The aim of the study is to compare effects Comparison of Pilate exercises with and without whole body vibration on posture, disability and pain in patients with upper cross syndrome. A randomized contro ltrial will beconductedat PESSI. Non-probability convenience sampling will be used, and 62 subjects, age 20-40 years will be allocated into two groupsby the computer generated software after meeting the inclusion criteria. Both groups will receive hot pack for 15-20 minutes and Pilate exercises perform both groups as common treatment.Group A will be treated with Pilate exercisesandGroupB will be treated with Pilate exercise with whole body vibration both groups received two sessions per week for four consecutive weeks by another well trained physical therapist. Session duration for both groups ranged from 55 minutes to 1 hour. 2 sessions for 4 weeks will be given. The outcome measures will be conducted through NPRS, NDI, RSP WAS MEASURED IN SUPINE POSITION AND THEN PML AND TSD and J APP/ software before and after 4 weeks. Data will be analyzed using SPSS software version 26.After assessing normality of data by kolmo-grove test, it will be decided either parametric or non-parametric test will be used within a group or between two groups. Data will be collected at baseline and after 4 weeks of follow up.

In 2023, conducted the study in Basic Science Department,. Forty participants (females) with UCS were randomly divided into two equal groups: group A (control group) and group B (experimental group). Both groups received two sessions per week for four consecutive weeks. Group A received traditional physical therapy program in form of stretching, strengthening and postural correction exercises while Group B received Pilates exercise program. Primary outcome measures were balance, spinal curvature, Craniovertebral angle (CV), and rounded shoulders. Result was Comparison between pre-and post-treatment .Conclusions was Pilates exercise program proved better than traditional physical therapy program in improving spinal curvature, balance, and function and reducing pain in UCS.Randomized clinical trials (RCTs) were conducted to identify the effectiveness of whole-body vibration (WBV) on strength, power, and muscular endurance in older adults. However, the results of different studies are contradictory.. Conclusion: WBV was effective in increasing lower limb muscle strength. However, no significant results were observed for upper limb strength, lower limb power, and lower and upper limb muscle endurance in older adults. However, more studies are needed to better understand the physiological impacts of WBV in older.A randomized controlled trial was conducted in 2017.The present study aimed to determine the immediate effects of Whole Body vibration (WBV) on Rounded Shoulder Posture (RSP) in healthy women. Thirty female students aged between 18 to 30 years with RSP participated in this study. First, the examiner measured the RSP (in supine position), Pectoralis Minor Length (PML) and Total Scapular Distance (TSD). Then, the subjects performed 5 sets of 1-min WBV (frequency=30 Hz, amplitude=5 mm) with 1 min rest between each set. After intervention, the examiner immediately measured the above mentioned variables. The paired t test was used for data analysis. The analysis showed that WBV significantly decreased the supine measurement of RSP (P<0.001) and TSD (P=0.03) and increased PML (P <0.001). It seems that WBV had immediate effect on postural correction of rounded shoulder posture in the study subjects.While posture is a prevalent issue among young adults due to prolonged sitting and increase use oftechnology, the majorityofresearch studies have primarily focused on other age groups, such as older adults or adolescents and most of work on lower limb , very little study was done in upper limb regarding this issue among young adults.As my study focus posture correction in upper croos syndrom patient . After study some literature found to the best of authors knowledge, although in the past many studies have worked on correction ofposture leading to forward head posture and rounded shoulder in upper cross syndrome.There are different exercise regimes for RSP such as strengthening of lengthened muscles, scapular stabilizers, stretching of shorten muscles especially pectoral muscles, and soft tissue mobilization Pilate exercises and whole body vibration have been practiced in the treatment of forward head posture and RSP were found effective individually,butthereisalackofComparison of pilot exercises with and without whole body vibration on posture , disability and pain in patients with upper cross syndrome . This RCT aims to evaluate the effect of WBV with exercise and effect of Pilate exercises without WBV will ascertain thatiftwoofthese mayhave differenteffectsonthepain, posture, disability in young adults with upper cross syndrome.

Inclusion Criteria:

• Age group between 18 to 45 years
• Both gender male and female
• individuals with mechanical lower back pain
• active trigger point in the quadratus lumborum muscle
• No previous history of accidents

Exclusion Criteria:

• Acute muscular injuries
• localized or systemic infections
• lumbar disc herniation
• spinal abnormalities, any prior history of spinal
• anticoagulant use and bleeding disorders
• psychiatric conditions that would have made it difficult to provide consent

The Study will be single blind, assessor will be kept blind because patients and clinicians were difficult to mask due to well distinguished treatment protocol.