Welcome to Envision Physiotherapy's activity tracker. We can help make sure you are doing the optimal rehab activities for your injury.

You can add your activities to your online activity tracker and print, track and manage your rehab experience.

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Activity: Active thoracic extension: 4-point kneeling



A strength exercise for the upper thoracic extensors


NOTE: this exercise should only be done if there is adequate shoulder mobility and stability, and there is no significant neck strain. It is a deceivingly difficult exercise.

  • start in a 4-point kneeling position
  • maintain a neutral spine from the neck down to the lower back
  • lift one arm up, bending the shoulder about 45 degrees, elbow bent and palm face up (this is the start position)
  • lift the upper body and arm up by extending from the upper thoracic spine and not from neck, shoulder or arm (ie: the axis of movement is in the upper back, and tension should only be felt in the upper back and nowhere else)
  • return to the start position
  • alternate and repeat as instructed

Tags: upper, thoracic extension, thorax, axial, T-spine, Kurt, erector spinae, longissimus, spinalis, costalis, strength, strengthening, core