Free Back Pain Exercises Biblioteca de Fisioterapia
FORTALECIMIENTO Colchoneta • Intermedio Discs: T1-T2, T2-T3, T3-T4, T4-T5, T5-T6, T6-T7, T7-T8

Y-T-W en Decúbito Prono (Estabilizadores Escapulares)

The Y-T-W series progressively targets the lower trapezius (Y), middle trapezius and rhomboids (T), and infraspinatus/teres minor (W). This creates a muscular corset that pulls the thoracic spine out of slumped kyphosis and stabilizes the rib cage.

DIAGRAMA BIOMECÁNICO DEL MOVIMIENTO
Clinical back pain images demonstration - PRONE Y-T-W SCAPULAR ENDURANCE
PRONE Y-T-W SCAPULAR ENDURANCE
🎯 Posterior Retractor Corset

Ejecución Paso a Paso

PROTOCOLO CLÍNICO
  1. 1 Lie face down on your mat with forehead resting on a small rolled towel.
  2. 2 Y-Position: Extend arms overhead at a 45-degree angle (thumbs pointing up toward the ceiling). Squeeze lower traps to lift arms 2-3 inches off the floor for 3 seconds.
  3. 3 T-Position: Bring arms straight out to the sides at 90 degrees (thumbs up). Squeeze shoulder blades together to lift arms for 3 seconds.
  4. 4 W-Position: Bend elbows to 90 degrees by your sides in a "W" shape. Squeeze shoulder blades down and back, rotating forearms upward for 3 seconds.
  5. 5 Perform 6 to 8 repetitions of each letter with steady control.
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CLAVES DE POSTURA CORRECTA

  • ✓ Always lead with thumbs pointing toward the ceiling to ensure external shoulder rotation.
  • ✓ Initiate every movement from the shoulder blades, not by arching your lower back.
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ERRORES QUE DEBES EVITAR

  • ✗ Do not lift your chest high off the floor (keep lower back relaxed).
  • ✗ Avoid shrugging shoulders up toward your ears.
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CONTRAINDICACIONES Y CUÁNDO EVITAR

Do not perform this movement or modify strictly under clinical supervision if you have:

  • Acute rotator cuff tear flare
FUNDAMENTOS CIENTÍFICOS Y CITAS

Biomecánica Clínica y Evidencia

This exercise protocol utilizes proven spinal mechanics: active core co-contraction (McGill stabilization), directional preference extension (McKenzie MDT), and non-compressive axial elongation to facilitate nutrient exchange in the avascular intervertebral disc matrix.

• McGill, S.M. (2016). Low Back Disorders: Evidence-Based Prevention and Rehabilitation. Human Kinetics.
• Delitto, A., et al. (2021). Low Back Pain Clinical Practice Guidelines. Journal of Orthopaedic & Sports Physical Therapy (JOSPT).
DOSIFICACIÓN CLÍNICA
Tiempo de Mantenimiento 3 Seconds
Repeticiones 6-8 reps each letter
Series Prescritas 2 sets
Dificultad Intermedio
Posición Colchoneta
MÚSCULOS PRINCIPALES
Lower Trapezius Middle Trapezius Rhomboid Major/Minor Infraspinatus
MÚSCULOS ESTABILIZADORES
Thoracic Erector Spinae Posterior Deltoids