Abstract: Excercising through pivotal motions around the region of selected neck vertebrae is obtained by an attachment to a vertically tensioning assembly. The vertical tensioning assembly includes a yoke adapted to sit on the shoulders of the wearer with an extendible support framework, such as pneumatic cylinders, connecting the yoke with a pivotable harness arrangement suspended from over the wearer's head. The attachment is adapted to couple to the vertically extendible framework so that it can be adjusted and secured in a vertical direction. The attachment includes a neck surface engaging pad configured in the vertical direction so as to overlie a small region preferably of one vertebrae in length. The pad is configured horizontally to generally conform to the neck contour. By this relationship to the user, a fulcrum point is established at a selected vertebrae level so the wearer can exercise with pivotal motions around the selected vertebrae while the neck is in tension.