The patient is lying on their back and places one hand under the upper part of the neck, at the base of the skull.
Ask the patient to attempt to nod the chin down slightly, increasing the pressure against the hand under the upper neck. Instruct the patient to avoid pushing their head back toward the table.
There should not be any palpable tension in the superficial muscles in the front of the neck as they perform the exercise.
The patient is instructed to hold for 10 seconds and repeat 3-5 times, gradually working up to 10 repetitions.
For an ERS Left and or high tone in the Left Erector Spinae:
The patient starts in standing and places their right foot up on a chair.
Instruct the patient to place their hands around each side of their right knee and slide their hands down the leg towards the ankle attempting to bring the chest down towards the right knee.
They hold the stretch for 5 to 10 seconds then return to upright standing.
Have the patient repeat this sequence 8 to 10 times.
For an ERS Right they place the left foot up on a chair.
To treat an ERS Right and/or high tone in the Right Erector Spinae:
The patient starts this exercise in the hands and knees position and is instructed to sit back diagonally as though attempting to sit onto their right hip.
Instruct the patient to sit back as far as they can without holding onto the table with their hands.
Have them hold the position for 5 seconds then come back up to the original hands and knees position without pulling up with their arms.
Anterior Innominate Self Correction: Home Self-Mobilizing Exercise
Anterior Innominate Self Correction
To correct an Anterior Innominate on the right:
The patient is lying on their back keeping the left leg out straight. Using both hands they bring their R knee up towards their chest then out towards their right shoulder.
Instruct the patient to hold the right leg firmly and do not allow the leg to move as they attempt to straighten the right hip. They hold the contraction for 4-5 seconds.
When they relax instruct the patient to bring the right leg further up and out towards the R shoulder and repeat 3 to 4 times.
Instruct the patient to place one foot directly in front of the other (heel to toe), done first with eyes open and then with eyes closed. Then walk backwards place one foot directly behind the other (toe to heel), done first with eyes open and then with eyes closed.
Patient attempts to rise straight up off the floor just a couple of inches and holds for 30 seconds, alternating legs and repeating 3-5 times on each side.
Instruct the patient to come straight up and maintain a 90 degree angle at both knees as much as possible.
They can increase the level of difficulty by placing a wobble disc under the R foot.