upper thoracic mobilization improve thoracic spine mobility and enhance cervical spine alignment.

Inclusion Criteria:

• Adult between (20 to 45 year) with upper cross syndrome
• CVA angle less than 48-50 degrees.
• No history of spinal injury and fracture
• limited cervical range of motion

Exclusion Criteria:

• Severe spinal degeneration or deformity
• Injury or surgery
• Cervical radiculopathy
• Severe osteoporosis
• Malignancy of upper extremity of thorax
• Obesity