Blackburn Exercises

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Original Editor - Shreya Pavaskar

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Description[edit | edit source]

Blackburn et. al designed an exercise protocol for Scapular dyskinesia. They are designed to strengthen Scapular stabilizers and RC cuff.[1] It has been used widely ever since.

  1. Prone Extension "I" - Prone with palm facing upwards, arms extended and lift parallel to the thorax while keeping your shoulders retracted.
  2. Prone Extension "Y" - Prone with palm facing upwards, shoulder abducted to 110° to the thorax while keeping your shoulders retracted. (most effective for infraspinatus)[2]
  3. Prone Extension "T" - Prone with the elbow extended and the shoulder abducted to 90° and externally rotated (most effective for supraspinatus)[3]

Relevant anatomy[edit | edit source]

Scapula Posterior view.png
The scapula is a thin, flat triangular-shaped bone placed on the postero-lateral aspect of the thoracic cage. SICK” Scapula Syndrome refers to Scapular Malpositioning, Inferior medial border prominence, Coracoid pain and malposition and DysKinesis of scapular movement. With the help of surrounding joints and soft tissues, the scapula helps in smooth and efficient movement of the shoulder.

Clinical Presentation[edit | edit source]

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Resources[edit | edit source]

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References[edit | edit source]

  1. Higgins M. Therapeutic exercise: From theory to practice. FA Davis; 2011 Apr 19.
  2. Otis JC, Jiang CC, Wickiewicz TL, Peterson MG, Warren RF, Santner TJ. Changes in the moment arms of the rotator cuff and deltoid muscles with abduction and rotation. J Bone Joint Surg Am. 76: 667-676,1994.
  3. Malanga GA, Jenp YN, Growney ES, An KN. EMG analysis of shoulder positioning in testing and strengthening the supraspinatus. Medicine and science in sports and exercise. 1996 Jun 1;28(6):661-4.