The Neck

Question 1

Walk through a passive stretch for the scalenes

Answer 1

supine
thera stabilizes shoulder
ant scalene = thera moves cl neck into contra side flex and ipsi rotation

mid scalene = thera moves cl neck into contra side flex

Post scalenes = thera moves cl neck into contra side flex and contra rotation.

Question 2

Walk through a self stretch for the scalenes

Answer 2

supine or seated
Cl shoulder stabilized at side
ant scalene = cl moves neck into side flex and ipsi rot

mid scalene = Cl moves neck into contra side flexion

Post scalene = cl moves neck into contra side flex and contra rotation

Question 3

when performing an isometric exercise on the neck what is different from performing isometric exercises on other areas?

Answer 3

only use 10% of your strength not the usual 50-60 %

Question 4

true or false can the weight of gravity be enough of a resistence for isometric neck exercises?

Answer 4

True

Question 5

Walk through some isometric exercises for the anterior scalenes side lying and high seated.

Answer 5

side lying = side of neck to be strengthen down towards mat. press neck into pillow at 10 % strength

high seated =

Ant scalene- place hand on forehead press head into hand at a 45 degree angle between ant/ side flex

Question 6

Walk through isotonic exercises for the scalenes

Answer 6

Same as isometric except with movement through each ROM

Question 7

Walk through some isometric exercises for the mid scalenes side lying and high seated.

Answer 7

side lying = side of neck to be strengthen down towards mat. press neck into pillow at 10 % strength

high seated =

Mid scalene - place hand on side of head and press head into hand in a side flex direction

Question 8

Walk through some isometric exercises for the Post scalenes side lying and high seated.

Answer 8

side lying = side of neck to be strengthen down towards mat. press neck into pillow at 10 % strength

high seated =

Post scalene - Place hand on back of head and press head into hand at a 45 degree direction between posterior and lat flex

Question 9

Walk through a passive stretch for the SCM

Answer 9

Head is in neutral position. The therapist takes the client’s head into a position of chin tuck, contra side flex and ipsi rot

Question 10

self stretch for SCM Unilateral

Answer 10

head in comfortable neutral position
chin tuck
contra side flex and ipsi rotation

Question 11

Isometric bilateral exercise for SCM

Answer 11

supine w towel pad under head
a gentle chin tuck maintained throughout exercise
cl attempts to forward flex the neck against the resisting gravity = isometric contraction of both SCM’s
angle can be changed by increasing or decreasing size of towel roll under head

Question 12

Isometric unilateral Exercise for SCM

Answer 12

Cl supine w towel under head
head is rotated to the contra side
cl attempts to flex the neck forward against gravity
joint angle adjusted by increasing or decreasing size of towel roll under head.

Question 13

isotonic bilateral exercise for SCM

Answer 13

Cl is supine

they forward flex the neck against the resistance of gravity

Question 14

Isotonic unilateral exercise for SCM

Answer 14

supine
cl simultaneously forward flex, ipsi flexes and contra rot the head.
they then controls lowering it back down to the table.
This may be difficult for the client to coordinatte so you may need to break down the exercise into separate planes of movement and progress gradually to one smooth motion.

Question 15

Passive stretch for Levator Scapula

Answer 15

cl supine
shoulder that you are stretching stabilized
thera forward flexes the C spine and contra side flexes and contra rot head

Question 16

Self stretch Levator Scapula

Answer 16

Cl is seated
stretch shoulder stabilized
cl forward flex the neck and bring their nose towards the contra armpit.

Question 17

Isometric Levator Scapula exercise

Answer 17

cl holds on to belt that is looped around ipsi foot.
Isometric shoulder elevation is performed
Angle can be changed by lenghtening or shortening the belt
use only 10% of there usual strenght

Question 18

Isotonic Levator Scapula exercise

Answer 18

Shoulder shrugs are performed against gravity with theraband stabilized under feet or with hand weights.