Standing upright doesn’t seem like a task we should have to consciously put effort toward. The ability to keep the body vertical with the head, torso, and legs perpendicular to the ground can be commonly overlooked. That is, until the muscles, bones, and joints bracketing the supporting structures meant to keep the body in the upright standing position malfunction. Once a physical complication occurs where the body’s structural integrity has a form of weakness in the neck, shoulders, or spine, the body can bend forward, producing a candy cane-like shape, and a curve in the neck and upper back appears.
An example of optimal standing posture for humans can be identified when the head resides neutrally over the spine and hips when in a standing position. If we can envision a person standing upright and observing them from a lateral perspective, as if you can see the person’s sides of the ears, arms, and pockets, imagine a straight line traced through those three points. The ear should be in line over the armpits, the armpits should be aligned perpendicular over the middle of the crest of the hip, and the hips should reside over the midline of the lower extremities.
Throughout our personal training sessions, we focus on consistently cueing and ensuring exercise participants maintain the practice of keeping their shoulder blades “parked down and back.” This is an important concept and reminder that immediately addresses one of the primary causes of suboptimal posture, which is the forward tilting of the head that causes the cervical and thoracic spine to flex forward, creating a forward rounded shape that looks akin to a loaded fishing pole that has a fish attached to the end of it. Without going into too much scientific detail, let’s try to imagine why it’s not good when the network of bones encasing our spinal cord is flexed in a position that looks like a deep-sea fishing pole being pulled on by a dorado fish off the coast of Uruguay.
The shoulder blades are two bones called scapulae that reside on the back of the rib cage. The scapula has minimal bone-to-bone attachment to the arms, rib, spine, and collarbone. Most of the connections from the scapula to the rest of the body occur via large muscles originating at the various borders of the scapula and attach to the skull, along the spine, and to the humerus. Besides its attachment points to the clavicle and humerus, the scapula floats over the rib cage’s posterior aspect as it glides in multiple directions during muscular contractions.
The scapular muscles play a vital role in maintaining optimal posture when standing, sitting, and interacting in the various actions throughout our everyday lives. The levator scapulae originates from the cervical vertebrae in the neck and attaches to the top of the shoulder blade. Its function is to stabilize and elevate the shoulder blade. The rhomboids originate in the middle of the back at the thoracic spine and attach to the middle, inferior border of the scapula. Its function is to retract and bring the shoulder blade toward the middle of the back. The large trapezius muscle spanning half of the back has various attachment points along the neck, scapula, and spine. It helps play a role in scapular depression, the movement of the gliding of the shoulder blades downward. These muscles are all connected to the scapula and play a critical role in serving as brackets to hold our head, neck, and top portion of spine upright. If these muscles become deconditioned, the inverse motion of stabilizing the head and shoulders occurs, producing a kyphotic and slouched forward posture where the upper portion of the cervical and thoracic spine collapses. These suboptimal neck and thoracic spine posture symptoms can be remedied via exercise, which assists in managing ongoing cases of suboptimal posture, neck, and upper back pain and dysfunction.
An exercise we perform regularly with our personal training clients who are relatively new to exercise is the “leaning against wall-wall press” exercise. This movement is not only helpful in assisting in the development of muscle mass and connective tissue around the shoulder blades and upper neck, but is also an effective learning tool to educate exercise participants on how to organize their shoulders and neck to avoid movements that might afflict the neck and upper back via suboptimal posture.
To perform the “leaning against wall-wall press”, position your body flat against a wall with a smooth surface and plenty of room to move your arms. While keeping the lower back flat on the wall, bend your knees to a slightly squatted position. Extend your elbows to where your arms are at about a forty-five-degree angle and apply pressure as if “pushing the wall away behind you with your arms.” Apply pressure against the wall for about five seconds, then rest for one to two seconds. You should feel a muscular sensation in the shoulder blades and back of the upper arms. Repeat this movement for five to ten repetitions.
Consistency, practice, and developing awareness are commonly overlooked themes when addressing a musculoskeletal injury. Sometimes, for people who have been faced with the unfortunate condition of spinal issues, the knee-jerk reaction is to turn to anti-inflammatories on the racks of drug stores or to get a steroid injection from their physician to make the pain go away. Without a muscular strength training regimen, pain-like symptoms, especially when linked to poor posture-related spinal injuries, can return sooner than we think. By choosing strength training exercises that can be performed competently and avoiding injury during exercise sessions, spinal injuries caused by suboptimal posture can be mitigated to help us be a happy, healthy, and strong version of ourselves for years to come.
Sean McCawley, the founder and owner of Napa Tenacious Fitness in Napa, CA, welcomes questions and comments. Reach him at 707-287-2727, napatenacious@gmail.com, or visit the website napatenaciousfitness.com.