Training guide

How to do tricep pushdowns: bar, rope and V-bar, your elbows, pushdowns against extensions, and how many

A tricep pushdown, or pressdown, is a cable exercise for the back of your upper arm. Facing a high pulley with your elbows tucked at your sides, you push a bar, rope or V-bar down until your arms are straight, then let it rise slowly to about chest height. It works all three heads of the triceps, and the attachment changes how it feels more than what it builds: no study has compared the rope and the bar for growth.

Pushdowns build the triceps well, and in a 12-week trial an overhead extension built a little more, so many people do one of each.

This guide shows the pushdown step by step on the 3D figure, with the rope, V-bar, reverse-grip and one-arm versions, how heavy and how many, and what to change if your elbows complain.

The short version

The move

Facing a high pulley with a short bar, elbows tucked at your sides, push the bar down until your arms are straight, then let it rise slowly back to about chest height, your upper arms staying still. The American Council on Exercise (ACE) rates the pushdown a beginner exercise.

Source 1

It works all three heads

With your arm at your side, the long head of the triceps is active but short, because it also crosses your shoulder. The three heads don't work in unison, and in ACE's study the long head worked harder than the outer (lateral) head in both rope and bar pushdowns.

Sources 2, 3, 4

Add an overhead extension

In one 12-week trial of 21 adults, overhead extensions grew the whole triceps 19.9% against 13.9% for the same work with the arm at the side, with 34 to 39% lighter weights. A 6-week trial in 9 women found no difference. Pushdowns build the triceps; one overhead extension in your week covers the rest.

Sources 5, 6

Bar, rope or V-bar: choose by comfort

In ACE's study, the rope drew 74% and the bar 67% of a triangle push-up's triceps activity, not tested for a real difference, and nobody has compared them for growth. Handle shape changed forearm activity, not triceps activity. An underhand grip raised long-head activity a little in one small session study.

Sources 4, 7, 8

How many

2 or 3 sets of 10 to 15, about 60 seconds' rest, most sets 1 to 3 reps short of failure and the last 0 to 2 short, as our tricep workout does. Aim for about 10 or more hard triceps sets a week, counting each set of presses, push-ups or dips as half. Swinging didn't stop growth in a trial, but strict reps are easier to judge.

Sources 9, 10, 11

Your elbows

Keep discomfort to about 3 to 4 out of 10, settled within an hour, and let the bar rise only to about chest height if your elbow or your ring and little fingers complain. A snap at the back of the elbow with weakness straightening your arm needs an urgent treatment centre or A&E; triceps tendon tears are rare.

Source 12

What a pushdown is, and what it works

The move

An elbow extension against a cable from a high pulley, with your upper arms held still at your sides. ACE calls it a triceps pushdown or pressdown. The versions are named by the attachment: a short straight bar, a rope with your palms facing, a V-bar, a bar held underhand, or a single handle for one arm at a time. Our tricep extension guide groups it with the kickback as an extension done with your arm at your side.

Source 1

Three heads, one tendon

The long head starts on the shoulder blade, so it crosses the shoulder as well as the elbow; the lateral and medial heads start on the upper arm bone. All three join one tendon at the point of the elbow. With the arm at your side, the long head was the most active of the three in a model of 10 adults, but it is relatively short there; raising the arm overhead lengthens it. In 25 men doing pushdowns to failure, the heads didn't work in unison.

Sources 2, 3

Where it's hardest (our reading of the mechanics)

A cable pulls hardest on your elbow when it meets your forearm at a right angle. Standing close, with the cable running almost straight down, that happens near the start of the push, when your forearms are about level with the floor. This is our editorial reading of the mechanics, as in our cable curl guide; no study has measured it in a pushdown.

What you lift

The number on the stack depends on the machine's pulley ratio, about half of it on a 2:1 machine and a quarter on a 4:1, as our cable machine guide explains, so compare yourself only on the same machine. You'll move more than in an overhead extension: overhead weights were 34 to 39% lighter in the 12-week trial.

Source 5

Who it suits

Anyone with access to a cable machine: it's the easiest rung of the triceps extension family. A hospital shoulder handout lists pushdowns on a pulley as safe for the shoulder, so they often suit people whose shoulders dislike overhead work.

Source 13

How to do a tricep pushdown, step by step

From our pushdown move pages, ACE's triceps pushdown (do not lock out; come back up until the elbows begin to drift forward, around upper chest level) and our tricep extension guide's steps. The 2-second lowering is editorial, and stopping at chest height matches our elbow guides' mid-range cue.

  1. Set the pulley at the top of the column, clip on a short straight bar and set a light pin; close the clip fully.
  2. Take the bar overhand, hands about shoulder-width apart, and stand tall facing the stack, close enough that the cable runs almost straight down in front of you, feet hip-width apart and knees soft.
  3. Pull the bar down to about chest height and tuck your elbows in at your sides: that's the start.
  4. Breathe out and push the bar down until your arms are straight, without snapping your elbows locked, moving only at the elbows and keeping your wrists straight.
  5. Pause for a moment with the bar near the front of your thighs, without leaning your body weight onto it.
  6. Let the bar rise slowly, over about 2 seconds, back to about chest height, stopping before your elbows drift forward.
  7. End the set 1 to 3 reps short of failure (0 to 2 on your last set), then step in and let the plates down gently.

Loading the 3D figure…

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

The movement on the figure: Triceps pushdown

Rope, bar, V-bar, reverse grip and one arm

The bar pushdown at 2 or 3 sets of 10 to 15 (our tricep workout); the V-bar at 2 to 3 sets of 8 to 12, stopping 2 or 3 reps short (the move page's dose); the reverse grip at 2 sets of 10 to 15 with a lighter pin, and the one-arm pushdown at 10 to 15 each arm (our cable arm workout). The rope pushdown has no separate 3D demo: the bar pushdown shows the arm action, with your palms facing. At home, kickbacks with a dumbbell do the same job with your arm at your side.

What the evidence says about grips and handles

Rope against bar: one session of muscle activity, no growth studyEmerging evidence

In ACE's study of 15 women aged 20 to 24 with lifting experience, each doing one set of 7 reps at 70% of their maximum, rope pushdowns drew 74% of a triangle push-up's triceps activity and bar pushdowns 67%. The study didn't test whether that difference was real, and in both the lateral head worked less than the long head. ACE funded it and it wasn't peer reviewed. Activity in a few reps doesn't predict what a muscle builds, and we found no study comparing the rope and the bar for growth.

Sources 4, 14

Spreading the rope

We found no study of spreading the rope at the bottom. Do it if it feels natural; straightening your arms fully is what matters.

Handle shape changed the forearm, not the tricepsEmerging evidence

Comparing a standard handle with two ball-shaped grips, triceps activity didn't differ, while the finger muscles worked harder with one ball grip. So pick the attachment your wrists and elbows like, as our cable machine guide says.

Source 7

The reverse (underhand) gripEmerging evidence

In 22 adults doing one-arm pushdowns, palm up with a handle raised long-head activity over palm down (a moderate effect), with no clear difference for the lateral head (80.7% against 77.1% of maximum). People managed fewer reps palm up with the same weight, and the paper gives two different reference loads in different places. It's one small session of muscle activity tests, so treat the reverse grip as variety, done lighter, not as a long-head builder.

Source 8

One arm or two

We found no study comparing one-arm and two-arm pushdowns. One arm at a time is useful for evening up a weaker side or for comfort (our view).

Pushdowns, overhead extensions and the rest

Overhead grew more in the longer trialEmerging evidence

In 21 adults, one arm trained overhead cable extensions and the other the same work with the arm at the side, like a pushdown: 5 sets of 10 at 70% of maximum, twice a week for 12 weeks. On MRI scans, the whole triceps grew 19.9% against 13.9% and the long head 28.5% against 19.6%, though the overhead weights were 34 to 39% lighter. Strength rose alike.

Source 5

No difference over 6 weeksEmerging evidence

In 9 novice women, pushdowns on one arm and overhead extensions on the other (6 sets of 6, twice a week for 6 weeks) grew the triceps similarly and raised strength by about 40% and 45%. A 2026 review suggests the two trials may differ in how they measured and set up the exercises. Two small trials that don't agree, so the overhead advantage is promising rather than settled.

Sources 6, 15

Presses and lying extensionsEmerging evidence

In 43 young men, bench pressing grew the lateral head and lying extensions grew the long head more, measured by MRI. A mix of pressing and extensions covers the whole muscle, which is why our tricep workout uses both.

Source 16

Kickbacks

Both work the triceps with your arm at your side. Pushdowns are easier to load in small steps; kickbacks need only a dumbbell and drew a little more activity in ACE's study (87% against 67 to 74%). A hospital handout lists both as safe for the shoulder, as our tricep kickback guide says.

Sources 4, 13

Cables against free weightsEmerging evidence

We found no growth trial comparing cable and free-weight triceps work. In 32 adults aged 60 to 86, a machine programme that included a cable triceps extension gained less triceps strength than free weights over 26 weeks, but similar strength overall.

Source 17

How heavy and how many

Your first weight

A pin you can push down 10 to 15 times without leaning your body weight onto the bar, as our move page's caution says. In your first two weeks, stop each set with 3 or 4 reps to spare, as our plans advise.

Sets, reps and rest

2 or 3 sets of 10 to 15, resting about 60 seconds, most sets 1 to 3 reps short of failure and the last 0 to 2 short (our tricep workout and tricep extension guide). Going to failure added a trivial amount of growth at most across 15 studies, and light and heavy loads built similar muscle when the sets were hard.

Sources 18, 19

Sets a week

About 10 or more hard triceps sets a week, counting each set of bench presses, push-ups, overhead presses or dips as half a set, as our tricep extension guide works it out. Two sessions a week, as the 12-week trial used.

Sources 9, 10, 5

SwingingEmerging evidence

In 25 untrained adults (30 started), pushdowns done with a lean, leg drive and flaring elbows built about as much triceps as strict ones over 8 weeks (9.9% against 10.5%, and 14.7% against 14.0%), with about twice the load moved. Strict reps make your effort easier to judge.

Source 11

The stretched halfMixed evidence

In 25 trained adults, half reps at the stretched end, in a programme of overhead extensions and cable pushdowns, built about as much triceps as full reps over 8 weeks, with full reps slightly ahead at one site; the study was funded by a fitness company. In another trial, mid-range partial lying extensions grew the triceps more. The evidence conflicts, so full reps from chest height to straight arms are a sound default.

Sources 20, 21, 22

Moving up

Add reps until every set reaches 15, then the next plate. If that's too big a jump, use a half-step or add-on weight, or a machine with a higher pulley ratio, as our cable machine guide says. Stack numbers only compare on the same machine.

Drop sets

For a harder finish, our drop-set workout does one set of pushdowns, then moves the pin up about 20% twice with no rest. Keep it to the last set, and stop about 1 rep short each time.

Breathing

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, as our breathing guide advises.

Source 23

Common mistakes and how to fix them

Leaning your body weight onto the bar

The weight is too heavy: go lighter, as our move page says.

Elbows drifting forward or flaring

Your shoulders and back muscles take over. ACE warns that forward-moving elbows recruit the lats and reduce the work on the triceps. Keep them by your sides.

Source 1

Letting the bar rise to your face

That bends your elbows fully. Stop at about chest height.

Wrists bent back on a straight bar

Keep them straight, or try the rope or V-bar.

Shrugging

Keep your shoulders down and back, away from your ears.

Letting the stack crash between reps

Keep the plates just off the stack, as our cable machine guide says.

Snapping the elbows locked

Straighten fully, but under control. ACE's pushdown entry says not to lock out, while its pressdown entry says to straighten completely; no study has tested it.

Sources 1, 24

Pushdowns and your elbows

The elbow pain rule

Up to about 3 to 4 out of 10 during the exercise, settling within an hour, and no worse the next morning. If it's worse, go lighter next time, not to nothing. That's the rule in our elbow guides.

Back-of-elbow tendon pain

An ache where the triceps tendon meets the elbow, worse when you straighten against resistance, is usually a load problem. Our triceps tendinopathy guide starts with holds halfway down a pushdown and lighter, mid-range pushdowns, and brings heavy skull crushers back last.

Tingling fingers

Bending the elbow fully, or for long, can bring on tingling in the ring and little fingers from the ulnar nerve, which shifted at full bend in about half of 52 healthy elbows. Stop the bar at chest height so your elbows don't bend fully. The NHS says to go to an urgent treatment centre or A&E if your arm tingles or feels numb after an injury, and our ulnar nerve guide covers tingling that keeps coming back.

Sources 25, 26, 27

We found no study of elbow pain in pushdowns

Nobody has measured elbow joint load or counted elbow problems in pushdowns. Choose the attachment and range that keep you within the pain rule.

Triceps tendon tears: rareStrong evidence

In US emergency departments over 20 years, triceps tendon ruptures were about 0.02 per 100,000 people a year (from only 31 sampled cases), men 12 times as often as women, at an average age of 44; in US military personnel the rate was 1.1 per 100,000. Kidney disease and anabolic steroid use were the commonest conditions among 262 operated tears. The usual causes are a fall on an outstretched hand or a forceful push against a heavy load.

A snap at the back of the elbow with sudden pain and weakness straightening the arm needs an urgent treatment centre or A&E.

Sources 12, 28, 29, 30, 31

Overhead extensions, presses and dips

One overhead extension in your week: the overhead cable extension at 3 sets of 10 to 15 (our tricep workout) or the standing dumbbell extension at 2 sets of 10 to 12 (our dumbbell upper body workout). Skull crushers at 2 to 3 sets of 10 to 15 and the close-grip bench press at 3 sets of 6 to 8 after a lighter set (our tricep workout); presses and dips count as about half a triceps set. The overhead triceps stretch, 15 to 30 seconds 2 to 4 times each side, is its move page's dose.

Workouts to follow

The tricep workout puts pushdowns after a close-grip press, an overhead extension and skull crushers. The cable arm workout pairs bar and one-arm pushdowns with curls on one cable station. Push day, the chest and triceps workout and the arm workout use pushdowns at 10 to 15 reps; the drop-set workout has a pushdown drop set.

Tricep workout: a close-grip press, then overhead, lying and pushdown extensions

A 35-minute triceps session: a close-grip bench press or dips, then overhead extensions, skull crushers and pushdowns, about 10 hard sets.

35 minIntermediate7 movesA barbell, A bench or box

Cable arm workout: curls and triceps on one cable station

A 35-minute arm session on a cable station: bar, rope and one-arm curls paired with pushdowns and overhead extensions, about 7 hard sets each for biceps and triceps.

35 minBeginner11 movesA cable machine, A bench or box

Arm workout

Biceps, triceps and forearms: curls, hammer curls, skull crushers, pushdowns, concentration curls and dips.

35 minBeginner7 movesA dumbbell, A bench or box

Push day workout

A push day workout for chest, shoulders and triceps: bench press, overhead press, incline dumbbell press, lateral raises and pushdowns.

55 minIntermediate10 movesA band, A barbell

Chest and triceps workout: presses, flys, dips and extensions

A 55-minute gym session for a split: the bench press, an incline dumbbell press, cable flys and dips for your chest, then two triceps extensions.

55 minIntermediate11 movesA band, A barbell

Cable machine workout: a full-body session on one cable station

A 40-minute full-body workout on a dual cable station in four pairs: pull-through and row, press and Pallof press, pushdown and crunch, raise and curl.

40 minBeginner14 movesCardio machine, A band

Drop-set workout: shoulders and arms

A 20-minute drop-set finisher for shoulders and arms: lateral raises, curls and pushdowns, each one set with two drops, plus a push-up drop set.

20 minIntermediate10 movesA band, A dumbbell

Plans that use it

Pushdowns come round once or twice a week in these plans, through the upper body, push day and arm workouts.

Who should change it, and 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 23

Call 999 (911 in the US)

For chest pain that feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; a sudden, extremely painful headache, especially while straining; someone who faints while exercising; or palpitations that don't go away, or come with chest pain, breathlessness or feeling faint. Don't drive yourself to A&E.

Call 999 too if arm pain comes on suddenly with pressure, heaviness or squeezing across your chest.

Sources 32, 33, 27, 34, 35, 36, 37

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 34

Go to an urgent treatment centre or A&E

If you have severe pain in your arm and it's difficult to move; you've injured your arm and heard a snapping noise, or it has changed shape; or your arm tingles or feels numb. In the US, go to urgent care or the emergency department.

A snap at the back of the elbow with sudden pain and weakness straightening the arm needs an urgent treatment centre or A&E.

Source 27

Get help from NHS 111

If your arm hurts when you exercise but the pain goes when you rest, or it's swollen and you have a very high temperature or feel hot, cold or shivery; or if you think you've torn a tendon, with sudden, severe pain during an activity. In the US, contact your doctor or urgent care.

Sources 27, 38

See a GP

If elbow or arm pain hasn't gone after a few weeks.

Source 27

Swollen arms and dark urine

Very painful, swollen, tight arms and dark urine after an unusually hard or high-rep session, such as drop sets or an arm challenge, need medical help the same day: it could be rhabdomyolysis, as our elbow pain from pull-ups guide explains. Dark urine isn't always there, so arms far sorer, more swollen or weaker than the session explains still need the same-day check.

A cable or clip that fails

Check the cable, clips and pin before you start. A frayed cable or a clip that won't close means another station, as our cable machine guide says.

After heart, lung or breast surgery

After heart surgery through the breastbone, or a heart or lung transplant, follow your surgeon's advice before pushing, pulling or lifting with your arms.

After breast cancer surgery or reconstruction, follow your surgical team's advice on when you can lift your arm above shoulder height, or push, pull or lift with it.

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

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 a pacemaker or defibrillator, the American Heart Association asks you to check with your doctor before upper-body strength training, because repeated arm movements can damage or dislodge the leads.

Sources 39, 23

Sore, or hurt?

Muscle soreness for a day or two after a new or harder session is common and fades. Sharp pain, or pain that builds during a set or lingers into the next day, isn't: swap to an easier version, and see a clinician if it persists, as our plans advise. The NHS says to stop exercising straight away if you feel any pain or become unwell, and to get help from 111 if symptoms worry you or don't go away.

Source 40

Myths

"The rope always beats the bar"Emerging evidence

The rope drew 74% and the bar 67% of a triangle push-up's activity in one set, not tested for a real difference, and nobody has compared them for growth. Handle shape changed forearm activity, not triceps activity.

Sources 4, 7

"Pushdowns only work the lateral head"Emerging evidence

All three heads work, not in unison, and in ACE's study the long head worked harder than the lateral head in both rope and bar pushdowns.

Sources 3, 2, 4

"Pushdowns are useless: only overhead work builds the triceps"Mixed evidence

Arm-at-your-side extensions grew the triceps 13.9% in 12 weeks against 19.9% overhead, and pushdowns matched overhead work over 6 weeks in another trial. Do both.

Sources 5, 6

"Lean over the bar to move more weight"Emerging evidence

Swinging didn't stop growth in beginners, but it didn't add any either, with about twice the load moved. If you have to lean on the bar, it's too heavy.

Source 11

"Pushdowns get rid of bingo wings"Strong evidence

In 104 adults, 12 weeks of training one arm didn't reduce the fat over it more than over the other arm, and across 13 studies working a body part didn't reduce the fat over it. Pushdowns build the muscle underneath; our arm fat guide covers what helps.

Sources 41, 42

Questions people ask

How do you do a tricep pushdown properly?

Stand facing a high pulley with a short bar at chest height and your elbows tucked by your sides. Push the bar down until your arms are straight, moving only at the elbows, then let it rise slowly back to about chest height. If you have to lean your body weight onto the bar, it's too heavy.

What muscles do tricep pushdowns work?

The triceps at the back of your upper arm, all three heads: the long head, which also crosses your shoulder, and the lateral and medial heads. With your arm at your side the long head is active but short, which is one reason an overhead extension is worth adding.

Rope or bar for tricep pushdowns?

Either. In the one study, the rope drew slightly more triceps activity than the bar (74% against 67% of a triangle push-up), but it wasn't tested for a real difference and nobody has compared them for growth. Use whichever your wrists and elbows like.

Should I spread the rope at the bottom?

If it feels natural, but no study shows it adds anything. Focus on straightening your arms fully with your elbows by your sides.

What does a reverse-grip pushdown do?

Holding the bar or handle palms up worked the long head a little harder in one small session of muscle activity tests, but you'll manage fewer reps with the same weight, and it hasn't been tested for growth. Use a lighter pin.

Tricep pushdowns or overhead extensions?

Both. In a 12-week trial, overhead extensions grew the triceps about 40% more than the same work with the arm at your side, though a 6-week trial found no difference. Pushdowns are easy to load and kind to most shoulders, so many people do one of each.

How heavy should tricep pushdowns be?

A pin you can push down 10 to 15 times without leaning on the bar, with the last rep or two hard. Stack numbers depend on the machine's pulley ratio, so compare yourself only on the same machine.

How many sets and reps of tricep pushdowns?

2 or 3 sets of 10 to 15, resting about 60 seconds, most sets 1 to 3 reps short of failure and the last 0 to 2 short. Across the week, aim for about 10 or more hard triceps sets, counting each set of presses, push-ups or dips as half.

Why do my elbows hurt when I do pushdowns?

Usually the tendon has had more load than it's ready for: go lighter, let the bar rise only to chest height, try the rope, and keep pain to about 3 to 4 out of 10 that settles within an hour. A snap at the back of the elbow with weakness straightening your arm needs an urgent treatment centre or A&E. Our triceps tendinopathy guide has a loading plan.

Should I lock my elbows at the bottom?

Straighten your arms fully, but don't snap the joint locked. The American Council on Exercise's own entries disagree on lockout, and no study has tested it.

Can I do tricep pushdowns at home?

With a band anchored over a door, yes, though we don't have a 3D demo of it. Kickbacks with a dumbbell and close-grip push-ups train the triceps without a cable.

Do tricep pushdowns get rid of bingo wings?

No. In 104 adults, training one arm for 12 weeks didn't reduce the fat on it more than on the other arm. Pushdowns build the muscle underneath; fat comes off the whole body with activity and eating habits.

Sources

  1. ACE · Triceps pushdowns (exercise library, rated beginner, American Council on Exercise)
  2. Kholinne 2018 · The role of each head of the triceps in elbow extension, in 10 adults (muscle activity and modelling study, Acta Orthop Traumatol Turc)
  3. Hussain 2020 · The three heads of the triceps during pushdowns to failure in 25 men (muscle activity study, Front Physiol)
  4. Boehler 2011 · ACE study identifies best triceps exercises: 8 exercises in 15 women (muscle activity study, American Council on Exercise)
  5. Maeo 2023 · Triceps extensions overhead against with the arm at the side, in 21 adults, measured by MRI (within-person trial, Eur J Sport Sci)
  6. Stasinaki 2018 · Pushdowns against overhead extensions for 6 weeks in 9 novice women (within-person trial, J Funct Morphol Kinesiol)
  7. Rendos 2016 · Handle type and muscle activity in the cable pushdown (muscle activity study, J Strength Cond Res)
  8. Villalba 2024 · Forearm position and triceps activity in one-arm pushdowns in 22 adults (muscle activity study, Int J Strength Cond)
  9. Currier 2026 · Resistance training prescription for muscle function, size and performance in healthy adults: an overview of 137 reviews (ACSM position stand, Med Sci Sports Exerc)
  10. Pelland 2026 · Weekly sets, training frequency, muscle growth and strength: 67 studies (meta-regressions, Sports Med)
  11. Augustin 2025 · Strict against swinging (cheat) curls and pushdowns: 25 of 30 untrained adults finished (within-person trial, Int J Exerc Sci)
  12. Whitmore 2025 · Tendon ruptures seen in US emergency departments, 2001 to 2020 (epidemiological study, Orthop J Sports Med)
  13. Mass General Sports Medicine · Strength training for the shoulder (patient handout, undated)
  14. Vigotsky 2022 · Muscle activity measured in one session is not a validated predictor of muscle growth (review, Sports Med)
  15. Pedrosa 2026 · Muscle length, range of motion and exercise choice for muscle growth (review, Sports Med Int Open)
  16. Brandão 2020 · Presses and lying extensions: triceps growth by head in 43 young men (randomised trial, J Strength Cond Res)
  17. Schott 2019 · Machines, including a cable triceps extension, against free weights for 26 weeks in 32 older adults (trial, Exp Gerontol)
  18. Refalo 2023 · Training close to failure and muscle growth: 15 studies (systematic review and meta-analysis, Sports Med)
  19. Lopez 2021 · Light, moderate and heavy loads for muscle growth and strength: 28 studies, 747 adults (network meta-analysis, Med Sci Sports Exerc)
  20. Wolf 2025 · Half reps at long muscle lengths against full reps, with overhead extensions and pushdowns, in 25 trained adults (within-person trial funded by a fitness company, PeerJ)
  21. Goto 2019 · Partial against full range elbow extensions for 8 weeks in 44 trained men (randomised trial, J Strength Cond Res)
  22. Kassiano 2023 · Range of motion and muscle growth: 11 studies (systematic review, J Strength Cond Res)
  23. Paluch 2024 · Resistance training with and without heart disease: 2023 update (American Heart Association scientific statement, Circulation)
  24. ACE · Tricep pressdown with a straight bar (exercise library, American Council on Exercise)
  25. AAOS OrthoInfo · Cubital tunnel syndrome: ulnar nerve entrapment at the elbow (patient information, American Academy of Orthopaedic Surgeons)
  26. Kang 2017 · How the ulnar nerve moves at the elbow in 26 healthy adults (ultrasound study, Am J Phys Med Rehabil)
  27. NHS · Elbow and arm pain
  28. Balazs 2016 · Triceps tendon ruptures in US military personnel (cohort study, Injury)
  29. Dunn 2017 · Triceps tendon ruptures: 262 operated cases (systematic review, Hand)
  30. Yeh 2010 · Distal triceps rupture (review, J Am Acad Orthop Surg)
  31. AAOS OrthoInfo · Triceps tendon tear at the elbow (patient information, American Academy of Orthopaedic Surgeons)
  32. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  33. NHS · Heart attack
  34. NHS · Headaches
  35. NHS · Subarachnoid haemorrhage
  36. NHS · Fainting
  37. NHS · Heart palpitations
  38. NHS · Tendonitis (past its review date: reviewed June 2023, review due June 2026)
  39. NHS · Physical activity guidelines for adults aged 19 to 64
  40. NHS · How to warm up before exercising
  41. Kostek 2007 · Fat over a trained arm against the untrained arm in 104 adults, measured by MRI (trial, Med Sci Sports Exerc)
  42. Ramirez-Campillo 2022 · Does exercising a body part reduce the fat over it? 13 studies, 1,158 people (meta-analysis, Hum Mov)

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.