Getting back into exercise: the neck and shoulders
The physical inactivity combined with the body being subject to repetitive work tasks and non-ergonomic seating postures results in today’s human being becoming less conditioned and equipped to take part in sports. This then presents challenges to personal trainers and coaches – when the body is expected to perform pushes, pulls and overhead movements a musculoskeletally imbalanced shoulder girdle, tho- racic and cervical spine, also presented in the Upper Crossed Syndrome, can lead to muscle, tendon, bursa and joint irritations (Griegel-Morris et al. 1992; Grimsby – Gray, 1997; Jull et al, 2002; Ketola et al. 2002; Marcus et al. 2002; Rempel et al, 2006; Ber- naards et al, 2011) that could be aggravated by exercise. One approach to counter such ailments is the application of the NASM static and movement tests in conjunction with the Corrective Exercise Continuum (CEx), which latter can be incorporated into a warm-up. Comprised of four stages – Self-Myofascial Release (SMR), stretches, isolated activation and muscle integration – it promotes the activation and deactivation of muscles, fascia and the nervous system. My aim is to discuss the importance of maintaining a good posture and therefore a healthy musculoskeletal system, with particular reference to the neck and shoulders. Spe- cifically, improved muscle strength and flexibility around the shoulder blades and neck with NASM CEx can lead to a reduction of impingement processes, irritations, tendonitis and lessen the pain symptoms (Griegel-Morris et al, 1992; Grimsby and Gray, 1997; Jull et al, 2002; Lewis and Valentine, 2007).