HWS-Ausrichtung

Zervikothorakaler Übergang (C7-T1-Syndrom)

Vorverlagerung des Kopfes führt zu Überlastung der Übergangsregion C7/T1.

KLINISCHES BILD

Typische Symptome

Brennendes Erschöpfungsgefühl am Halsansatz abends

DRINGENDE WARNUNG

Zu vermeidende Bewegungen

✗ Aggressives Kopfkreisen

💡 PHYSIOTHERAPEUTISCHER PRAXISTIPP

Chin Tucks (Kinn-Rückzug) stellen die neutrale Achse der HWS wieder her.

STUFENWEISE ABFOLGE

Verschriebenes Übungsprotokoll

6 EXERCISES

Clinical back pain images demonstration - T-SPINE FOAM ROLLER EXTENSION

T-SPINE FOAM ROLLER EXTENSION

🎯 T3-T9 Kyphosis Reversal

Upper Back & Thoracic 2-3 mins • 10s

BWS-Streckung auf der Faszienrolle (Foam Roller)

Reverses hunching and Dowager’s hump by mobilizing stiff mid-thoracic extension segments.

T3-T4 T4-T5 Thoracic Erector Spinae Interspinous Ligaments +1

Clinical back pain images demonstration - WALL ANGELS POSTURAL RETRACTOR

WALL ANGELS POSTURAL RETRACTOR

🎯 Lower & Mid Trapezius

Kräftigung 2 mins • 2s

Wall Angels (Schulterblatt-Aktivierung an der Wand)

Strengthens weak lower and middle trapezius while activating the serratus anterior to correct rounded shoulders.

C6-C7 C7-T1 Lower Trapezius Middle Trapezius +1

Clinical back pain images demonstration - MCKENZIE CERVICAL RETRACTION

MCKENZIE CERVICAL RETRACTION

🎯 C1-C7 Tech Neck Reset

Cervical Spine 2 mins • 5s

Chin Tucks (HWS-Kinn-Rückzug gegen Handynacken)

Re-aligns the cervical spine (C1-C7) and strengthens deep neck flexors to relieve forward head tech neck.

C2-C3 C3-C4 Longus Colli Longus Capitis (Deep Neck Flexors)

Clinical back pain images demonstration - LEVATOR & UPPER TRAP RELEASE

LEVATOR & UPPER TRAP RELEASE

🎯 C3-T1 Coat Hanger Tension

Upper Back & Thoracic 2 mins • 30s

Dehnung für Schulterblattheber & oberen Trapezius

Releases the "coat hanger" muscle tension connecting the cervical vertebrae to the superior angle of the shoulder blade.

C2-C3 C3-C4 Levator Scapulae Upper Trapezius

Clinical back pain images demonstration - PRONE Y-T-W SCAPULAR ENDURANCE

PRONE Y-T-W SCAPULAR ENDURANCE

🎯 Posterior Retractor Corset

Kräftigung 3 mins • 3s

Y-T-W in Bauchlage (Schulterblatt-Stabilisatoren)

Clinical physical therapy sequence that builds postural endurance in the scapular retractors and rotators.

T1-T2 T2-T3 Lower Trapezius Middle Trapezius +2

Clinical back pain images demonstration - DOORWAY PEC MINOR OPENER

DOORWAY PEC MINOR OPENER

🎯 Rounded Shoulder Correction

Mobilisation 2 mins • 30s

Brustmuskel-Dehnung im Türrahmen (Pectoralis minor)

Opens the anterior shoulder girdle to eliminate forward shoulder pull and restore upright rib posture.

C7-T1 T1-T2 Pectoralis Minor Pectoralis Major +1

CLINICAL QUESTIONS & ANSWERS

Häufig gestellte Fragen: C7-T1 Übergang

Q What is the "dowager’s hump" at the base of the neck?

It is a postural fat pad and soft-tissue thickening that forms at the C7-T1 junction to protect the spine against chronic shear forces from forward head posture.

Q Do chin tucks really reduce neck and upper back pain?

Yes. Cervical retraction (chin tucks) activates deep cervical flexors (longus colli and capitis) and decompresses the suboccipital and C7-T1 nerve roots.

WISSENSCHAFTLICHE LITERATUR

Peer-Review Evidenz & Leitlinien

•
"Efficacy of Deep Neck Flexor Training on Forward Head Posture and Neck Disability" — Spine (2022).