Neck and thoracic extensor strengthening | The MSK Physio

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  • Опубликовано: 13 янв 2025

Комментарии • 23

  • @ytrew9717
    @ytrew9717 Год назад +2

    that works for a while (on a flat surface) then not anymore, then only sometimes. I watched this video more than 10 time but I'm missing an important piece of information probably on how to position the head (maybe because there are several ways to do it with the chintuck). On a flat surface, should we start with chintuck (double chin) then push the head? Should the low back, and or the shoulders contract too or remains lose?

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      The end goal for technique would be able to lift your chest, shoulder and, lower back off the surface. Chin tucked will make this harder, chin untucked will be easier - in most cases. Neither is better or worse as such. Focus on what is hard for you. The shoulders eventually will be loose - as your erectors become stronger.

  • @opx3627
    @opx3627 10 месяцев назад

    What about the lower back: should we keep it straight, or should be bend it ?

    • @theMSKphysio
      @theMSKphysio  10 месяцев назад +1

      No issue with bending the back 😊. The harder your press, the more you recruit.

  • @RobertLongM
    @RobertLongM Год назад

    Can you suggest exercises for those with Cranio-Cervical Instability? Where ligaments are too laxed and they need to strengthen the occipital muscles.

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      Sure thing. It is tricky to isolate during testing. This makes identifying an impairment to inform your exercise prescription tricky. Essentially the clinical accuracy of the tests hasn't been thoroughly established yet. So what can we do? We need to challenge the head on the neck, as these are the attachment points. The goal would be to limit neck movement and emphasise head movement. You could go the other way but it gets pretty awkward to keep your head still and move your body :). I have a few videos trying to emphasise head movement on the neck. They are roughly ordered in difficulty levels. More relative to coordination.
      1. ruclips.net/video/HSr4wcXoAhs/видео.html
      2. ruclips.net/video/b4gg9velMhk/видео.html
      3. ruclips.net/video/q5C9rhIMOJQ/видео.html
      4. ruclips.net/video/15Lm-R9FT0A/видео.html
      Consider flexion exercises as well. It is useful to exercise both sides of a joint. A quick search on the channel will bring these up :).

  • @opx3627
    @opx3627 10 месяцев назад

    I'm confused about the chin down thing which can be done in many ways: you advise to look down, between the legs but does it mean we should tilt the head forward (that's the way to look more down)?

    • @theMSKphysio
      @theMSKphysio  10 месяцев назад +1

      Apologies about the clarity. Yes, precisely. Head tilt forward.

    • @opx3627
      @opx3627 10 месяцев назад

      @@theMSKphysio Thanks for your responses! (Comments under your videos are really helpful).

  • @ytrew9717
    @ytrew9717 Год назад +1

    Could this exercice (4:28) be done on the belly using weight like in your other video (by raising the head up a bit) ruclips.net/video/2iGz2_N9FtY/видео.html Are they similar (do they strengthen the same muscles)?

    • @theMSKphysio
      @theMSKphysio  Год назад

      Extremely similar. The difference is when you are on your back you can more easily use/feel your pelvis in creating the force. In the linked video, it is more purely head. Value in both. The linked video at least has some research around it with standardised scores to consider! I use this exercise more for those needing to improve upper body flexibility.

  • @jamietherooster
    @jamietherooster Год назад

    great video
    Theres a few back muscles that i cant seem to find much about strengthening exercises online. I wonder if you could cover them one day?
    they are
    1. semispinalis thoracis, cervicis and capitis and spinalis
    2. upper and middle multifidus (lumbar is covered extensively but not much on upper activation)
    3. longissimus
    Also, do you do any exercises for hiatal hernia?

    • @theMSKphysio
      @theMSKphysio  Год назад

      Thanks mate! Sure thing. I'll add it to the list 😊.
      Much of these exercises will include those muscles just by nature of putting load through the area.
      Re hernia. It can be tricky if the integrity of the passive tissue has been compromised. Check out the stomach vacuum exercise on the channel. That would be a place to start 👍. Changing some lifting strategies may help too. Hard to reduce though👌. If it is symptomatic best to get some medical input to make an informed decision on management.

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      Vacuum exercise - ruclips.net/video/tR4FGK-Yzq0/видео.html

    • @jamietherooster
      @jamietherooster Год назад +1

      @@theMSKphysio thank you, i will give all of them a try

  • @jtbigbear3158
    @jtbigbear3158 Год назад +1

    This is impossible because I’m stuck in a breathing with my neck pattern. Whenever I go against a wall I’m too lordotic. Bending the knees is the only way to get my back flat. After bending if I attempt to get my head against the wall my jaw hurts or I can’t breathe. Difficult stuff.

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      I hear ya! Breathing patterns are tricky to unravel. More passive support and a change of position might be your answer. Have you tried a prone position? This exercise can help one start to quieten down the other muscles/regions trying to help out - ruclips.net/video/53IqrQj4jbs/видео.html
      There is also a link to a couple articles I put together in the description, which you may find useful to help problem solve the scenario.

  • @ytrew9717
    @ytrew9717 Год назад

    I'm interested by the more advance video (you ask if people are interested too in 4:53 (is this one: ruclips.net/video/2iGz2_N9FtY/видео.html ?)

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      It would be working into this sort of range. It's a natural progression of the exercise in this video. The strength required for it isn't necessarily what most people require though. pccblog.dragondoor.com/wp-content/uploads/2015/08/DanEarthquakeWrestlersBridgeLead.jpg

    • @ytrew9717
      @ytrew9717 Год назад +1

      @@theMSKphysio it looks great, but isn't risky for the vertebra (or the disks in between)?

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      @ytrew only if you don't take the time to build up to the ability. It's definitely a more advanced skill.

  • @RXP91
    @RXP91 Год назад +1

    Interesting exercise - I notice you mentioned inhalation/exhalation. I was stuck in a deep forward head/kyphosis posture for 20 years (I'm 38) so the back of my head wouldn't touch the wall in standing. I used this move (ruclips.net/video/cN6wLjzkdAo/видео.html) and it got me out of forward head posture and I gained 2 inches in height! The model that therapist uses is from the postural restoration institute which takes the diaphragm/lungs/ribcage/pelvis into account for movement.

    • @theMSKphysio
      @theMSKphysio  Год назад +1

      Nice catch on the breathing cue. Yes, it's a similar concept. What you see consistently in practice is individuals unable to dissociate nearby regions of the body. At the same time, these areas must also be able to associate! How this relates, or could relate to pain or injury risk is a different conversation. Much research would argue there is a low relationship.
      Structural/postural changes can happen though! Particularly if you're environment changes to accommodate what you're trying to solidify.
      Interesting that the above exercise worked for you, particularly because its a flexion based position for breathing in! I am familiar with Bill Hartman and PRI. Really useful stuff for the right issue.
      Thanks for the comment :)