Hi.

With T4 syndrome, have people considered External Oblique has fascicles that go to rib 5.

If this person is a "chest-gripper", then locking down up to T5 will mean T4 will have to move lots to get any movement happening...

If this is so, assess their pattern of breathing and EO status...

With respect to Mr Physio's exercises, I would only add that the patient should attempt to maintain good spinal curves as the positions described could lead to hyper extension of the T/S...

Thanks