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STAY FIT WHILE

TRAVELING:

Posture

EXERCISE

AUTHOR

Kevin Dao

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DATE

24 April 2019​

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EXERCISE

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You're at the airport waiting for your flight.  Everyone is on their phones, as if it's a magical object that speeds up time.  Their neck and head stretched so far forward, they're like a giraffe reaching for leaves on the far tree ahead.  Gravity slowly pulling their bodies into a hunchback quasimodo-like sitting position.  A couple of hours go by and their next task at hand is to finish one last work email before they board the plane.  A few more hours pass and now they're catching up on their favorite TV show.  That same forward head posture and slouched sitting the body seems to revert to.  And they wonder where all this neck and low back pain is coming from. 

 

Unfortunately "mom," posture will not improve with just cues or reminders to stand/sit tall.  It's like building strength, losing weight, learning a musical instrument or how to surf, you need to condition and reprogram your body.  By strengthening select muscles and stretching specific tissues, you can optimally position that head or that back "in the right spot."  And we all know acquiring skills or desired results take time. Posture needs to be practiced and progressively challenged in order for it to be automatic.

 

I see patients all the time complaining of chronic low back pain, a bum knee after a grueling marathon or a pinched shoulder simply caused by hanging curtains.  In some ways posture can be linked to all these problems.  If you have the time and resources, the best way to address your symptoms is to see a physical therapist.  They have the tools and knowledge to identify physical impairments and link them to specific interventions. 

 

If you are not ready to commit to weekly appointments, below are five exercises and stretches that you can safely start with and see if they address your issues.  I know I have mentioned it before but consistency is the key to success.  Improving posture will always be an ongoing process, regardless of your age or activity level. You must continue the exercises but perhaps at a lower frequency, in efforts to preserve and maintain what you accomplished.

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One big question I get asked a lot is how do I stay fit when on vacation?  No doubt exercise gets placed on the back burner while traveling.  Yes the purpose of vacation is to temporarily remove yourself from daily life and enjoy things you typically wouldn't do if you are working.  But that doesn't mean you need to completely sacrifice fitness. 

 

Most likely you will be walking more than usual.  But that still isn't enough to burn off all those pastries and drinks you consumed.  You may attempt to go for a run or try that small gym in your hotel.  Chances are you won't.  You will be pressed on time with all the sightseeing you need to accomplish.  You will need time to recover from all those long tours and trips to the museums.  If you are traveling with a partner or a group, it is even more difficult persuading yourself to get in your running shorts and shoes.

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Try these five simple exercises that can be performed without any equipment.  If you are an early riser, get these exercises done first thing in the morning.  Those that struggle to get out of bed, try to do them before you hop in the shower or before you get dressed.  Don't tell yourself you will do it in the evening.  You will procrastinate, push it off till tomorrow and it will never get done.

 

Aim for 3 sets of 10 repetitions but if you have limited time, you can certainly just complete 10 or 20 reps.

 

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Chin tucks

Lay on your back.  Tilt your head as if you are nodding your chin down and making a double chin.  Maintain that tuck and lift you head a couple inches off the bed or floor.  Hold for 5 secs.  Gently lower your head back down.  Repeat.

Targeted muscles: Strengthening deep neck flexors / Stretching suboccipitals (tiny muscles behind your skull) and posterior neck muscles

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Why do this exercise:  This will improve your   forward head posture.

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Challenge yourself:  Add a tilt to the left and right (as if you were getting one ear to the shoulder).  Keep the chin tucked and don't lift the head too high.  You want the head to be close to parallel to the floor/bed.

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Too hard or causing pain: Don't raise the head.  Focus on tilting the chin while the back of the skull is in contact with the floor/bed.

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prone hip extension

Lay on your belly with your legs extended out.  Raise one leg up in the air while keeping your pelvis on the bed/floor.  Slowly lower your leg.  Repeat.

Targeted muscles: Strengthening gluteus maximus and hamstrings / May feel a stretch in the front of thigh/groin

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Why do this exercise: Hip extensions (muscles that make up the back of your thigh and buttock) tend to be very weak in individuals who sit all day. 

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Challenge yourself: Bend your knee and raise your leg as if you were trying to donkey kick up to the ceiling.

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Too hard or causing pain:  Don't lift the leg too high.  Place pillows under your pelvis if it begins to bother your back.  You can also try it standing, kicking leg backwards while standing tall.

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scapular retraction

In a standing or sitting position, squeeze your shoulder blades together.  Imagine there is a small ball at your mid back and you are attempting to pinch your blades around it.  Your chest will naturally flare out. Release and repeat.

Targeted muscles: Strengthening rhomboids and trapezius / Stretching chest

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Why do this exercise:  This exercise will really address your slouched sitting.

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Challenge yourself:  Bend your elbows and lift your arms up making a 90 degree angle.  Palms should be forward and arms are in a "W" position.  Perform the same shoulder retraction while keeping your elbows at 90 degrees.

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Too hard or causing pain:  Don't squeeze the blades too hard.  You can also perform the retraction laying on your back.

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pec stretch

Stand at a doorway or a corner with feet shoulder width apart.  Position arms around 90 degrees as shown in the pictures.  Gently lean forward.  Feel the pull in the chest.  Hold for 10-15 secs.  Relax and repeat.

Targeted muscles: Stretching pecs

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Why do this exercise: This is a nice complement to the scapular retractions.  Both exercises address slouched posture.

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Challenge yourself:  Position your arms above 90 degrees and attempt to stretch other parts of your chest.  If you have a foam roller, lay on it vertically and try the stretch there.

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Too hard or causing pain: Lower your arms below 90 degrees at the doorway or corner.  Don't lean too far forward.

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hamstring stretch

Sit at the edge of a chair or the bed.  Keep one knee extended (the other leg can be flexed).  Maintain a straight back and slowly lean forward, bending at the hips.  The stretch will be behind the straight leg.  Hold for 10-15 secs.  Repeat.

Targeted muscles: Stretching hamstrings (the back of your thigh)

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Why do this exercise:  Hamstrings are almost always tight in individuals who sit or drive for long periods of time.

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Challenge yourself:  Place your foot on a step and stretch in the same fashion while keeping your back straight.  Do the same standing with feet shoulder width apart.

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Too hard or causing pain: Engage your core and lean slightly forward until the stretch is felt in the back of the thigh.  You can also try the stretch while laying on your back.  Just make sure you keep the knee extended when lifting the leg in the air.

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Kevin Dao

PT, DPT

Kevin Dao is a licensed physical therapist, currently working per-diem at Nazareth Hospital; Nazareth Center for Physical Therapy, Rehabilitation and Balance; Einstein Medical Center Montgomery.  He recently joined Sword Health​, an organization on the forefront of virtual/telehealth physical therapy.

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