People with or without FHP alike can benefit from exercises that strengthen the deep neck flexor muscles. If you have osteoporosis or osteopenia, strengthening the muscles around your spine is key to healthy posture and reduced risk of fracture or deformity. A strong neck also offers some protection from whiplash and other accidental damage to the spine. As we age, neck exercises can improve neck appearance, function, and comfort (1).
There are many online resources with exercises to correct FHP, published by physicians, osteopaths, chiropractors, physical therapists, trainers, Pilates and yoga instructors. Below are some. See links and endnotes for more specifics, photos, illustrations and videos (12), (13). See also our posts on lockdown work-from-home neck and ergonomics for better neck posture.
Four groups of head exercises to strengthen neck muscles
1. Head retraction (chin tuck)
The deep front neck muscles are small and delicate. FHP makes them weaker and shorter. Exercises can help strengthen your deep and front neck muscles. The goal is to slide your head back to balance on the first and second cervical vertebrae. These are called the atlas and axis. They make possible the rotation of your head on your neck (14), (15).
2. Neck traction and shoulder retraction
These are stretches and exercises that help keep your neck from collapsing into your chest and shoulders like a turtle. This is where traction devices can help, too, as well as manual traction from a physical or massage therapist or chiropractor. Once you get the idea, daily mindfulness can help you keep from turtling back down. (16)
3. Upper back muscle strengthening
We tend to overuse the big, superficial upper back muscles, especially the trapezius. That doesn’t mean they are in good shape. The smaller back muscles (levator scapulae and rhomboids) are often weak. Systematic training of the smaller muscles without overtraining the big muscles will help make your carriage more graceful, fluid, and strong.
4. Thoracic extension
If your head is forward, the muscles of the front of the neck and the chest tend to be short, tight, and weak. This is especially true for the Sternocleidomastoid (SCM) pair and the upper pecs. With kyphosis, the main chest muscles (pectoralis major and minor) become shorter and weaker. Stretching and release are the first corrective steps, followed by strengthening. Foam roller stretches are also useful (17).
Roller work and belly dance
Be mindful to rebalance your head and neck. Exercise can retrain and strengthen your deep neck muscles. However, the biggest challenge will be changing your everyday habits. For starters, be aware of your head posture. Pay particular attention when you are stressed or tired. Old habits will likely reassert themselves. When you catch yourself leaning forward, peering down, or slumping, correct your posture: shoulders back and down, head upright and on top of your neck. Stretch, take a few deep breaths in proper alignment and you and your head are ready to take on the world!
Written by: Ellen M Martin, Annie Rooker