Training guide

How to do drag curls: dragging the bar up your body, the biceps, barbell, dumbbell and cable versions, and how many

A drag curl is a barbell curl in which the bar slides up the front of your body while your elbows travel back behind you, instead of swinging out in an arc. Stop at your lower chest without shrugging, slide the bar back down the same path, and do 2 to 3 sets of 8 to 12 with a weight lighter than your usual curl.

It moves the hard part of the curl towards the top and keeps your shoulders back. It's often sold as a long-head exercise; nobody has measured that, and curls with the arm behind the body built the same muscle as other curls in trials.

This guide shows the lift on the 3D figure, the dumbbell and cable versions, what it does and doesn't do for your biceps, your shoulder and elbow, and how many.

The short version

Drag the bar up your body

Hold a barbell underhand at shoulder width against your thighs. Curl it up while drawing your elbows back, so the bar slides up the front of your body, stop at your lower chest with your shoulders down, and slide it back down the same path.

Source 1

Nobody has studied the drag curl

We found no study of it: the only journal mention is a workplace programme that listed a bent-over drag curl without measuring it. Every claim about it is reasoning or coaching opinion.

Source 2

Hard near the top, light at the bottom

A curl is hardest where your forearm is level with the floor. With your elbows travelling back, that point comes near the top of a drag curl and the bottom is easy. That's our reading of curl mechanics; nobody has measured it.

Sources 3, 4

Arm behind you didn't build more muscle

Cable curls with the shoulder pulled back as far as it goes grew the arm about as much as curls with the arm at the side, about 7 to 9% in 10 weeks in 24 men, and curls with the shoulder extended matched curls with it flexed in a second trial.

Sources 5, 6

The long head claim is untested

Coaching sites can't agree whether drag curls favour the long head or the short head, and putting the arm behind the body didn't raise biceps activity in two studies. Both heads work in every curl.

Sources 7, 8, 9, 10

How many

2 to 3 sets of 8 to 12, stopping 2 or 3 reps short (its move page's dose, an editorial starting point), 60 to 90 seconds' rest, counted with your other curls towards about 10 hard sets a week for your biceps.

Source 11

What a drag curl is, and what it works

The move

StrengthLog stops the bar "once the weight reaches upper chest height with forearms parallel to the floor"; another coaching site explains that "To keep the barbell close to your body, you will have to pull your elbows backward." ExRx calls it an auxiliary exercise in which the effort stays high at the top of the range.

Sources 1, 7, 4

The muscles

The same three elbow benders as every curl: the biceps, the brachialis underneath it and the brachioradialis in your forearm. The biceps is at most a weak shoulder raiser and stayed silent when the arm was pulled back in an old muscle activity study, so the muscles at the back of your shoulder move your elbows back.

Sources 12, 13

What pulling the arm back does

It lengthens the biceps at the shoulder end, the long head especially, in stretching and curling studies. A longer muscle isn't the same as a harder-working one: the drag curl is light at the bottom, where the biceps is longest.

Sources 14, 15

What you need first

A controlled standing barbell curl, as the move page asks, and a shoulder that's comfortable with your arm behind your body.

How people differ

How far your arm goes back varies, and with the elbow straight the biceps itself limits it. Wrists differ on a straight bar; an EZ bar or dumbbells are a matter of comfort. And arms respond to the same training very differently: from a 2% loss to a 59% gain in arm size in 585 adults.

Sources 16, 17, 18

Muscle activity isn't growth

Curl comparisons often use EMG (electromyography: electrodes measuring how hard a muscle works over a few reps), which shows effort in one session, not what a muscle builds over months.

Source 19

What the evidence says

No study of the drag curl

We found no muscle activity, imaging, strength or growth study of the drag curl. The notes below are about curls with the arm in different positions.

Source 2

Arm position made little difference to growthEmerging evidence

In 24 untrained men, cable curls with the shoulder held near its maximum extension grew the elbow flexors about the same 7 to 9% as curls with the arm at the side over 10 weeks, and the men lifted more with the arm back. In 15 untrained men, curls with the shoulder extended grew the biceps 9% against 7% for preacher curls, a difference that wasn't significant. Low-load incline and preacher curls with blood-flow restriction also matched in 21 trained men over 3 weeks.

Sources 5, 6, 20

One MRI trial found a shift between musclesEmerging evidence

In 21 untrained adults over 12 weeks, incline curls grew the biceps itself a little more than preacher curls (22.1% against 18.9%), and preacher curls grew the brachialis and brachioradialis more, with the same total. We read only the abstract.

Source 21

Regional differences are small and inconsistentMixed evidence

In 63 young women, incline curls grew the upper arm a little more and preacher curls the lower arm; in another trial no region differed. No study has measured the long and short heads separately after any curl.

Sources 22, 6

Arm behind you didn't raise biceps activityEmerging evidence

Incline curls drew the same biceps activity as standing curls in 22 men and in 15 adults, and Bayesian cable curls, with the arm pulled back by a cable, drew less than dumbbell curls in 11 trained men.

Sources 9, 23, 10

Elbows drifting forward bring in the front shoulderEmerging evidence

In 10 competitive bodybuilders, letting the arms drift forward about 30 degrees during a barbell curl raised front-shoulder (anterior deltoid) activity. In ACE's study of 16 people, the incline curl, with the arm behind the body, used less front shoulder than the barbell curl. So "drag curls take the front delts out" is plausible; nobody has measured a drag curl.

Sources 24, 25

Lower all the wayEmerging evidence

In 32 untrained adults, curls through the straight-arm half of the range grew the arm 8.9% in 5 weeks, against 3.4% for the bent-arm half. Straighten your arms at the bottom of every drag curl.

Source 26

A curl that's hardest near the top still worksEmerging evidence

In 35 young adults, a cable preacher curl that was hardest near the top built as much biceps as a barbell preacher curl hardest near the bottom (7% against 8%). A review notes the extra growth sometimes seen when muscles train at long lengths needs a real load in that stretched position, which a drag curl doesn't give.

Sources 27, 28

Swinging didn't stop growthEmerging evidence

In 25 untrained adults, swinging curls built as much muscle as strict ones over 8 weeks. A swing just defeats the point of the drag path.

Source 29

How to do drag curls, step by step

Steps and cues from our move page ("Think of dragging the bar up your shirt"; "Avoid: shrugging your shoulders to finish") and StrengthLog; the bracing, breathing and end of the set follow our bicep curl guide.

  1. Stand tall, feet about hip-width apart, holding a barbell underhand with your hands about shoulder-width apart, the bar against your thighs and your arms straight.
  2. Brace your trunk and set your shoulders down.
  3. Breathe out and curl the bar up while drawing your elbows back behind your body, so the bar slides up the front of your body without leaving it.
  4. Stop when the bar reaches your lower chest, your forearms about level, your shoulders still down.
  5. Breathe in and slide the bar back down the same path, slowly, until your arms are straight.
  6. End the set 0 to 3 reps short of failure, before you need to lean back or swing.

Loading the 3D figure…

Gets into position, then repeats the movement. Technical checks passed; qualified exercise review is pending.

The movement on the figure: Drag curl

The long head, the front delts and the peak

"Drag curls isolate the long head"Emerging evidence

Untested. No study has measured either biceps head after a drag curl, or measured the heads separately after any curl. Coaching sites contradict each other, one saying the long head works more and another that the drag curl emphasises the short head, and both heads cross the shoulder.

Sources 6, 5, 7, 8, 12

"Drag curls take the front delts out"Emerging evidence

Plausible: elbows drifting forward recruited the front shoulder in bodybuilders, and a drag curl keeps them back. Nobody has measured it.

Source 24

The peak

No study has measured or changed a biceps "peak"; our concentration curl guide covers the question and gives the same answer.

Learn it in steps

A dumbbell curl, 2 or 3 sets of 10 to 15 with the last 0 to 2 reps short (our bicep curl guide); an EZ-bar or barbell curl, 3 sets of 8 to 12 (our bicep workout); then the drag curl, 2 to 3 sets of 8 to 12, stopping 2 or 3 reps short (its move page's dose, an editorial starting point).

EZ bar, dumbbells and cable

No 3D demo for these; the barbell demo shows the path.

With an EZ bar

The same steps on the angled grips; between a straight bar and an EZ bar the difference was "purely a matter of subjective comfort" in one study.

Source 17

With dumbbells

A dumbbell in each hand at your sides, palms forward; drag each one up the side of your body as your elbows go back (editorial).

On a cable

Face a low pulley with a straight bar and keep it against your body as your elbows go back (editorial). Cables let you add weight in small steps, and cable and free-weight curls built similar muscle.

Source 27

On a Smith machine

The bar runs on a fixed vertical track, so it can't follow your body; we'd use a barbell (editorial).

Drag curls vs regular, incline, Bayesian and preacher curls

Against a regular curl

The drag curl moves the hard part towards the top and keeps your elbows back; a regular curl is hardest halfway. Neither has been shown to build more muscle.

Source 5

Against incline and Bayesian curls

All three put your arm behind your body. In an incline curl your arm hangs straight down from the bench, so it's hardest halfway up like a standing curl; in a Bayesian curl a cable behind you pulls your arm back; a drag curl is hardest near the top (our reading of the mechanics). In trials, arm-behind curls built the same total muscle as other curls.

Sources 21, 6

Against preacher and spider curls

Those put your arm in front and stop any swing; the drag curl puts it behind. Our preacher and spider curl guides cover them, and any of these is a fine second curl.

Sets, reps and how often

Sets and reps

2 to 3 sets of 8 to 12, stopping 2 or 3 reps short: its move page's dose, an editorial starting point. We found no dose from any study, the NSCA, the ACSM or ACE; the arm-position trials used 3 to 5 sets of 8 to 12 twice a week, or 6 to 8 sets a week of 10 to 20 reps.

Sources 6, 5

How hard

Most sets 1 to 3 reps short, the last 0 to 2, as our curl guides say. Going to failure adds little muscle, and people underestimate the reps they have left by about one.

Sources 30, 31

Rest

60 to 90 seconds, as our plans give for curls.

Source 32

Weekly sets

About 10 or more hard sets a week for your biceps, counting each set of rows, pulldowns or chin-ups as about half a set.

Sources 11, 33

Progressing

Reach 12 on every set, then the next weight, as our Zottman and spider curl guides do.

How heavy

Start lighter than your usual barbell curl and let 2 or 3 reps in reserve set the weight: that's coaching practice, and on a cable with the arm held back people actually lifted more, so nobody knows the right fraction. Light and heavy curls both build the arm when sets are hard; in 201 untrained adults, sets of 20 to 30 grew the elbow flexors at least as much as sets of 8 to 12.

Sources 34, 5, 35, 36

Common mistakes and how to fix them

The elbows drift forward

It turns into a normal curl with more front-shoulder work. Keep the bar on your body.

Source 24

Shrugging at the top

Keep your shoulders down, as the move page cues.

Leaning back or swinging

Go lighter so the bar can slide up your body under control.

Stopping short at the bottom

Straighten your arms on every rep.

Source 26

The bar leaving your body

Draw your elbows back further, or go lighter.

Your shoulder and elbow

The front of the shoulder

If the front of your shoulder aches as your elbows go back, keep them by your sides in a standard curl for now. Pain at the front of the shoulder that's worse reaching backwards, such as putting on a seatbelt, is typical of biceps tendinitis; our biceps tendinitis guide brings arm-behind curls back last.

Source 37

Is it bad for your shoulder?

We found no study linking curls with the arm behind the body to biceps tendon problems or tears of the labrum (the rim of the shoulder socket). In 6 cadavers, tension at the long head's anchor didn't rise with the elbow bent and the palm up, and long-head problems mostly come from a lifetime of activity and repeated overhead work.

Sources 38, 39, 37

The elbow pain rule

Discomfort up to about 3 to 4 out of 10 is fine if it settles within an hour and your elbow is no worse the next morning; otherwise go lighter, not to nothing, as our elbow guides say.

Biceps tendon tears are rare

A torn biceps tendon at the elbow happens in about 3 to 5 people per 100,000 a year, mostly men over 30, usually when a bent elbow is forced straight against a heavy load. In one video study most were deadlifts and 9% were curls.

Sources 40, 41, 42

Wrists

If a straight bar hurts your wrists, use an EZ bar or dumbbells; our wrist pain when lifting guide has more.

Source 17

The rest of your curls

An incline dumbbell curl, 3 sets of 10 to 15, a preacher curl, 2 to 3 sets of 10 to 15, and hammer curls, 2 sets of 10 to 15 (our bicep workout); a cable curl, 2 or 3 sets of 10 to 15 (our bicep curl guide's curl dose, editorial for this version); the wrist and forearm flow, 60 seconds to warm up (our bicep workout). None of these has a dose on its own move page.

Workouts to follow

The bicep workout's heavier curl can be a drag curl, at 2 to 3 sets of 8 to 12. The back and biceps, arm and shoulders and arms workouts all have curls a drag curl can join or replace.

Who should change it

Front-of-shoulder pain

Standing, preacher or hammer curls instead, as our biceps tendinitis guide suggests.

Front-of-elbow pain

Lighter weights and slower lowering, as our pain at the front of the elbow guide sets out.

Sore wrists

An EZ bar or dumbbells instead of a straight bar.

High blood pressure

With controlled high blood pressure, the American Heart Association considers low- to moderate-intensity strength training with proper breathing safe: breathe out as you lift.

Source 43

After surgery

After a recent shoulder dislocation, or shoulder or elbow surgery, follow your surgical team's limits first.

Warning signs

Stop and get medical help

If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise. The American Heart Association says these need immediate medical evaluation.

Source 43

Call 999 (911 in the US)

For chest pain that comes on suddenly and doesn't go away, feels tight or like squeezing, spreads to your arms, neck, jaw, stomach or back, or comes with sweating, feeling sick, light-headedness or breathlessness; arm pain that comes on suddenly with pressure, heaviness or squeezing across your chest; severe difficulty breathing, or a chest that feels tight or heavy; someone who faints while exercising; palpitations that don't go away, or come with chest pain, shortness of breath or feeling faint; or a headache that starts suddenly and is extremely painful, especially while lifting or straining. The NHS says a bleed on the brain may be more likely when lifting something heavy. Don't drive yourself to A&E.

Sources 44, 45, 46, 47, 48, 49, 50, 51, 52

A headache with effort

Ask for an urgent GP appointment or get help from NHS 111 for a headache that's triggered or made worse by coughing, sneezing, bending down or exercising.

Source 51

A pop at the front of the elbow

Go to an urgent treatment centre or A&E for a pop at the front of the elbow during a lift, with bruising, a gap at the front of the elbow, weakness turning your palm up, or the biceps bunching up in your upper arm. Repair is ideally done within the first 2 to 3 weeks, so don't wait. In the US, go to urgent care or the emergency department.

Sources 40, 47

A sudden pain in the upper arm

A sudden, sharp pain in the upper arm, sometimes with a pop, can be a torn biceps tendon at the shoulder. Ask for an urgent GP appointment or get help from NHS 111, as the NHS advises for sudden or very bad shoulder pain or pain after an injury.

Sources 53, 54

Get help from NHS 111

If your arm hurts when you exercise but the pain goes away when you rest, or you think you've torn a tendon. In the US, contact your doctor or urgent care.

Sources 47, 55

See a GP

If elbow or arm pain hasn't gone after a few weeks, or shoulder pain is getting worse or hasn't improved after 2 weeks.

Sources 47, 54

Back pain

Call 999 or go to A&E: loss of feeling or numbness around the genitals or bottom, new trouble peeing or controlling your bladder or bowels, changes in genital sensation during sex or problems with erections or orgasm, or pain, tingling, weakness or numbness in both legs. These are signs of cauda equina syndrome, which needs treating in hospital urgently. Don't drive yourself.

See a GP if pain spreading down a leg hasn't improved after a few weeks of home treatment, is getting worse or stops your normal activities. Sciatica on both sides, or weakness or numbness in both legs that's severe or getting worse, is a 999 call or a trip to A&E.

Sources 56, 57

Swollen muscles and dark urine

Very sore, swollen, tight muscles and dark urine after an unusually hard or high-rep session need medical help the same day: it could be rhabdomyolysis, as our elbow pain from pull-ups guide explains. Normal soreness peaks a day or two after a new exercise and fades.

A new lump or bulge in your groin or tummy

See a GP if you think you have a hernia, a bulge or lump that may get bigger when you strain and smaller when you lie down. Get help from NHS 111 if you have a hernia and pain in or around it, a bloated tummy, you feel or are sick, you're vomiting blood or your vomit looks like coffee grounds, you're constipated, you have a high temperature or feel hot, cold or shivery, or you've suddenly become confused. Call 999 or go to A&E for a femoral hernia (a small lump at the top of your thigh, in your groin) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion.

The NHS lists lifting heavy weights among the causes of a femoral hernia. After an inguinal hernia repair, avoid heavy lifting or strenuous activity for at least 4 to 6 weeks.

Sources 58, 59, 60

Before you start

Speak to your GP first if you haven't exercised for some time or have medical conditions or concerns, as the NHS advises. Get advice before hard or straining work if your blood pressure is uncontrolled (140/90 or higher at a clinic, or 135/85 at home), or you have heart disease or chest pain when you're active, a pacemaker or defibrillator, diabetic eye disease, glaucoma, a hernia, recent eye or tummy surgery, or you're pregnant, as our breathing guide lists.

With controlled high blood pressure, the American Heart Association considers low- to moderate-intensity strength training with proper breathing safe: breathe out as you lift.

Sources 61, 62, 46, 43

Myths

"Drag curls isolate the long head"Emerging evidence

Untested, and the heads have never been measured separately after any curl. Putting the arm behind the body didn't raise biceps activity, and both heads cross the shoulder.

Sources 6, 9, 10

"Drag curls are better than regular curls"Emerging evidence

Never tested directly. Curls with the arm behind the body built the same total arm muscle as curls with it at the side or in front. Pick the curls you like and do them well.

Sources 5, 6, 21

"Drag curls build the biceps peak"

No study has measured or changed a peak. How your biceps bunches is mostly your anatomy, as our concentration curl guide explains.

"Drag curls are bad for your shoulders"

We found no study linking them to shoulder problems. If the front of your shoulder aches as your elbows go back, keep them by your sides for now.

Sources 39, 38

Questions people ask

How do you do a drag curl?

Hold a barbell underhand at shoulder width against your thighs. Curl it up while drawing your elbows back, keeping the bar touching your body, stop at your lower chest without shrugging, and slide it back down the same path.

What muscles do drag curls work?

The same three as any curl: the biceps, the brachialis underneath it and the brachioradialis in your forearm. The muscles at the back of your shoulder move your elbows back; the biceps doesn't help with that.

Do drag curls work the long head?

They work both heads; nobody has measured whether they favour one. Coaching sites disagree, and putting the arm behind the body didn't raise biceps activity in two studies.

Drag curl vs regular curl: which is better?

Neither has been shown to build more muscle. In trials, curls with the arm behind the body built the same total arm muscle as curls with the arm at the side or in front. The drag curl moves the hard part of the lift towards the top.

Are drag curls worth doing?

Yes, if you like them: they're a sound curl that keeps your shoulders back and your elbows out of the way. They aren't a secret for the long head or the peak.

How do you do drag curls with dumbbells?

Hold a dumbbell in each hand at your sides, palms forward, and drag each one up the side of your body as your elbows go back. Keep your shoulders down.

Can you do drag curls on a cable?

Yes: face a low pulley with a straight bar and keep the bar against your body as your elbows go back. Cables let you add weight in small steps.

Why are drag curls harder at the top?

A curl is hardest where your forearm is level with the floor. In a drag curl your elbows travel back, so your forearms reach level near the top and the bottom is easy. That's our reading of the mechanics; nobody has measured it.

Should I use less weight for drag curls?

Start lighter than your usual barbell curl and let 2 or 3 reps in reserve set the weight. Nobody has measured the right fraction, and light and heavy curls both build the arm when the sets are hard.

How many sets and reps of drag curls should I do?

2 to 3 sets of 8 to 12, stopping 2 or 3 reps short, with 60 to 90 seconds' rest. Count them with your other curls towards about 10 hard sets a week.

Drag curls hurt the front of my shoulder: what should I do?

Keep your elbows by your sides in a standard curl for now. Pain at the front of the shoulder that's worse reaching backwards is typical of biceps tendinitis, and our biceps tendinitis guide brings arm-behind curls back last.

Drag curl vs incline or Bayesian curl?

All three put your arm behind your body. An incline curl is hardest halfway up like a standing curl, a Bayesian curl pulls your arm back with a cable, and a drag curl is hardest near the top. In trials, arm-behind curls built the same total muscle as other curls.

Sources

  1. StrengthLog · How to do drag curls (exercise guide, 2024)
  2. Mortensen 2014 · Workplace strength training, including a bent-over drag curl, with 3 years' follow-up (natural experiment, Biomed Res Int)
  3. ExRx.net · Mechanics in exercise: angle of pull in the arm curl (exercise reference)
  4. ExRx.net · Arm curl questions, including the drag curl (exercise reference)
  5. Larsen 2026 · Cable curls with the shoulder pulled back or at the side for 10 weeks in 24 men (within-person randomised trial, Front Physiol)
  6. Attarieh 2025 · Preacher against Bayesian cable curls for 10 weeks in 15 young men (within-person randomised trial, Eur J Sport Sci)
  7. Lord 2021 · Barbell drag curl (coaching page, weighttraining.guide)
  8. Duquette 2024 · Drag curls aren't as good as regular biceps curls (coaching article, Outlift)
  9. Oliveira 2009 · Shoulder position and biceps activity in standing, incline and preacher curls, in 22 men (EMG study, J Sports Sci Med)
  10. Parpa 2025 · Dumbbell curls against Bayesian cable curls, in 11 trained men (EMG study, Muscles)
  11. Currier 2026 · Resistance training for muscle function, size and performance in healthy adults: an overview of 137 reviews (ACSM position stand, MSSE)
  12. Landin 2017 · Actions of the biceps at the shoulder (review, J Clin Med Res)
  13. Furlani 1976 · The biceps in movements of the shoulder (EMG study, Acta Anat)
  14. Iwane 2023 · Shoulder position and stiffness of the two biceps heads during stretching, in 15 young men (elastography study, J Biomech)
  15. de Oliveira Silva 2026 · Biceps length and stiffness after curls at three shoulder angles, in 18 trained men (elastography study, J Biomech)
  16. Gajdosik 1994 · Two-joint shoulder muscles limiting shoulder range, in 30 men (lab study, Clin Biomech)
  17. Marcolin 2018 · Dumbbell, barbell and EZ-bar curls compared in 12 trained men (EMG study, PeerJ)
  18. Hubal 2005 · Variation in arm muscle and strength gains after 12 weeks of training in 585 adults (training study, MSSE)
  19. Vigotsky 2022 · Muscle activity measured in one session isn't a validated predictor of muscle growth (review, Sports Med)
  20. Vendruscolo 2025 · Low-load incline against preacher curls with blood-flow restriction in 21 trained men (within-person trial, Sports Health)
  21. Kobayashi 2026 · Incline against preacher dumbbell curls for 12 weeks in 21 adults, measured by MRI (within-person trial, J Sports Sci)
  22. Kassiano 2025 · Preacher against incline curls for 8 weeks in 63 young women (randomised trial, Int J Sports Med)
  23. Croskery 2026 · Biceps activity rankings across four curls over four days, in 15 adults (EMG study, J Electromyogr Kinesiol)
  24. Coratella 2023 · Straight and EZ bar curls with and without the elbows drifting forward, in 10 bodybuilders (EMG study, J Funct Morphol Kinesiol)
  25. Young 2014 · ACE study reveals best biceps exercises: eight curls and the chin-up in 16 people (ACE-sponsored muscle activity study, not peer reviewed)
  26. Sato 2021 · Curls through the straight-arm or bent-arm half of the range for 5 weeks in 32 adults (randomised trial, Front Physiol)
  27. Nunes 2020 · Cable against barbell preacher curls for 10 weeks in 35 young adults (randomised trial, IJERPH)
  28. Pedrosa 2026 · Muscle length, range of motion and exercise choice for muscle growth (review, Sports Med Int Open)
  29. Augustin 2025 · Strict against swinging curls and pushdowns for 8 weeks in 25 adults (within-person trial, Int J Exerc Sci)
  30. Refalo 2023 · Training to failure against stopping short, for muscle growth: 15 studies (meta-analysis, Sports Med)
  31. Halperin 2022 · How accurately people predict the reps they have left: 12 studies, 414 people (scoping review and meta-analysis, Sports Med)
  32. Singer 2024 · Rest between sets and muscle growth: 9 studies (Bayesian meta-analysis, Front Sports Act Living)
  33. Pelland 2026 · Weekly sets and training frequency against muscle growth and strength: 67 studies, 2,058 people (meta-regression, Sports Med)
  34. Magnante 2020 · Drag curls (coaching article, Fitness Volt)
  35. Hammert 2026 · Heavy against light elbow flexion training for 6 weeks in 201 untrained adults (randomised trial, MSSE)
  36. Lopez 2021 · Light, moderate and heavy loads for muscle growth and strength: 28 studies, 747 adults (network meta-analysis, MSSE)
  37. AAOS OrthoInfo · Biceps tendinitis (patient information, American Academy of Orthopaedic Surgeons)
  38. Gramstad 2010 · Tension in the long head of the biceps tendon in different arm positions, in 6 cadavers (lab study, Int J Shoulder Surg)
  39. Diplock 2023 · The long head of the biceps at the shoulder: 214 articles (scoping review, BMC Musculoskelet Disord)
  40. AAOS OrthoInfo · Biceps tendon tear at the elbow (patient information, American Academy of Orthopaedic Surgeons)
  41. Kelly 2015 · Biceps tendon tears at the elbow in a large US population database (epidemiology study, Am J Sports Med)
  42. Jukes 2022 · How biceps tendons tear at the elbow: 57 videos and 22 patients (video analysis, Bone Jt Open)
  43. Paluch 2024 · Resistance exercise training with and without cardiovascular disease: 2023 update (American Heart Association scientific statement, Circulation)
  44. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  45. NHS · Heart attack
  46. NHS · High blood pressure
  47. NHS · Elbow and arm pain
  48. NHS · Shortness of breath
  49. NHS · Fainting
  50. NHS · Heart palpitations
  51. NHS · Headaches
  52. NHS · Subarachnoid haemorrhage
  53. AAOS OrthoInfo · Biceps tendon tear at the shoulder (patient information, American Academy of Orthopaedic Surgeons)
  54. NHS · Shoulder pain (past its review date: reviewed May 2023, review due May 2026)
  55. NHS · Tendonitis (past its review date: reviewed June 2023, review due June 2026)
  56. NHS · Back pain
  57. NHS · Sciatica
  58. NHS · Hernia
  59. NHS · Femoral hernia
  60. NHS · Inguinal hernia repair
  61. NHS · Physical activity guidelines for adults aged 19 to 64
  62. NHS · Physical activity guidelines for older adults

Exercise education, not a personal prescription, and clinical review of these guides is pending. Check with a GP before starting hard training if you have a heart condition, chest pain, dizziness or breathlessness when active, and stop for sharp or increasing pain. Health disclaimer.