NASM Personal Trainer CPT Question # 33 Topic 4 Discussion
CPT Exam Topic 4 Question 33 Discussion:
Question #: 33
Topic #: 4
A trainer is working with a client who has upper crossed syndrome. Which of the following muscles should the trainer recommend that the client stretch?
Upper crossed syndrome is a common postural distortion pattern characterized by forward head posture, rounded shoulders, and thoracic kyphosis. NASM identifies overactive muscles in this condition as the upper trapezius, levator scapulae, sternocleidomastoid, pectoralis major/minor, and suboccipitals. Underactive muscles include the deep cervical flexors, serratus anterior, lower trapezius, and rhomboids. Corrective exercise strategies involve inhibiting (SMR) and lengthening the overactive muscles—thus the levator scapulae is a primary stretch target. Stretching it helps restore cervical and scapular alignment, improve movement mechanics, and reduce compensations. The other listed muscles—serratus anterior, lower trapezius, and teres minor—are underactive and require strengthening, not stretching.
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