Exercises

Craniocervical Flexion (Deep Neck Flexor Activation)

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Content last reviewed: 2026-07-18

10 × 10s

An illustration is coming soon. Follow the step-by-step instructions below.

How to do it

  1. Lie supine in hook-lying position (knees bent, feet flat) to relax the lumbar spine.
  2. Keep the head neutral: do not extend the neck or jut the chin; place a small folded towel under the occiput if needed to keep the cervical spine free.
  3. Perform a gentle chin-nod (as if nodding 'yes'), flattening the curve of the upper neck a small amount.
  4. Hold the nod steady for 10 s while breathing normally, then relax.
  5. Progress the depth/effort of the nod over successive holds (the book uses an inflatable pressure cuff at 22 to 30 mmHg as a guide).

Form cues

  • Nod only the head on the neck; the back of the neck lengthens.
  • Avoid the superficial neck muscles (SCM/scalenes) bulging or the chin poking forward - that means cheating.
  • Breathe normally throughout the hold.

Muscles worked

Strengthens: neck flexors

Helps with