Tag Archives: neck

Cervical (Neck) Range of Motion (ROM)

If you have experienced neck pain or had a neck surgery–and have been cleared by your surgeon and physical therapist–please check out the following gentle neck movement exercises and isometric (no movement) strengthening exercises.

Gentle neck movement exercises

For all exercises, please spend time finding neutral spine. The position of neutral is slightly different for each person, but the concept is the same. In backlying (supine) neutral spine is a position where the neck muscles are able to be relaxed and the chin is perpendicular to the floor. Depending on the position of your upper back and neck, you may need to use a towel to support the back of the head to ensure that you can achieve neutral spine without strain to the neck muscles.

Active assisted range of motion (AAROM) for the cervical (neck) spine:

1. AAROM cervical rotation – Begin by placing your right hand gently on the opposite side of your forehead, then start turning your head with both your neck muscles and your hand toward the right.  At the end of the motion, return to the start position. Repeat 5-10 times.

Start Position
Start Position
Begin Movement
Begin Movement
Stop when you encounter any resistance or if you are unable to maintain rotation without sidebending the neck.
Stop when you encounter any resistance or if you are unable to maintain rotation without side-bending the neck.

Repeat for rotation to the left side.

 

2. AAROM cervical side-bending – Begin by placing your right hand on the opposite side of the top of your head. Gently begin moving your right ear toward your right shoulder. Again, stop when you encounter resistance. Perform 5-10 repetitions.

Right side-bending
Right side-bending

Repeat for side-bending to the left side.

Left side-bending
Left side-bending

 

Isometric (no movement) neck strengthening exercises

1. Isometric cervical flexion (nodding the chin down toward the chest) – Place your fist gently against the bottom of your chin and simultaneously, against the front of your neck at your throat. Without creating any movement, nod your chin into your fist (while your fist resists this motion). This exercise works the deep neck flexor muscles (longus colli). Looking down with your eyes helps to facilitate proper muscle activation. Effort for an isometric exercise is sub-maximal, nod your chin down with 10-20% effort. Hold this for 10 seconds. Repeat 10 times.

Deep neck flexor isometric/Longus colli activation
Deep neck flexor isometric/Longus colli activation

*If your shoulders pop up off the ground as you activate your deep neck flexors, try using less effort. When your shoulders come off the ground, your body is recruiting compensatory muscles.

 

2. Isometric neck rotation – Place the right hand on the right side of the forehead. Gently apply pressure through the hand as you activate your muscles against your hand turning your head to right. Remember that no motion occurs because this is an isometric exercise. Use your eyes to facilitate proper muscle activation by looking toward the right. The amount of effort is 10-20%. Hold for 10 seconds, complete 10 repetitions.

Isometric Right Cervical Rotation
Isometric right cervical rotation

Repeat for the left.

Isometric left cervical rotation
Isometric left cervical rotation

*Attempt to not actually rotate the head and neck for this exercise. It is more difficult than it appears.

 

3. Isometric cervical side-bending –  Place your right hand on the right side top of your head. Imagine bringing your right ear to your right shoulder but resist this motion with your hand to maintain the isometric component. Use 10-20% effort. Hold for 10 seconds, complete 10 repetitions.

Isometric right side-bending of the cervical spine
Isometric right side-bending of the cervical spine

Repeat on the left.

Isometric left side-bending of the cervical spine
Isometric left side-bending of the cervical spine

Then smile, you just took care of your neck!

Improve your Driving Posture & Reduce Pain & Stress!

The position you assume in your car makes a significant difference as to how you perceive the stress of driving, both emotionally and physically!

9:310:2

 

 

 

 

Positioning your arms at “10 and 2”  (as drivers used to learn in driving school) will  not only cause your arms to quickly fatigue, but will cause your shoulders  to pull forward. Then your forward shoulders pull your neck and head forward too! This posture also encourages you to grip the wheel and is also associated with feeling more stressed about the drive.

Positioning your arms on the steering wheel at “9 and 3”, or even “8 and 4” are  recommended now. From a posture perspective we find that holding the steering wheel at “8 and 4” allows your shoulders to relax and is much less stressful on the arms, shoulders and neck. And leaning back in the seat with a relaxed shoulder and head posture allows you to feel much less stressed about your drive.

 

Give the lower arm positions a try. And let us know how you feel!

 

Blog post written by Amy Selinger, PT, DPT, OCS