COVER STORY: "The Cervical Core"- Movements, Muscles, Management - SADIYA VANJARA

I am sure we all have, at some point or the other, incorporated core strengthening program for a patient with lumbar spine derangement.Considered strengthening the cervical core muscles in a patient with cervical spine pathology?

Whenever we hear or talk about the “Core”, in 99% of cases what comes to our mind is a strengthening regime for the torso, combining Pilates, the pelvic box & various strengthening techniques where the lumbar, sacral and pelvic regions being our prime targets are inevitably taken into serious consideration. But for some reason it hardly occurs to us to assess, tone, recruit or strengthen the cervical musculature, even if we have a pure cervical patho-anatomy in front of us.

Although our head represents only 7% of the body’s total weight, more than 20 pairs of superficial and deep cervical muscles on either side of the cervical spine are given to us for a reason - I am sure! Cervical spine is a dynamic structure which acts to support the head on the trunk, orient the head in space and transmit forces arising from the trunk that will influence the position of the head. 

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