Want to build a stronger neck? Then build stronger neck rotation muscles. There are multiple neck motions besides rotation including flexion, extension, and lateral flexion. If rotation is just one of the neck motions, why do I push strengthening the neck rotators?
Let’s take a look at the muscles responsible for rotating the neck. In another article where I discuss the Rotator Eccentric exercise on the NecksLevel Neck Strengthening device, I reported that roughly 60% of the neck’s musculature is responsible for rotation of the head. 60% seems like a disproportionately high percentage when you consider we also need muscles for flexing, extending, and laterally flexing the neck. Now, any orthopedic clinician worth their salt knows that the neck muscles rarely have a single action. So, for example, the sternocleidomastoid, although it is a strong neck rotator, it also functions to flex and laterally flex the neck. My point is, any given neck muscle usually has at least two actions, and quite often one of those actions is rotation of the neck.
So, if we want to strengthen the neck, we cannot forget about the neck rotators. Historically, clinicians had no reasonable way to strengthen the neck rotators. Why? The correct equipment just didn’t exist. Resistance bands and cable column systems fixated to the head work for strengthening in straight planes via isometric holds, but isometric holds can only take you so far. Physical therapists needed a tool that could target any neck muscle and strengthen through a range of motion. The NecksLevel device was specifically designed with the neck rotators in mind. Now clinicians can easily target and strengthen the neck rotators.
Here are the NecksLevel exercises that highlight the neck rotator strengthening capabilities of the NecksLevel device:
But what neck rotator muscles are we talking about? I’ll take you through all of the neck rotators one by one, and provide some clinical context for why a neck traction device can help those with neck issues.
Neck Rotation Muscles
Actions: Contralateral Rotation, Ipsilateral Lateral Flexion, Flexion
Notes: The sternocleidomastoid is often treated as "bad guy" in cervical rehabilitation due to its relationship with the deep neck flexors. After whiplash, and even in non-traumatic neck pain, the Sternocleidomastoid (SCM) will often be overactive relative to the deep neck flexors. Early on in rehabilitation, clinicians will often try to down-regulate the SCM, while training the deep neck flexors.
- Rectus Capitis Posterior Minor
- Semispinalis Capitis
- Scalenes (Anterior, Middle, Posterior) and some anatomists even argue this muscle group to be involved in neck rotation!
- Longissimus and Spinalis - Cervical region
So, for those of us counting, 12 out of 19 cervical muscles are involved in neck rotation. Thats 63%! I hope I've made my point. If we want to strengthen the neck, we can't forget about the neck rotators. With the NecksLevel device, strengthening the neck rotators is easy, and patients enjoy the exercises. As was mentioned before, the videos Neck Rotator Strengthening, and Neck Rotator Eccentric Strengthening are the perfect place to start strengthening the neck.