The scalene muscles are involved in respiration, neck flexion, neck side bending, and neck rotation. They also elevate the first two ribs and can contribute to Thoracic Outlet Syndrome. They also are part of the cervical plexus and affect the lumbar plexus affected by the psoas. Thus the scalenes and psoas are part of the Sympathetic chain, the opposite of the vagus nerve. Dysfunction of the scalenes can result in faulty breathing, neck pain, TOS, and overexcitement of the nervous system. This b
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