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Deep cervical flexor activation exercies (chin tucks)

Deep Neck Flexor Exercises (Activation)

Longus coli, longus capitis, rectus capitis anterior and rectus capitis lateralis exercises for improving movement dysfunction, chronic neck pain, shoulder impingement, forward head, whiplash syndrome, and sports performance. Great chin tucks activations for the deep cervical flexors.

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Course Description: Deep Cervical Flexor Exercises (Activation)

This course describes neck exercise for the deep neck flexor muscles; the longus coli, longus capitis, rectus capitis anterior and rectus capitis lateralis exercise (a.k.a. deep cervical flexor activation, deep cervical flexor training, or deep neck flexor activation). Performing retraction, which is a combination of upper cervical flexion and lower cervical and upper thoracic extension, may aid in targeting the deep neck flexors, as well as inhibit the superficial neck flexors (e.g. sternocleidomastoid). Further, cues to aid in posterior tipping and depression of the scapula, may aid in reducing activity of the superficial cervical extensors (e.g. levator scapulae and upper trapezius).

The longus coli, longus capitis, rectus capitis anterior and rectus capitis lateralis are the only neck muscles that can perform neck flexion without upper neck extension, resulting in their unique role in preventing poor posture and stabilizing the neck (cervical spine). However, these muscles are prone to inhibition (under-activity, hypotonicity, weakness). It is common to include these exercises in a program designed to address forward head posture (poor posture); however, these exercises may also be recommended for shoulder pain, shoulder dysfunction, scapula dyskinesis, and thoracic kyphosis. Addressing these signs has been correlated with improving and reducing the risk of acute neck injury, chronic neck pain, whiplash, cervicogenic headache, upper thoracic pain, scapular pain, shoulder impingement pain, and improving sports performance. Movement professionals (personal trainers, physical therapists, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) should consider adding these exercises to their repertoire with the intent of improving patient/client outcomes from their integrated exercise programs and therapeutic (rehabilitation) interventions.

Isolated Muscle Activation Exercises:

Reactive Muscle Activation Exercises

Subsystem Integration Exercises

Last, it is important to integrate the increase in deep cervical flexor activity into functional exercise. The Brookbush Institute accomplishes this with intrinsic stabilization subsystem integration. Some example movements for these purposes include:

Pre-approved credits for:

Pre-approved for Continuing Education Credits for:

This Course Includes:

  • AI Tutor
  • Study Guide
  • Text and Illustrations
  • Research Review
  • Technique Videos
  • Sample Routine
  • Sample Routine
  • Practice Exam
  • Pre-approved Final Exam
A deep cervical neck flexor activation
Caption: A deep cervical neck flexor activation

Course Study Guide: Deep Neck Flexor Exercises (Activation)

Introduction to Deep Cervical Flexor Exercises
2 Sub Sections

Overactive Synergists
2 Sub Sections

Research Corner

Best Exercises for Deep Cervical Flexor Isolated Activation
7 Sub Sections

Reactive Activation
1 Sub Section

Lower Cervical Extensor Facilitation Taping

Sample Activation Circuit: Deep Cervical Flexor Exercises

Bibliography

  1. Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance, Mary McIntyre Rodgers, William Anthony Romani, Muscles: Testing and Function with Posture and Pain: Fifth Edition © 2005 Lippincott Williams & Wilkins
  2. Phillip Page, Clare Frank, Robert Lardner, Assessment and Treatment of Muscle Imbalance: The Janda Approach © 2010 Benchmark Physical Therapy, Inc., Clare C. Frank, and Robert Lardner
  3. Shirley Sahrmann and Associates, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spine © 2011 Mosby, Inc, an affiliate of Elsevier Inc.
  4. Peolsson, A. L., Peolsson, M. N., & Jull, G. A. (2013). Cervical muscle activity during loaded arm lifts in patients 10 years postsurgery for cervical disc disease. Journal of manipulative and physiological therapeutics, 36(5), 292-299
  5. Falla, D., Jull, G., & Hodges, P. W. (2004). Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Experimental brain research, 157(1), 43-48. (Delayed onset of DCF with arm movement)
  6. Jull, G. A. (2000). Deep cervical flexor muscle dysfunction in whiplash. Journal of musculoskeletal pain, 8(1-2), 143-154.
  7. Jull, G., Barrett, C., Magee, R., & Hodges, P. (1999). Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia, 19(3), 179-185. (Decreased activity of deep cervical flexors)
  8. Jull, G., Kristjansson, E., & Dall’Alba, P. (2004). Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Manual therapy, 9(2), 89-94
  9. Falla, D., O'Leary, S., Farina, D., & Jull, G. (2011). Association between intensity of pain and impairment in onset and activation of the deep cervical flexors in patients with persistent neck pain. The Clinical journal of pain, 27(4), 309-314.
  10. Falla, D., O’Leary, S., Fagan, A., & Jull, G. (2007). Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Manual therapy, 12(2), 139-143
  11. Jull, G.A., Falla, D., Vicenzino, B., Hodges, P.W. (2009). The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Manual Therapy. 14: 696-701.
  12. Falla, D., O’Leary, S., Fagan, A., & Jull, G. (2007). Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Manual therapy, 12(2), 139-143
  13. Jull, G., Trott, P., Potter, H., Zito, G., Niere, K., Shirley, D., … & Richardson, C. (2002). A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine, 27(17), 1835-1843
  14. Van Ettekoven, H., & Lucas, C. (2006). Efficacy of physiotherapy including a craniocervical training programme for tension‐type headache; a randomized clinical trial. Cephalalgia, 26(8), 983-991.
  15. Kwon JW, Son SM, Lee NK. (2015). Changes in upper-extremity muscle activities due to head position in subjects with a forward head posture and rounded shoulders. J Phys Ther Sci. 27: 1739-1742
  16. Helgadottir, H., Kristjansson, E., Einarsson, E., Karduna, A., & Jonsson, H. (2011). Altered activity of the serratus anterior during unilateral arm elevation in patients with cervical disorders. Journal of electromyography and kinesiology, 21(6), 947-953.
  17. Thigpen CA, Padua DA, Michener LA, Guskiewicz K, Giuliani C, Keener JD, Stergiou N. (2010). Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and Kinesiology. 20: 701-709.
  18. Moustafa, I. M., & Diab, A. A. (2015). The Effect of Adding Forward Head Posture Corrective Exercises in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Study. Journal of manipulative and physiological therapeutics, 38(3), 167-178
  19. Cools, A.M., Witvrouw, E.E., Declercq, G.A., Danneels, L.A., Cambier, D.C. (2003) Scapular muscle recruitment patterns: Trapezius muscle latency with and without impingement symptoms. The American Journal of Sports Medicine 31(4). 542-549.

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