Background: Turtleneck posture has become increasingly common due to prolonged computer and smartphone use. Walking exercise has been reported to improve postural alignment; however, the effects of inclined backward treadmill walking on turtleneck posture remain unclear. Objectives: To determine whether backward treadmill walking with incline produces greater improvements in turtleneck posture compared with flat backward treadmill walking. Design: A randomized controlled trial. Methods: Thirty university students (20–29 years) with FHP were randomly assigned to two groups: inclined backward treadmill walking (n=20) and flat backward treadmill walking (n=20). Both groups performed 15 minutes of exercise, three times per week for 6 weeks. Outcome measures included Neck Disability Index (NDI), Craniovertebral Angle (CVA), and Cervical Apex (CA). Data were analyzed using paired t-tests and independent t-tests with α=.05. Results: Significant within-group improvements in NDI were observed in the incline group (P<.05), but not in the flat group. Both groups showed significant improvements in CVA (P<.05). Between-group comparisons revealed no statistically significant differences. Conclusion: Backward treadmill walking improved turtleneck posture regardless of incline, with inclined walking yielding greater within-group improvement in NDI. Further studies with larger sample sizes and longer intervention durations are warranted.