[Purpose] This study aimed to examine whether scapular elevation exercises in sitting
positions with different alignments lead to contractions of the trapezius and levator
scapulae muscles. [Participants and Methods] The participants were 25 males, measured in
four sitting positions with different alignments. Spine alignment was assessed by
measuring the head protrusion, upper thoracic spine tilt, and pelvic tilt angles. Upper
limb alignment was evaluated using the scapula tilt angle, scapula rotation angle, and
distance between scapular spinous processes. Scapular elevation exercises were measured,
and the thickness of the trapezius and levator scapulae muscles were measured in resting
and elevated positions, with changes in muscle thickness. [Results] The trapezius muscle
thickness was greater in the sitting position with less thoracic spine tilt and scapula
tilt angles. Conversely, the levator scapulae muscle thickness was greater in the sitting
position with more thoracic spine tilt and scapula tilt angles. [Conclusion] Scapular
elevation exercises induce separate contractions of the trapezius and levator scapulae
muscles by modifying the alignment of the spine and upper limbs.