Sunday 13 November 2011

Thoracic Mobility


Thoracic spine mobility is an extremely important component in dynamic movement and in everyday life, and it can often be overlooked. Poor thoracic mobility can affect the shoulder, neck, lower back, and hip very easily.  


Unfortunately, our daily habits and posture make us all very prone to poor thoracic spine mobility.


In the MatchFit clinic it is quite common to see people with a flexed spine, rounded shoulders and overly tight paraspinal muscles all contributing to poor thoracic mobility. This lack of movement in the mid spine will lead to restricted rotation and extension and also to restricted shoulder movements. To perform optimally in training and to perform required motions without injury requires good thoracic mobility and shoulder range of motion. 

Here are a few Thoracic Mobility exercises that you can perform to help enhance your spinal mobility. 

This first clip shows how you can use two tennis balls to act as a pivot for extension at various segments of the spine.


Video from Michael Boyle

This is a nice, simple exercise to start increasing the movement in the thoracic spine.

Another good drill to emphasise thoracic extension can be performed seated against a wall. This may be difficult for people with tight lats or shoulder problems.


As well as working on extension it is also beneficial to work on rotation, as a form of injury prevention, to help posture and increase mobility in the spine.

Video from Michael Boyle

Twist using small movements, adding a small amount of extension at each segment. Be careful to make sure the movement is not coming from the lower back (lumbar spine) in this drill. Hips should remain facing forward and core tight with the movement coming from the thoracic area. This drill can also be done seated on a chair.

Next up is a drill in the Quadruped position (hands & knees) a popular position for mobilising the spine, shoulders and hips. Like the seated movements, having the hips in flexion here limits the amount of lumbar spine movement allowed. People with poor hip mobility may struggle to get into this position.

Video from Eric Cressey 

With the elbow bent and hand on the back of the head, reach through the gap between hand and knee on one side then open out to point the elbow towards the ceiling. Repeat on both sides.

It is common to use a foam roller to help thoracic mobility, this clip shows how you can use one effectively to incorporate extension and rotation.


Video from Mike Reinold

Simple foam rolling to start with will loosen off the soft tissue of the thoracic spine reducing tightness that may contribute to poor mobility. Roll up and down spending time on areas that feel particularly tight. Next move onto extension, working on various stiff segments of the spine, repeating about 10 extension mobilisations at each. Lastly you can work on rotation. Make sure the lower back is stable and the movement comes from the thoracic area, extending the arms up towards the ceiling allows for good visualisation of the amount of rotation achieved, you only need to rotate a small amount.

Encouraging thoracic mobility is important for maintenance of good shoulder mobility, something integral to any athlete. Normal thoracic-humeral rhythm is important for injury prevention. Thoracic mobility becomes increasingly important in athletic overhead activities. The higher an athlete raises their arm, the more thoracic motion is needed from the thoracic spine to maintain the proper relative shoulder alignment.


Shoulder movement available with different thoracic spine positions
Normal scapular and thoracic spine motion allows optimal mechanics for athletic shoulder motions (left). Increased thoracic kyphosis, reduced thoracic mobility, or scapular protraction caused by rounded shoulders and tight anterior muscles can contribute to shoulder impairment and injury (right). The rhythm between the thoracic spine, scapular and shoulder joint is fundamental to maintaining enough space in the joint to prevent impingement, a very common injury seen in overhead athletes with poor thoracic mobility.

Start working on freeing up that thoracic spine!