This study was designed to investigate the effect of clinic pilates exercise in adult patients whith shoulder- neck posture problem. 51 patients with forward head posture(FHP) and rounded shoulder posture(RSP) were included in this study and they were randomly divided into two groups as clinical pilates (group 1, n=26) and classical posture exercises (group 2, n=25). Patients' demographics were recorded. Deep neck fleksor muscle(DNFM) endurance was evaluated by pressure biofeedback unit (PBU). Head, neck and shoulder posture were evaluated with wall- tragus, wall-acromion, tragus-acromion and chin-sternal notch distance. Flexibility for shoulder region was evaluated with back scratch test. The patients were evaluated both before the study and 6 weeks later.

Fifty-one individuals aged between 20-55 years whose FHP and RSP problems were determined by lateral posture analysis were included in the study. However, a total of 12 individuals, 6 from each of the 2 groups, were excluded from the study because they could not complete the treatment sessions. The study was completed with 39 participants.Individuals aged between 20-60 years, whose FHP and RSP problems were determined by lateral posture analysis, were included in the study. Those with severe pain in the neck and shoulder girdle, scoliosis and neurological problems and those who had undergone any surgery in the relevant regions were not included in the study. The individuals included in the study were randomized by lot and divided into 2 groups. Group 1 was given clinical pilates exercises, and Group 2 was given a program consisting of classical posture exercises. The exercise programs of both groups were performed by the same physiotherapist, and pre- and post-exercise evaluations were made by a different physiotherapist.

Inclusion Criteria:

• FHP and RSP problems were determined by lateral posture analysis

Exclusion Criteria:

• skoliosis