Upper back exercises

Exercises from 1 to 4 could be done for acute conditions as well as chronic conditions as long as a patient makes sure that it does not cause any sharp pains and controls the form. The purpose of those is to stimulate the upper back and rib cage for more flexibility consequently providing deeper breathing patterns in a patient.

Exercise 1
Sittings on a chair, press your back firmly against the back of the chair. Put your hands behind your head. Stretch out to the back beyond the point of the back of the chair trying to open your chest as much as possible and breath in. Than curl your back in stretching your back muscles and breathe out. (3-4 reps)

Alternative
Sit on the edge of a chair and press your upper back against the top part of the back of the chair. Stretch out to the back opening your chest, breath in and curl back in, breathe out just like in the previous exercise.

Exercise 2
You will need a celenderical couch cushion or a rolled towel, which has to be rather firm and about 10 cm in diameter. Lie down on an even surface placing the cushion under your upper back and your hands behind your back. Try lifting your upper back slightly of the cushion, open your chest and breathe in. Return to your original position and breath out. In order to work on different part of your upper back try shifting the cushion along your spinal column from one part of your upper back to the other. (3-4 reps)

Exercise 3
You will need a towel. Wrap the towel around your chest, cross the ends of it in front of you holding the lift end in the right hand and the right end in the left hand. Sit or lie down and breath in relaxing the grip of the towel and than breath out pulling on the ends of the towel and squeezing your chest to maximum in order for all of the air to come out of your lungs. Repeat 5-10 times. This exercise helps to establish deep breathing patterns as well as flexibility of your rib cage.

Exercise 4
Sitting or standing raise your arms up and hold your left wrist with your right hand, tilt your body to the left stretching out your the right side of your rib cage, switch arms. Proceed with the same tilt to the right. (5-10 reps)

Exercises 5-8 could be done for acute upper back conditions as well as chronic ones. The purpose of 5,6 is to better the flexibility of vertebras of the upper part of the spinal column, 7,8 is to relax shoulder muscles, which are often tense causing soreness or pains in the neck, upper chest and shoulder blade areas. Those exercises require assistance.

Exercise 5
Patient lying down on his stomach. An assisting person should firmly press patient's back of the rib cage with both palms on different sides of the spinal column. The pressure should be firm and last 3-4 seconds each time.

Exercise 6
Patient lying down on his stomach. An assisting person should put his two hands together clenching the fingers. Than start firm pressure on both sides of the spinal column exactly where it joints each rib. Work separately on each vertebra. The pressure should last 3-4 seconds. The assisting person should start with the bottom vertebras working his way up. The procedure should be painless and rather pleasant. The patient should feel warmth from assistant's hands.

Exercise 7
Patient lying down on his stomach. An assisting person should massage the muscles on both sides of the spinal column using his thumbs and going in the direction from the spinal column towards the sides of the back.

Exercise 8
It is also necessary to stimulate strained muscles between shoulder blades. Patient lying down on his stomach. An assisting person should put his hands on the patient's shoulder blades. The patient than should squeeze the muscles between his shoulder blades and hold that position for 5-10 second, releasing it after that with the assistant pressing the shoulder blades so that they would draw as far from the spine as possible at the same time. (5-10 reps) This exercise helps to train the muscles that properly position shoulder blades.

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