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  • Thoracic extension on a foam roller is a mobility exercise designed to improve movement through the upper back (thoracic spine).
  • It helps reduce stiffness and can improve overhead shoulder movement by increasing extension through the thoracic spine.
  • This exercise is commonly prescribed for people with thoracic stiffness, upper back tightness, neck discomfort, or restricted shoulder mobility.
  • Lie on your back with your knees bent and feet/bottom flat on the floor.
  • Position the foam roller horizontally across your upper back.
  • Support your head and neck by gently interlocking your fingers behind your head.
  • Position your elbows close together, directed towards the ceiling.
  • Gently lean backwards over the foam roller, allowing your upper back to extend while keeping your hips on the floor.
  • Pause briefly at the end of the movement without forcing into pain.
  • Return to the starting position in a slow and controlled manner.
  • Move the foam roller slightly higher or lower along your upper back and repeat if instructed by your physiotherapist.
  • Complete repetitions as prescribed by your physiotherapist.