Training guide

How to do reverse flys: dumbbell, cable, band and machine, and your shoulders

A reverse fly, also called a rear delt fly, lifts your arms out to the sides from in front of you until they're about level with your shoulders, with your body bent forward, lying face down on a bench, or facing a machine or cables. It works the back of your shoulders, the middle of your upper back and the rotator cuff muscles at the back of the shoulder.

In muscle-activity studies it's among the hardest-working moves for the back of the shoulder, especially with your palms facing each other. But no trial has measured how much muscle it builds, and the evidence that it fixes rounded shoulders is mixed. Light weights and strict reps do the job.

This guide covers the reverse fly step by step on the 3D figure, the dumbbell, cable, band and machine versions, arm angle and grip, how heavy and how many, how it compares with face pulls and rows, and your shoulders.

The short version

Arms out wide, to shoulder height

With a light weight in each hand and your elbows slightly bent, you open your arms out to the sides until they're about level with your shoulders, then lower slowly. Reverse fly, rear delt fly, rear lateral raise and reverse pec deck are names for the same movement.

Sources 1, 2

What it works

The back of your shoulders (the rear deltoid), the middle and lower trapezius and the rhomboids between your shoulder blades, and the rotator cuff muscles at the back of the shoulder.

Sources 3, 4, 1

Support makes it easier to do well

Lying face down on an incline bench is a beginner's version in ACE's library, and a machine is the easiest to load. The standing bent-over version adds a hinge to hold, so learn it once the supported ones feel steady.

Source 2

Palms facing in

On a reverse fly machine, a palms-in grip worked the back of the shoulder and the rotator cuff harder than palms down in 19 trained men.

Source 5

Light and strict

2 to 3 sets of 10 to 15 (our move pages) or 3 sets of 12 to 15 (our shoulder workout), resting 60 to 90 seconds, with the last set 0 to 2 reps short of failure. A heavy weight turns it into a row or a swing.

Source 6

Posture: part of a mix, not a fix

Strengthening programmes improved measured forward-shoulder posture in trials, but muscle strength isn't linked with where your shoulder blades rest, and the posture changes didn't reliably ease pain.

Sources 7, 8, 9

What a reverse fly is, and what it works

One movement, many names

Rear delt flys, reverse flys, rear lateral raises and the reverse pec deck all move your arms out and back at shoulder height. The names change with the equipment and whether you're bent over, sitting, lying on a bench or facing a machine.

Sources 2, 1

The muscles

The rear deltoid does most of the lifting, with the middle and lower trapezius and the rhomboids drawing your shoulder blades back, and the infraspinatus and teres minor of the rotator cuff helping. The side of the shoulder works hard too: 70% of its maximum in a seated version and 87% in a face-down raise with the arm turned out.

Sources 3, 4, 10, 1

The movement

Your shoulder does the work, moving your arm backwards at shoulder height (horizontal abduction), and your shoulder blades move towards your spine. Your elbows stay at the same small bend throughout.

Activity isn't growth

The studies below use EMG (electromyography: electrodes measuring how hard a muscle works over a few reps), which isn't a validated predictor of which exercise grows a muscle more.

Source 11

What the evidence says

Among the hardest-working rear-shoulder movesEmerging evidence

In a study ACE funded (not peer reviewed), 16 men did 5 reps of 10 shoulder exercises at 70% of their maximum: a seated rear lateral raise worked the back of the shoulder hardest, at 73% of its maximum, with a 45-degree incline row next at 69%. In 10 people with fine-wire electrodes, a face-down raise with the arm at 100 degrees and turned out reached 88%, the most of 7 exercises.

Sources 1, 3

But not the only oneEmerging evidence

A review of 33 studies found pull-ups and suspension rows worked the back of the shoulder hardest of the common exercises. A computer model of 10 men put the bent-over raise level with the face pull (58.6 N against 58.2 N) and above a dumbbell row (47.9 N). Lateral raises work it too: 24% of maximum against 11.4% in a shoulder press in 13 trained men.

Sources 12, 13, 14

Palms in drew more activityEmerging evidence

On a reverse fly machine taken to failure, 19 trained men had more rear-shoulder and infraspinatus activity with their palms facing in than palms down. In band pull-aparts in 10 men, palms down worked the rear shoulder and upper trapezius most, and palms up the infraspinatus and lower trapezius.

Sources 5, 15

The middle and lower trapeziusEmerging evidence

Moving the arm back at shoulder height, face down and turned out, worked the middle trapezius hardest of 10 exercises in 30 people, and kept the upper trapezius quiet relative to the middle and lower parts in 45 people.

Sources 4, 10

Arm angle: coaching practice, not testedEmerging evidence

No study has compared arm angles. ACE's incline reverse fly ends with the dumbbells in line with or slightly in front of your ears, and warns that ending behind your head moves the work onto the lats; the ACE study's seated version kept the arms at right angles to the body with the elbows bent 10 to 30 degrees. Treat these as sound coaching practice rather than tested rules.

Sources 2, 1

Bands work as well as weightsEmerging evidence

Across 8 studies, elastic bands built strength about as well as weights and machines, and band pull-aparts at moderate effort worked the back of the shoulder hard.

Sources 16, 15

Neck and shoulder muscle painEmerging evidence

In 48 women with painful neck and shoulder muscles (trapezius myalgia), 10 weeks of specific strength training cut their worst pain by 35 mm on a 100 mm scale (about 79%), while leg cycling gave a short-lived 5 mm drop. The same research group's muscle-activity study of the training used five dumbbell exercises, reverse flys among them.

Sources 17, 18

What the evidence can't tell you

No trial has measured how much reverse flys grow the back of the shoulder, or whether they make shoulders look wider, and no study has compared arm angles. The numbers above are muscle activity in one session.

How to do a reverse fly, step by step

From ACE's incline reverse fly and our move pages. The arm angle, the elbow bend and the end point are coaching practice from ACE and the study it sponsored, not tested rules.

  1. Set an incline bench to 45 to 60 degrees and sit or kneel facing the backrest with your chest against it, a light dumbbell in each hand, arms hanging, palms facing each other.
  2. Bend your elbows slightly and keep that bend fixed.
  3. Breathing out, raise the dumbbells out to the sides in an arc, arms at about right angles to your body, until they're about level with your shoulders.
  4. Stop with the dumbbells in line with your ears or slightly in front, not behind your head.
  5. Pause briefly with your chest on the pad and your neck long, then lower slowly without arching your lower back.

Loading the 3D figure…

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

The movement on the figure: Incline reverse fly

Dumbbell, machine, cable and band versions

On a bench

Chest-supported on an incline bench (ACE's beginner version), on a flat bench, or on a low incline with your thumbs up: the bench takes away the swing and the load on your lower back.

Source 2

Head-supported

Hinge forward with your forehead resting on the top of an incline bench: a stand-in for chest support that still lets you stand (our move page).

Seated

Sit on the end of a bench and fold forward over your thighs with a flat back: the version that worked the back of the shoulder hardest in the ACE study.

Source 1

Standing, bent over

Hinge until your torso is nearly level, back flat and knees soft, dumbbells under your shoulders. It needs a steady hinge, as our move page says.

The reverse fly machine

Chest on the pad, handles at shoulder height and palms facing in; sweep your hands out and back until your arms are in line with your shoulders, then return slowly (our move page).

Cables

Pulleys at about shoulder height or slightly below, each hand holding the cable from the opposite side; open your arms out and back into a T, then let the cables cross again slowly.

Source 19

Bands

Anchor a band at chest height, or hold a light band in both hands at shoulder height and sweep your arms out into a T (a band pull-apart). ACE's kneeling version sweeps the arms out and down to your hips, turning the palms up; we have no 3D demo of it, or of a suspension-strap reverse fly, so use the standing band version's demo as your guide.

Sources 20, 15

From supported to standing

Prone Y-T-W raises, 5 of each letter (our upper back routine); the incline reverse fly, 2 sets of 12 to 20 (our dumbbell upper body workout B); the reverse fly machine, 3 sets of 12 to 20 (pull day B); the flat-bench, low-incline and head-supported versions, 2 to 3 sets of 10 to 15, stopping 2 or 3 reps short (their move pages); the seated bent-over raise, 2 to 3 sets of 12 to 15 (our editorial starting point); the standing bent-over reverse fly, 3 sets of 12 to 15 (our shoulder workout).

Cable, band and one-arm versions

The standing cable reverse fly and the bent-over one-cable raise, 2 to 3 sets of 12 to 15 (our editorial starting points); the standing band reverse fly and the one-arm flat-bench reverse fly, 2 to 3 sets of 10 to 15 (each side for one arm), stopping 2 or 3 reps short (their move pages); band pull-aparts, 15 reps as a warm-up (our push day and shoulder workouts); the reverse fly with the arms turned out, 3 sets of 10 (our shoulder impingement guide).

Arm angle, elbows and grip

Arms out at about right angles to your body

Coaching practice from ACE and the study it sponsored: your arms move out to the sides, not back towards your hips, which turns the lift into a row.

Sources 2, 1

A small, fixed bend in the elbows

About 10 to 30 degrees in the ACE study's seated version. If your elbows bend more as the set goes on, the weight is too heavy.

Source 1

Up to shoulder height, not behind your head

ACE ends the lift with the dumbbells in line with or slightly in front of your ears; past that, the work moves onto your lats.

Source 2

Palms in, down or up

Palms facing in is a good default. Palms down worked the upper trapezius more in band pull-aparts, and palms up the lower trapezius and rotator cuff: use either for variety.

Sources 5, 15

Your shoulder blades

ACE cues a squeeze of the shoulder blades at the top, but in rows, actively squeezing didn't change how hard the middle back worked. Let your shoulder blades move with your arms, with a brief pause at the top.

Sources 2, 21

Reverse flys against face pulls, rows and lateral raises

Face pulls

Both work the back of the shoulder, and a computer model put them level. The face pull adds turning your arms out, and the reverse fly keeps your arms straighter, as our face pull guide says; many programmes use both.

Source 13

Rows

Rows work the back of the shoulder a little less than a reverse fly in the model, though pull-ups and suspension rows ranked top in a review. Rows add your lats and biceps; the reverse fly isolates the rear shoulder.

Sources 13, 12

Lateral raises

Lateral raises mainly work the side of your shoulder and reverse flys the back, though each works the other too. Most shoulder programmes use both, as our shoulder workout does.

Sources 14, 1

Sets, reps and how often

Sets and reps

2 to 3 sets of 10 to 15 (our move pages) or 3 sets of 12 to 15 (our shoulder workout and face pull guide); 12 to 20 on a machine, as in our pull day B workout. Most sets stop 1 to 3 RIR (reps in reserve: how many more reps you could have done), and the last set 0 to 2, as our plans' notes say for small moves.

How heavy

Light: pick a weight you can lift 10 to 15 times without your elbows bending more or your body swinging, and add reps before weight. People underestimate how many reps they have left by about 1, so stop when your form starts to slip.

Source 22

Rest

60 to 90 seconds; a review found nothing clear for growth past about 90 seconds.

Source 6

Weekly sets

Rows, pulldowns and pull-ups already work the back of your shoulders: counting each as about half a set (our reading of the dose research), 4 to 6 direct sets a week on top is a sensible start (our editorial starting point).

Sources 23, 12

Pair it with a press

A reverse fly and a press don't compete, so you can do them back to back as a superset and keep the work in less time, as our shoulder workout at home does.

Source 24

Common mistakes and how to fix them

Turning it into a row

If your elbows bend more and more and your hands travel towards your hips, use lighter dumbbells and keep the elbow bend fixed.

Swinging your body

Use chest or head support, or the machine.

Shrugging

Keep your shoulders away from your ears and think of your arms going out wide, not up; palms facing in helps.

Arms ending behind your head

Stop with the weights in line with your ears.

Source 2

Arching your lower back

Keep your chest on the pad and your trunk still.

Source 2

Dropping the weights

Take about 2 seconds to lower them (our suggestion).

Reverse flys and posture

Strengthening changes measured postureEmerging evidence

Across 28 trials (901 people) of corrective exercise for rounded shoulders and a forward head, 18 measured the shoulders, and the programmes improved the forward-shoulder angle by a large amount; effects on pain and function were inconclusive. Across 23 studies of 969 healthy people, strengthening improved spinal posture and stretching didn't.

Sources 7, 8

But strength doesn't set resting positionMixed evidence

Studies that compared people found no link between muscle strength and where their shoulder blades rest, so stronger rear shoulders don't guarantee a change in posture.

Source 9

Where reverse flys fit

As one part of a programme with rows and other upper-back work, not a cure: our rounded shoulders guide covers posture in full.

Reverse flys and your shoulders

A substitute in shoulder handoutsEmerging evidence

A hospital physiotherapy handout on shoulder-safe weight training suggests raises lying face down or bent over in place of standing lateral raises.

Source 25

Exercise for painful shouldersMixed evidence

In 102 people with long-standing impingement, specific exercises for the rotator cuff and shoulder-blade muscles meant 20% chose surgery, against 63% with general exercises. But in 708 people with a new rotator cuff problem, a programme of progressive exercise was no better than one session of good advice over a year.

Sources 26, 27

With a sore shoulder

Use a supported version, light weights and a smaller arc, keeping pain to about 5 out of 10 or less and settled by your next session, as our shoulder guides advise. The NHS says not to make up your own strenuous exercises or use heavy gym equipment while your shoulder hurts.

Source 28

Shoulder injuries in the gymEmerging evidence

In backward-looking studies, up to 36% of weight-training injuries were at the shoulder, but injury rates in bodybuilding-style training were low, about 0.24 to 1 injury per 1,000 hours.

Sources 29, 30

Who should change it

After a shoulder dislocation

The arm out to the side and moving back is a position to rebuild gradually: follow the stages in our shoulder dislocation guide.

Lower back pain

Use a chest-supported or machine version, so your back doesn't hold you up.

Neck and upper-trapezius pain

Palms in, or palms up rather than down: palms down worked the upper trapezius most in band pull-aparts.

Source 15

High blood pressure

Breathe out as you lift and keep the weights moderate, as our breathing guide says. High blood pressure means readings of 140/90 or higher; with controlled blood pressure, the American Heart Association considers low- to moderate-intensity strength training with proper breathing safe.

Sources 31, 32

Pregnancy

Lying on your front becomes uncomfortable as your bump grows: use the seated, cable or band version. The NHS says strength training is fine if you already do it.

Source 33

Moves that pair with it

Face pulls, 3 sets of 12 to 20 (our pull day workout); band external rotations, 2 sets of 12 to 15 each arm (our shoulder workout at home); Cuban rotations, 2 sets of 10 (our shoulder workout); chest-supported dumbbell rows, 3 sets of 10 to 12 (our pull day workout); wall angels, 8 slow slides (our shoulder mobility routine).

Workouts to follow

Our shoulder workout uses the bent-over reverse fly, pull day B the machine, and our back and biceps workout either; at home, our shoulder workout at home pairs it with a press, and our back workout at home and traps workout use it too.

Shoulder workout

A shoulder workout for all three heads: overhead press, lateral raises, reverse flyes, face pulls and rotations.

40 minIntermediate8 movesA band, A barbell

Pull day workout B

Pull day B: cable rows, lat pulldowns, one-arm dumbbell rows, reverse flyes, incline curls and back extensions, with sets, reps and rest.

50 minIntermediate10 movesPull-up bar, A cable machine

Back and biceps workout: pulldowns, T-bar rows, rear delts and curls

A 55-minute gym session for a split: a pulldown, the T-bar row, a seated cable row and a reverse fly for your back, then two curls for your biceps.

55 minIntermediate11 movesPull-up bar, A band

Shoulder workout at home: presses, lateral raises and rear-shoulder work

A 30-minute home shoulder workout with dumbbells or a band: presses, lateral raises for the side of the shoulder, and rear-shoulder and rotator cuff work.

30 minBeginner8 movesA band, A dumbbell

Back workout at home: dumbbells, a band and an optional bar

A back workout at home with dumbbells and a band: pull-ups or band-assisted pulls, two rows, face pulls, reverse flys, shrugs and Romanian deadlifts.

40 minIntermediate14 movesA band, Pull-up bar

Dumbbell upper body workout B

Dumbbell upper body workout B: incline presses, chest-supported rows, seated presses, lateral raises, reverse flyes, hammer curls and skull crushers.

45 minIntermediate11 movesA dumbbell, A bench or box

Traps workout: shrugs, rows, raises and carries

A 30-minute traps workout with dumbbells: shrugs for the upper traps, then rows, raises and reverse flys for the rest of them, and farmer's carries to finish.

30 minBeginner9 movesA band, A dumbbell

Plans that include it

Each of these plans has a session with a reverse fly in it.

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 31

Call 999 (911 in the US)

For chest pain that feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; arm pain that comes on suddenly with pressure, heaviness or squeezing across your chest; a headache that starts suddenly and is extremely painful, especially while lifting or straining; someone who faints while exercising; palpitations that don't go away, or come with chest pain, breathlessness or feeling faint; severe difficulty breathing; or angina pain that doesn't stop after rest and your medicine. Don't drive yourself to A&E.

Sources 34, 35, 36, 37, 38, 39, 40, 41, 42

Check before lifting heavy

If you haven't exercised for some time or have a medical condition, speak to your GP first, as the NHS advises. Get advice before heavy lifting if your blood pressure is uncontrolled, 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.

Sources 43, 31

After a faint, or dizziness that keeps coming back

See a GP after any faint, and for dizziness that won't go away or keeps coming back.

Sources 39, 44

Ask for an urgent GP appointment or get help from NHS 111

If you have sudden or very bad shoulder pain, you can't move your arm, your shoulder has changed shape or is badly swollen, you have pins and needles that don't go away, no feeling in your arm, an arm that's hot or cold, pain after an injury or fall, severe pain in both shoulders, or you feel feverish or unwell. The NHS says these can be signs of something serious, like a broken or dislocated bone, or a torn ligament or tendon. Don't try to put a shoulder back yourself.

Source 28

See a GP

If shoulder pain is getting worse or hasn't improved after 2 weeks of looking after it yourself, or it's very hard to move your arm. In many areas you can refer yourself to physiotherapy.

Source 28

An ache over your shoulder blade, with weakness

An ache over the back of the shoulder blade with weakness lifting or turning your arm out, or a muscle that looks thinner, needs a GP or physiotherapist, as our back-of-shoulder pain guide says: a nerve can be involved.

Myths

"Reverse flys fix rounded shoulders"Mixed evidence

Strengthening programmes improved measured posture, but strength isn't linked with resting shoulder-blade position, and the changes didn't reliably ease pain. Reverse flys are a sensible part of a programme, not a cure.

Sources 7, 8, 9

"The reverse fly is the best rear-delt exercise"Emerging evidence

One study ranked a seated version top; a review ranked pull-ups and suspension rows top; a computer model put it level with the face pull. Use the versions you can do well.

Sources 1, 12, 13

"Reverse flys make your shoulders wider"

No trial has tested it. Our wider shoulders guide treats rear-shoulder work as balance for your pressing, not a width builder.

"Squeeze your shoulder blades together as hard as you can"Mixed evidence

In rows, actively squeezing didn't change how hard the middle back worked. A brief pause at the top is enough.

Source 21

"Go heavy for big rear delts"

Heavy dumbbells turn the lift into a row or a swing, and the work moves away from the back of the shoulder. Lighter weights with strict form, taken close to failure, do the job (our view).

Questions people ask

What muscles do reverse flys work?

The back of your shoulders (the rear deltoid), the middle and lower trapezius and the rhomboids between your shoulder blades, and the rotator cuff muscles at the back of the shoulder. The side of the shoulder works too.

Is a rear delt fly the same as a reverse fly?

Yes. Rear delt fly, reverse fly, rear lateral raise and reverse pec deck all describe the same movement: your arms moving out and back at shoulder height. The names change with the equipment and your position.

What's the best way to do reverse flys?

The way you can do them without swinging. Lying face down on an incline bench is a good start, the machine is the easiest to load, and a seated bent-over version worked the back of the shoulder hardest in one study. Keep your arms at about right angles to your body, elbows slightly bent, and lift to shoulder height.

Should my palms face down or in on reverse flys?

Palms facing in worked the back of the shoulder and the rotator cuff harder than palms down on a reverse fly machine. Palms down works the upper trapezius more, so start with your palms in and use the others for variety.

How heavy should reverse flys be?

Light. Pick a weight you can lift 10 to 15 times without your elbows bending more or your body swinging, and add reps before weight. A heavy dumbbell turns the lift into a row.

How many sets and reps of reverse flys should I do?

2 to 3 sets of 10 to 15, or 3 sets of 12 to 15, resting 60 to 90 seconds, with the last set 0 to 2 reps short of failure. Your rows and pulldowns add to the work, so 4 to 6 direct sets a week is a sensible start.

Reverse fly or face pull?

Both work the back of the shoulder about equally in a computer model. The face pull adds turning your arms out and the reverse fly keeps your arms straighter; many programmes use both.

Reverse fly or lateral raise?

They do different jobs: lateral raises mainly work the side of your shoulder and reverse flys the back. Most shoulder programmes include both.

Do reverse flys help posture?

Strengthening programmes that include moves like this improved measured forward-shoulder posture in trials, but muscle strength isn't linked with where your shoulder blades rest, and the changes didn't reliably ease pain. They're a sensible part of a programme, not a fix.

Can I do reverse flys with a sore shoulder?

Often, with a supported version, light weights and a smaller arc, keeping pain to about 5 out of 10 or less and settled by your next session. See a GP if shoulder pain is getting worse or hasn't improved after 2 weeks.

Can I do reverse flys at home?

Yes: with dumbbells, bent over or lying on a bench, or with a resistance band anchored at chest height or held in both hands as a pull-apart. Bands build strength about as well as weights.

Sources

  1. Sweeney 2014 · Shoulder muscle activity in 10 exercises in 16 men (ACE-sponsored study, not peer reviewed, ACE ProSource)
  2. ACE · Incline reverse fly (exercise library, rated beginner, American Council on Exercise)
  3. Reinold 2004 · Rotator cuff and deltoid activity in 7 shoulder exercises in 10 people (EMG study, J Orthop Sports Phys Ther)
  4. Ekstrom 2003 · Trapezius and serratus anterior activity in 10 exercises in 30 people (EMG study, J Orthop Sports Phys Ther)
  5. Schoenfeld 2013 · Palms down or palms in on a reverse fly machine: rear-shoulder activity in 19 trained men (crossover study, J Strength Cond Res)
  6. Singer 2024 · Rest between sets and muscle growth: 9 studies (Bayesian meta-analysis, Front Sports Act Living)
  7. Khorramroo 2026 · Corrective exercise for rounded shoulders and forward head posture: 28 trials, 901 people (meta-analysis, BMC Sports Sci Med Rehabil)
  8. Warneke 2024 · Stretching or strengthening and spinal posture: 23 studies, 969 people (meta-analysis, Sports Med Open)
  9. Hrysomallis 2010 · Strengthening and stretching for forward-tilted shoulder blades (review, J Strength Cond Res)
  10. Cools 2007 · Exercises that balance the parts of the trapezius in 45 people (EMG study, Am J Sports Med)
  11. Vigotsky 2022 · Muscle activity measured in one session isn't a validated predictor of muscle growth (review, Sports Med)
  12. Rabello 2024 · Activity of the three parts of the deltoid in common exercises: 33 studies (systematic review, J Bodyw Mov Ther)
  13. Zhu 2025 · Rear-deltoid force in three exercises, modelled in 10 men (computer modelling study, Acta Bioeng Biomech)
  14. Campos 2020 · Deltoid activity in the shoulder press, bench press, lateral raise and fly in 13 trained men (EMG study, J Hum Kinet)
  15. Fukunaga 2022 · Band pull-aparts: hand position, direction and shoulder muscle activity in 10 men (EMG study, Int J Sports Phys Ther)
  16. Lopes 2019 · Elastic bands against weights and machines for strength: 8 studies (meta-analysis, SAGE Open Med)
  17. Andersen 2008 · Muscle activity in five dumbbell exercises in 12 women with neck muscle pain (EMG study, Phys Ther)
  18. Andersen 2008 · Specific strength training against leg cycling for neck muscle pain in 48 women (randomised trial, Arthritis Rheum)
  19. ACE · Reverse fly with cables (exercise library, rated intermediate, American Council on Exercise)
  20. ACE · Kneeling reverse fly with a band or cable (exercise library, rated intermediate, American Council on Exercise)
  21. Lehman 2004 · Muscle activity in lat exercises, and squeezing the shoulder blades back (experimental study, Dyn Med)
  22. Halperin 2022 · How accurately people predict the reps they have left: 12 studies (scoping review and meta-analysis, Sports Med)
  23. Pelland 2026 · Weekly sets and training frequency against muscle growth and strength: 67 studies, 2,058 people (meta-regression, Sports Med)
  24. Zhang 2025 · Supersets against traditional sets: 19 studies, 313 people (meta-analysis, Sports Med)
  25. Mass General Sports Medicine · Strength training for the shoulder (patient handout, undated)
  26. Holmgren 2012 · Specific shoulder exercises and the need for surgery in 102 people with impingement (randomised trial, BMJ)
  27. Hopewell 2021 · Progressive exercise against one session of advice for rotator cuff disorders in 708 people, the GRASP trial (randomised trial, Lancet)
  28. NHS · Shoulder pain (past its review date: reviewed May 2023, review due May 2026)
  29. Kolber 2010 · Shoulder injuries from resistance training (brief review, J Strength Cond Res)
  30. Keogh 2017 · Injuries across the weight-training sports: 20 studies (systematic review, Sports Med)
  31. Paluch 2024 · Resistance exercise training with and without cardiovascular disease: 2023 update (American Heart Association scientific statement, Circulation)
  32. NHS · High blood pressure
  33. NHS · Exercise in pregnancy
  34. NHS · Heart attack
  35. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  36. NHS · Elbow and arm pain
  37. NHS · Headaches
  38. NHS · Subarachnoid haemorrhage
  39. NHS · Fainting
  40. NHS · Heart palpitations
  41. NHS · Shortness of breath
  42. NHS · Angina
  43. NHS · Physical activity guidelines for adults aged 19 to 64
  44. NHS · Dizziness (past its review date: reviewed April 2023, review due April 2026)

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.