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Prone Horizontal Abduction with External Rotation (Prone Y/T)

Draftstrength95%intermediatestrong evidence
View FHIR resourceFHIR R4 ActivityDefinition — the interoperable form of this exercise

Positions & Range of Motion

Start
Prone, forehead down, arms hanging off the sides in a Y or T with thumbs pointing up (shoulders externally rotated)
End
Arms lifted toward the ceiling, thumbs up, scapulae retracted and depressed with mid/lower trap engaged and upper trap quiet
Range of Motion
Arms lift a few inches off the floor; glenohumeral horizontal abduction with scapular retraction to end range

How to Perform

Lying face down, lift arms in a Y or T position with thumbs pointing up (external rotation). Demonstrates optimal scapular neuromuscular control with excellent UT/MT ratio (0.43) and UT/LT ratio (0.30). Activates middle and lower trapezius at >50% MVIC while keeping upper trapezius <20%.

Watch on YouTube

Opens a YouTube search for “Prone Horizontal Abduction with External Rotation (Prone Y/T)

Starting position: prone

Coaching Cues

  1. 1

    Long neck, lifted breastbone — pull from below the shoulder blade

    (verbal)
  2. 2

    Lift the thumbs toward the ceiling

    (verbal)
  3. 3

    Reach the hands wide toward the far walls

    (verbal)
  4. 4

    Pinch a coin between the lower shoulder blades

    (tactile)

Evidence-Based Dosing & EMG Data

Recommended Dosing

3×8-15 reps, 3 days/week

EMG Activation Data

MT and LT >50% MVIC; optimal UT/MT ratio 0.43, UT/LT ratio 0.30 [Mendez-Rebolledo 2024]

Muscles Involved (7)

Primary Movers

Middle Trapezius>50% MVIC activation
Lower Trapezius>50% MVIC activation

Secondary Movers

InfraspinatusExternal rotation component
Posterior DeltoidHorizontal abduction

Lengthened / Stretched

Pectoralis MajorAUDIT: Horizontal abduction with retraction is the direct antagonist stretch of the horizontal-adductor pectoralis major.
Anterior DeltoidAUDIT: Horizontal abduction lengthens the horizontal-adductor/flexor anterior deltoid.

Synergists & Assistors

Easier Variations ↓

1

Prone I Raise

Lift arms straight overhead (I position). Simpler movement pattern before progressing to Y and T.

2

Standing Band Y/T

Perform the Y/T pattern standing with a light resistance band. Gravity-reduced position.

Harder Variations ↑

1

Prone Y/T with Light Weight

Add 1-3 lb dumbbells to increase resistance in the elevated position.

2

Prone W Raise

Add the W position (elbows bent, squeeze shoulder blades) to create a Y/T/W circuit targeting all scapular stabilizers.

Target Movements (4)

Scapular RetractionScapulothoracic Articulation
Shoulder External RotationGlenohumeral Joint
Scapular Upward RotationScapulothoracic Articulation

Why This Exercise Matters

Everyday activities this exercise helps you do — essential means it directly trains the capacity the task needs:

Goals This Helps With

Rehab, performance, prevention, and mobility goals this exercise supports — essential means it's a cornerstone:

Research Notes

EMG data at 100° abduction: supraspinatus 82% MVIC, middle deltoid 87% MVIC, posterior deltoid 88% MVIC, MT >50% MVIC, LT >50% MVIC [Reinold 2004, Mendez-Rebolledo 2024]. Optimal UT/MT (0.43) and UT/LT (0.30) ratios. Early scapular stabilizer activation (-474.7 to 89.9 ms relative to UT) [Mendez-Rebolledo 2024]. Dosing: 3×8-15 reps, 3 days/week [Mulroy 2020]. AUDIT[medium]: The emgNotes/notes report supraspinatus 82% MVIC, middle deltoid 87% MVIC, and posterior deltoid 88% MVIC 'at 100° abduction' citing Reinold 2004 — but those exact values are Reinold's data for Prone External Rotation at 90° abduction (a different exercise, reproduced verbatim in prone-er-90-abduction). This transplants another exercise's EMG onto the prone Y/T. → Remove the supraspinatus/middle-deltoid/posterior-deltoid MVIC figures here or re-attribute them; keep only the trapezius ratio data (Mendez-Rebolledo 2024) that actually describes the prone Y/T.

Evidence Sources (6)