there's 2 ways you can approach this. of course, you should use your own common sense if you feel pain since yours involves incorporating a pre-existing condition.
1) i see this as an abs move - i think if your abs are contracted and your chest is lifted, your shoulders and upper back will naturally move into an erect position without having to exaggerate the spine. it is entirely possible to still round your shoulders if your abs are engaged, but once you lift your chest "upwards" your shoulders will not be rounded. to get the right sensation, you can even inhale and see your breast puff upwards.
2) you can stand with your back against the wall and see if you can position your upper back so that your shoulder blades are flush against it. you will have a natural curve at the lower "small" of your back, and this should be OK.
with either of the above approaches, it allows your shoulders to be relaxed. the abs muscles are driving this posture, not the shoulders.
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~jeannine
Miyagi: Wax on, right hand. Wax off, left hand. Wax on, wax off. Breathe in through nose, out the mouth. Wax on, wax off. Don't forget to breathe, very important.
[walks away, still making circular motions with hands] ~ Pat Morita, The Karate Kid, 1984
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