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Strengthening, especially of (1) the middle and lower back support muscles and scapula retractors, and (2) the longus colli and the deep neck flexor muscles. [35] Stretching muscles that cause neck protrusion, especially of the upper fibres of the trapezius muscle. [36] Lower cervical flexors: sternocleidomastoid, anterior and middle scalene ...
Neck and shoulder pain: ... This includes stretching tight muscles, such as the chest and neck flexors, and strengthening the weak muscles, including the upper back and scapular stabilizers.
The first part of the stabilization procedure is achieving a pain free full range of motion which can be accomplished through stretching exercises. Subsequently, a strengthening exercise program should be designed to restore the deconditioned cervical , shoulder girdle , and upper trunk musculature. [ 22 ]
Commonly applied regimens include the McKenzie exercise– [38] a self therapy exercise consisting of repetitive motions such as mobilization and manipulation to aid posture correction; and the Kendall exercise for strengthening the deep cervical flexor and pectoral muscle to correct neck alignment.
The shoulder that is injured is placed in a sling and shoulder flexion or abduction of the arm is avoided for 4 to 6 weeks after surgery (Brewster, 1993). Avoiding movement of the shoulder joint allows the torn tendon to fully heal. [24] Once the tendon is entirely recovered, passive exercises can be implemented.
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
Dizziness and unsteady gait were treated with exercises such as gaze stabilization and static and dynamic balance exercises. Decreased range of motion and cervical instability (known specifically as cervicogenic PCS) are best treated with cervical soft tissue and joint mobilization, deep cervical flexor strengthening exercises and stretching.
The most important ligament involved in shoulder joint stability is the Inferior Glenohumeral Ligament. During abduction of the arm, the middle and inferior ligaments become taut while the superior ligament relaxes. The radius of curvature of the head of the humerus is greater superiorly than inferiorly, which further stretches these ligaments ...