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Rounded Shoulders - Causes, Risk Factors, Diagnosis, and Exercises
Rounded Shoulders - Causes, Risk Factors, Diagnosis, and Exercises
'mom posture'
Medically reviewed by Gregory Minnis, DPT, Physical Therapy — By Jon Johnson on July
25, 2017
There are a few simple exercises that can help keep the shoulders in their
correct position and relieve the stress caused by slumping.
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Any activity that causes the body to look down and forward for long
periods of time can contribute to slumped shoulders.
These positions disrupt how the muscles in the neck, back, and shoulders
normally function. It is these muscles that control the way the body
maintains its posture throughout the day.
Increased stress on the shoulder joints can cause pain around the neck
and upper back.
Diagnosis
Chiropractors and physical therapists may lead a person through a few
tests to see if they have rounded shoulders.
The doctor may first look at the person’s resting position while they are
standing. A person with slumped shoulders may seem to slouch, even
when asked to stand up straight. Their hands are also likely to face
behind them, with the thumbs pointed at each other.
A correct standing posture will see the hands facing towards the body
with the thumbs facing ahead. This is a simple test, but it will give doctors
a good indication of a person’s everyday posture.
Doctors may use a variety of other tests to help them diagnose rounded
shoulders and poor posture, in order to recommend the best treatments.
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Stretches and exercises
Carrying out stretches and gentle exercises regularly can help to improve posture. The
plank can help to ease round shoulders back into a correct alignment.
The good news is that, in most cases, rounded shoulders can be easily
fixed or prevented.
Just as the muscles and joints have been trained to hunch forward, they
can be retrained to find the correct resting position.
It may take time to notice the adjustment to the shoulders, but it is better
not to rush or force the body into a position that is not comfortable.
Handclasp
The handclasp stretch is simple and can be done every day. Standing up
straight with the hands by their sides, a person reaches their hands
behind them to clasp them together.
Gently, they then pull the shoulders back, while taking care not to allow
the neck to push forward.
The shoulders should be pulled back until the chest opens and a deep
stretch is felt. The position should be held for 30 seconds.
Moving one foot forward and gently lunging past the frame will stretch the
chest and shoulders. Hold this position for 30 seconds.
This basic exercise reminds the body what good posture feels like, and
helps build strength throughout the day.
The T stretch
The T stretch is best done in the morning, just after waking, or in the
night, just before sleeping.
The person lies flat on their back with their feet flat on the floor. Their
knees will be bent and facing up.
The arms should be extended out to the sides of the body, palms facing
up. When done correctly, there will be a slight stretch in the back and
shoulders.
This position can be held for up to 10 minutes each day for the best
results.
Wall stretch
The wall stretch is one of the most important exercises for rounded
shoulders.
A person begins by standing with their tailbone, lower back, upper back,
and head against a wall. The feet are positioned slightly away from the
wall. The arms are pressed flat against the wall, keeping the elbows at a
90 degree angle.
Wall angels
The arms start in a ‘W’ position, which resembles a person flexing both of
their biceps. Both arms are against the wall.
The hands are then extended upwards towards the ceiling while keeping
the shoulders down and flexed. Then the arms are returned to the starting
‘W’ position. This move is one repetition. Ideally, 10 such repetitions
should be done during each training session.
Other exercises
All of these exercises are designed to be gentle on the body. They should
not hurt or make any back or shoulder pain worse. If any of these
exercises cause pain, a person should contact their doctor or physical
therapist to further diagnosis and improve poor posture.
Prevention
Treating or preventing rounded shoulders does not end with exercises.
Correct posture will have to be followed at all times to keep the rounded
shoulders from returning.
Posture is a habit, and just as the body was trained to have poor posture,
it must be trained to keep good posture throughout the day.
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Over time, the body will learn to correct bad posture naturally.
In this article, we discuss effective exercises and other tips for better
posture.
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Proper posture guides
Good posture may help reduce back pain and stress on the muscles.
Standing
Stand with your feet flat on the floor, shoulder width apart.
Stand tall, as if a string is pulling upward from your head, and let
your arms relax by your sides.
Keep your feet flat on the floor. Do not cross your legs or ankles.
Rest your forearms on the table while keeping your shoulders back.
Your chin should be parallel to the floor, and your ears should align
with your collar bone.
Lying down
People can have good posture while lying on their back or side. Make
sure to keep the spine aligned and avoid twisting at the waist. Placing a
pillow underneath or between the legs can help relieve back pain.
Bridges
Bridges help strengthen the gluteal and abdominal muscles, which helps
relieve excess stress in the lower back.
To do a bridge:
Lie on your back with your knees bent and feet flat on the floor.
Lift your hips by engaging your core and buttocks muscles. The
buttocks and lower back should raise off the ground.
Plank
Plank Pose helps improve posture by strengthening muscles in the
shoulders and back as well as the core, glutes, and hamstrings. It also
encourages proper alignment of the spine.
To plank:
Get down onto your hands and knees. Make sure that your hands
align with your shoulders and your knees align with your hips.
Come onto the balls of the feet by lifting your heels and
straightening your legs. The body should form a straight line.
This stretch gently opens the hips and improves balance and
coordination, which can help improve posture.
To do a hip flexor stretch:
Mountain Pose
To do Mountain Pose:
Keep your shoulders relaxed and allow your arms to fall to the sides
of the body with your palms facing forward.
Child’s Pose
This yoga pose lengthens the lower back and opens the hips. People can
use Child’s Pose as a resting position during yoga or other forms of
exercise or as part of their regular stretching routine.
To do Child’s Pose:
Gently lean your body backward, keeping your hands in the same
position.
Continue leaning back until your forehead touches the floor.
Your arms should make a straight line and your buttocks should rest
on your heels.
Placing a mat or towel on the floor can make this pose more comfortable.
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Other tips
Around 1 in 4 adults in the United States sits for more than 8 hours a day,
according to a 2018 study . People who sit for long periods tend to
slouch in their chairs.
Slouching happens when the shoulders drop in front of the chest and the
head tilts forward. This posture puts an extreme curve in the spine,
placing stress on the neck and constricting the lungs. People may also
appear smaller if they slouch while standing.
A person can correct their posture by pulling their shoulders back and
keeping their head upright, in line with their spine.
Sitting for many hours may be unavoidable, but a person can maintain
good posture. Here are a few ways to improve posture while seated:
Wear comfortable, low heeled shoes that have arch support. High
heeled shoes alter a person’s center of gravity, which can put more
stress on the muscles and joints, especially in the knees.
Position desks and tables at the correct height if using them for
working or eating.
Summary
The term “posture” describes the position of the body when standing,
sitting, and lying down. Slouching and hunching forward can lead to poor
posture, which may cause joint and muscle pain.
People can use the stretches and exercises in this article to improve their
posture.
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