Document Type : Research Paper


1 Ph.D. Student of Sport Injury & Corrective Exercise, University of Isfahan

2 Professor of Sport Injury & Corrective Exercise, University of Isfahan

3 Associate Professor of Sport Injury & Corrective Exercise, Shahid Beheshti University


The purpose of this study was to compare the effects of regular corrective exercise and corrective exercise with whole-body vibration on upper cross syndrome. Subjects were 45 students who were randomly divided into three equal groups: corrective exercise with vibration, regular corrective exercise, and control. Kyphosis (flexible ruler), forward head and round shoulders (side photography) were measured before and after 10-week training. Repeated measure test results revealed significant within-group and between-groups differences in upper cross syndrome between pre-training and post-training values. Regular corrective exercise had a significant effect on upper cross syndrome.


1. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: The Janda approach. Human Kinetics; 1 ed. 2010. P.28.
2. Peterson-Kendall F, Kendall-McCreary E, Geise-Provance P, McIntyre-Rodgers M, Romani W A. Muscles testing and function with posture and pain. Lippincott Williams & Wilkins; 5 ed. 2005. P.20-30.
3. Bae W S, Lee H O, Shin J W, Lee K C. The effect of middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises in upper crossed syndrome. Journal of Physical Therapy Science. 2016; 28(5): 1636-9.
4. Clark M, Lucett S‌. NASM essentials of corrective exercise training. Lippincott Williams & Wilkins; 1 ed. 2010‌. P.17-36.
5. Seidi F. The comparison of a 10-week local and comprehensive corrective exercises programs effects on postural thoracic kyphosis deformity‌. (Doctoral dissertation). Tehran University; 2010. (In Persian).
6. Marín P J, Rhea M R. Effects of vibration training on muscle strength: A meta-analysis. The Journal of Strength & Conditioning Research. 2010‌; 24(2): 548-56.
7. Albasini A, Krause M, Rembitzki I V. Using whole body vibration in physical therapy and sport: Clinical practice and treatment exercises. Elsevier Health Sciences. 1 ed. 2010. P.15-70.
8. Lam T P, Ng B K, Cheung L W, Lee K M, Qin L, Cheng J C. Effect of whole body vibration (WBV) therapy on bone density and bone quality in osteopenic girls with adolescent idiopathic scoliosis: A randomized, controlled trial. Osteoporosis International. 2013‌‌; 24(5): 1623-36.
9. Gómez-Cabello A, González-Agüero A, Ara I, Casajús J A, Vicente-Rodríguez G. Effects of a short-term whole body vibration intervention on lean mass in elderly people. Nutr Hosp. 2013‌; 28(4): 1255-8.
10. Hand J, Verscheure S, Osternig L. A comparison of whole-body vibration and resistance training on total work in the rotator cuff. Journal of Athletic Training. 2009‌; 44(5): 469.
11. Ritzmann R, Kramer A, Bernhardt S, Gollhofer A. Whole body vibration training-improving balance control and muscle endurance. PloS one. 2014‌; 9(2): e89905.
12. Lee T Y, Chow D H. Effects of whole body vibration on spinal proprioception in normal individuals. 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC); 2013 Jul 3. (Pp. 4989-4992). Institute of Electrical and Electronics Engineers publication publication. Osaka, Japan.
13. Ferguson S L, Kim E, Seo D I, Bemben M G. Comparing the effects of 3 weeks of upper-body vibration training, vibration and stretching, and stretching alone on shoulder flexibility in college-aged men. The Journal of Strength & Conditioning Research. 2013‌‌; 27(12): 3329-34.
14. Fontana T L, Richardson C A, Stanton W R. The effect of weightbearing exercise with low frequency, whole body vibration on lumbosacral proprioception: A pilot study on normal subjects. Australian Journal of Physiotherapy. 2005‌; 51(4): 259-63.
15. Osawa Y, Oguma Y. Effects of resistance training with whole‐body vibration on muscle fitness in untrained adults. Scandinavian Journal of Medicine & Science in Sports. 2013; 23(1): 84-95.
16. Hazell T J, Jakobi J M, Kenno K A. The effects of whole-body vibration on upper-and lower-body EMG during static and dynamic contractions. Applied Physiology, Nutrition, and Metabolism. 2007‌; 32(6): 1156-63.
17. Lee S T, Moon J, Lee SH, Cho KH, Im SH, Kim M, et al. Changes in activation of serratus anterior, trapezius and latissimus dorsi with slouched posture. Annals of Rehabilitation Medicine. 2016‌; 40(2): 318-25.
18. Thigpen C A, Padua D A, Michener L A, Guskiewicz K, Giuliani C, Keener J D, et al. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and Kinesiology. 2010‌; 20(4): 701-9.
19. Greendale G A, Nili N S, Huang M H, Seeger L, Karlamangla A S. The reliability and validity of three non-radiological measures of thoracic kyphosis and their relations to the standing radiological Cobb angle. Osteoporosis International. 2011‌; 22(6):   1897-905.
20. Harman K, Hubley-Kozey C L, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: A randomized, controlled 10-week trial. Journal of Manual & Manipulative Therapy. 2005‌; 13(3): 163-76.
21. Ruivo R M, Pezarat-Correia P, Carita A I. Intrarater and interrater reliability of photographic measurement of upper-body standing posture of adolescents. Journal of Manipulative and Physiological Therapeutics. 2015‌; 38(1): 74-80.
22. Ruivo R M, Carita A I, Pezarat-Correia P. The effects of training and detraining after an 8 month resistance and stretching training program on forward head and protracted shoulder postures in adolescents: Randomised controlled study. Manual Therapy. 2016; ‌21 (1): 76-82.
23. Lynch S S, Thigpen C A, Mihalik J P, Prentice W E, Padua D. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. British Journal of Sports Medicine. 2010‌; 44(5): 376-81.
24. Liebenson C‌. Rehabilitation of the spine: A practitioner's manual. Lippincott Williams & Wilkins; 2 ed. 2007. P.40-3.
25. Vaughn D W. The effectiveness of a prescriptive therapeutic exercise program as an intervention for excessive thoracic kyphosis. University of Oregon: Kinesiology Publications; Ph. D- Thesis. 2005. P. 47-50.
26. Cardinale M, Pope M H. The effects of whole body vibration on humans: Dangerous or advantageous?‌ Acta Physiologica Hungarica. 2003‌; 90(3): 195-206.
27. Cochrane D J, Loram I D, Stannard S R, Rittweger J. Changes in joint angle, muscle‐tendon complex length, muscle contractile tissue displacement, and modulation of EMG activity during acute whole‐body vibration. Muscle & Nerve. 2009; 40(3): 420-9.
28. Cardinale M A, Wakeling J. Whole body vibration exercise: Are vibrations good for you? British Journal of Sports Medicine. 2005‌; 39(9): 585-9.
29. Kalichman L, Bulanov N, Friedman A. Effect of exams period on prevalence of myofascial trigger points and head posture in undergraduate students: Repeated measurements study. Journal of Bodywork and Movement Therapies. 2016‌. 21, 11-18
30. Necking L E, Lundborg G, Friden J. Hand muscle weakness in long-term vibration exposure. Journal of Hand Surgery (British and European Volume). 2002‌; 27(6):       520-25.
31. Cardinale M, Bosco C. The use of vibration as an exercise intervention. Exercise and Sport Sciences Reviews. 2003‌; 31(1): 3-7.
32. Arora N, Grenier S G. Acute effects of whole body vibration on directionality and reaction time latency of trunk muscles: The importance of rest and implications for spine stability. Journal of Electromyography and Kinesiology. 2013‌; 23(2): 394-401.
33. Aminian-Far A, Hadian M R, Olyaei G, Talebian S, Bakhtiary A H. Whole-body vibration and the prevention and treatment of delayed-onset muscle soreness. Journal of Athletic Training. 2011‌; 46(1): 43-9. (In Persian).
34. Casale R, Ring H, Rainoldi A. High frequency vibration conditioning stimulation centrally reduces myoelectrical manifestation of fatigue in healthy subjects. Journal of Electromyography and Kinesiology. 2009‌; 19(5): 998-1004.
35. Li L, Lamis F, Wilson S E. Whole-body vibration alters proprioception in the trunk. International Journal of Industrial Ergonomics. 2008‌; 38(9): 792-800.
36. Marconi B, Filippi G M, Koch G, Pecchioli C, Salerno S, Don R, et al. Long-term effects on motor cortical excitability induced by repeated muscle vibration during contraction in healthy subjects. Journal of the Neurological Sciences. 2008‌; 275(1):   51-9.