Ultrasound increases local metabolism, circulation,regeneration, and extensibility of connective tissue with its assuming thermal and mechanical effects. Ultrasound device(Chattanooga, USA) was used in the study. Ultrasound’s gel was applied circularly with a thickness of 2-3 mm.Then,ultrasound with a 4 cm probe was applied with 1 MHz frequency and 1.5 Wt/cm2, for 5 min . Furthermore, massage and exercise were suggested to participants. Classic regional massage was performed on the cervical and thoracic regions.Participants were informed and educated about effective ways of performing their daily life activities. In the context of therapeutic exercises, the older adults were trained for ROM exercises (anterior, lateral, and rotational) and posture exercises(shoulder circumduction, scapular adduction, and pectoral stretching).These exercises were repeated 5 times within the treatment program and 10 times after the program.