Anterior Scalene Technique The anterior scalene muscles run from the anterior tubercles of the transverse processes of the third through sixth cervical vertebrae to the first rib. With the other scalene muscles, they laterally flex the head and neck to the same side with the ribs fixed and rotate the head and neck to the opposite side. Bilaterally the scalenes elevate the ribs during inhalation and the anterior scalene flexes the head and neck. In this video demonstration, Erik shows one techniq