
Physiotherapist: Squeezing Can Make Urinary Incontinence Worse
If you leak urine while running, jumping, or coughing, this video explains why simply squeezing harder often isn't the fix.
Janne shows how to test thoracic spine rotation and extension range of motion, then gives a set of exercises (half-kneeling twist, seated elbows, towel roll, ball reach) targeted to whichever direction is stiffest.
Do you want to easily improve stiffness in your thoracic spine at home? First we need to determine whether rotation or extension is the stiffest movement.
How do you check the range of motion for rotation? First sit on a stable chair, preferably in front of a large mirror, then cross your arms over your shoulders and begin rotating your torso with the arms held horizontally at both sides. As you rotate your body to the left, observe how far the elbow reaches in relation to your thigh on the rotating side. If your elbow extends over the thigh line, your mobility is relatively good. Compare whether the mobility is the same when rotating to the right and left. If the rotation is limited - for example only reaching the midline of the body - or there is a significant difference between the two sides, it's worth focusing on rotational exercises.
How do you check the range of motion for extension? Cross your hands behind your neck and then begin extending your thoracic spine by lifting your elbows significantly towards the ceiling. If you feel the greatest limitation in this movement, then it's worth incorporating extension exercises into your routine.
Here are some simple exercises for improving thoracic spine rotation.
Half-kneeling twist: if you want the easier version, place the leg next to a wall in front with a 90-degree angle, then place your hands facing forward and start doing the rotational movement as far as you can go. If you want a heavier exercise, change the leg position so the lumbar spine is blocked from this kind of movement - when you do it with this leg forward, the rotational movement becomes much stiffer. So start with the easier version, then continue to the harder one. ---
Janne shows how to test thoracic spine rotation and extension range of motion, then gives a set of exercises (half-kneeling twist, seated elbows, towel roll, ball reach) targeted to whichever direction is stiffest.
The video demonstrates specific movement patterns and clinical exercise progressions: Do you want to easily improve stiffness in your thoracic spine at home? First we need to determine whether rotation or extension is the stiffest movement. How do you check the range of motion for rotation? First sit on...
If symptoms relating to "How to Improve Spinal Mobility and Test Upper Back Flexibility?" persist for more than 1–2 weeks, interfere with sleep or daily function, an in-person OMT evaluation is recommended to identify the root cause and ensure proper rehabilitation.

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Get instant access to Janne Sakkinen's official Google Drive folder with exercise guides and rehabilitation protocols.
Get Free PDF Guides (Google Drive)Medical Disclaimer: The information presented in this article is strictly for educational purposes and does not replace a clinical physical therapy evaluation, medical diagnosis, or individualized treatment plan.