Easiest: Top Left – Deep Neck Flexor Motor Control
- This is the most basic exercise we all know and love. It can be made progressively harder utilizing a blood pressure cuff. Click the link HERE for the protocol.
Moderate: Bottom Left – Deep Neck Flexor and Anterior Neck Strength and Endurance
- This is typically the advancement I’ll use after patients are tolerating a motor control program well. For evidence based protocols for chin tuck head lift click HERE.
Advanced: Right – Partial Get-ups
- Partial get-ups are great because they incorporate deep neck flexor training while working the scapular musculature simultaneously. For most of my patients this step is imperative because they’re mostly all trying to get back to high level training (pressing things overhead, handstands, handstand pushups). I think this is often a step we miss as therapists attempting to bridge the gap back to performance.
Potentially as important as training the deep neck flexors are the deep neck extensors. Professor Gwen Jull talks extensively about this in this BJSM podcast if you want more information. We can go through an easy progression for these muscles as well.
Easiest: Top – Deep Cervical Extensors
- This exercise I got directly from Gwen Jull. The idea of this exercise is to keep your eyes on your hands throughout the movement. This allows us to selectively train the deep neck extensors and minimize the more superficial extensors.
Moderate: Bottom Right – Plank Variations
- Once athletes are tolerating the first variation well I generally like to progress toward plank variations. In this way we train the cervical extensors while simultaneously working the core and serratus anterior.
Advanced: Bottom Left – Crawl Variations
- Lastly are crawl variations. Crawl variations are excellent because they simultaneously train the core, neck extensors, serratus anterior and posterior scapular musculature. They’re also nice and challenging for athletes to perform.
I’ve always felt that there aren’t very good rehab progressions out there for people with neck pain trying to get back to high levels of fitness. Here are some of my favorites. Give them a shot and let me know what you think.
I Love Neck Pain,
Dan Pope DPT, OCS, CSCS, CF L1