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Thoracic extension with a foam roller is an effective mobility exercise targeting the thoracic spine, which includes the mid-back region. It helps counteract stiffness often caused by prolonged sitting or poor posture. This exercise is commonly prescribed to improve thoracic extension, a key movement for overhead activities, spinal alignment, and overall posture. It also gently engages the muscles of the upper back and shoulders, promoting relaxation and flexibility.

Instructions

  • Starting position: Sit on the floor with your knees bent and feet flat. Position a foam roller horizontally behind you, just beneath your shoulder blades.
  • Lean back so your upper back rests on the foam roller and place your hands behind your head to support your neck, keeping your elbows wide.
  • Engage your core slightly to avoid overarching your lower back.
  • Slowly arch your upper back over the foam roller, allowing your spine to gently extend. Focus on opening up through the chest without straining the neck.
  • Pause briefly at the end of the movement, then return to the starting position by engaging your core.
  • Gradually adjust the position of the foam roller up or down your thoracic spine and repeat to target different segments.
  • Complete repetitions as prescribed by your physiotherapist.

Common Errors

  • Allowing the lower back to overextend instead of focusing on the thoracic spine.
  • Straining the neck by pulling it forward or letting it drop back too far.
  • Moving too quickly through the exercise, reducing its effectiveness.
  • Skipping core engagement, which may lead to unwanted compensation in the lumbar spine.

Progressions

  • To make the exercise more challenging, you can:
  • Add small weights or resistance in your hands to increase the stretch.
  • Extend your arms overhead while performing the movement for greater range.
  • Perform the exercise with a longer hold at the end range of extension.

Regressions

  • To make the exercise easier, you can:
  • Use a softer or smaller foam roller for less intensity.
  • Limit the range of motion to what feels comfortable and pain-free.
  • Perform the exercise lying on a flat surface with a rolled-up towel under the upper back for support.

All exercises are provided as an educational resource and should only be completed under the guidance of your physiotherapist.