Training guide

How to get a thicker neck: neck training, safe loading, your traps, and how long it takes

A thicker neck comes mostly from the muscles at the back and sides of your neck and from the upper traps, and your neck needs its own training to grow. In a 12-week trial of 22 students, squats, deadlifts and rows didn't grow the neck muscles, but adding loaded head extensions grew them by about 13%. That's the only trial we found that measured neck muscle growth. Holds against your own hand build neck strength within weeks; whether they add size hasn't been measured.

This guide covers the neck muscles, head lifts, holds and shrugs, how to load your neck safely and build the effort over weeks, harnesses and plates, what the research says about neck strength and concussion, how long it takes, and the headache, arm and neck signs that mean stop.

The short version

Mostly muscle

A thicker neck comes mostly from muscle: the extensors at the back (the splenius capitis and semispinalis), the sternocleidomastoid at the front and sides, and the upper traps between your neck and shoulders.

Source 1

Your neck needs neck training

In 12 weeks, squats, deadlifts, push presses, rows and pulls didn't change neck muscle size on scans while the thighs grew 7%. Adding 3 sets of 10 loaded head extensions, 3 times a week, grew the neck muscles by about 13%, mostly the deep muscles at the back (about 24 to 25%). It's one trial, of 22 students.

Source 1

Holds build strength

One 15-second hold against your own hand in each of four directions, 3 times a week for 8 weeks, raised neck strength a lot in 28 young rugby players, and other trials found gains within 5 weeks to a year. But a 12-week holds programme added nothing to usual training in 40 elite women footballers, and no trial has measured whether holds add size.

Sources 2, 3, 4, 5

Build the load gradually

Trials of neck strengthening reported only minor, short-lived side effects such as headache or neck soreness, though more than half didn't report on them. We found no trial of the safety of harness work, plate neck curls or neck bridges.

Sources 6, 2

How much

Neck work 2 or 3 times a week, on days apart: start with light presses, build to one hard 15-second hold each way over a few weeks, and add shrugs for the upper traps. Expect strength in weeks and size over months.

Sources 2, 1

Concussion: not settled

Stronger necks went with fewer concussions in some studies and not in others, and pooled together the link was small and of very low certainty.

Sources 7, 8, 9, 10

Your neck muscles

The back of the neck

The splenius capitis and the semispinalis muscles lie under the trapezius. They lift and tilt your head back and hold it up, and they're the muscles that grew most (about 24 to 25%) with loaded head extension in the scan trial. Our splenius capitis page has the anatomy.

Source 1

The front and sides

The sternocleidomastoid is the rope-like muscle on each side, from your breastbone and collarbone to behind your ear. It turns your head to the other side and tilts it to its own side, and the two together bend your neck forward. The deep neck flexors under your throat nod your head and steady your neck. Head lifts, side presses and four-way holds train them.

The sides and the upper traps

The scalenes and levator scapulae tilt your neck and help you shrug, and the upper trapezius runs from the base of your skull to the outer end of your collarbone. Shrugs and carries build the upper traps, which our traps guide covers.

What makes a neck look thicker

From the front and side, mostly the sternocleidomastoid and the upper traps; from behind, the extensors and the upper traps (our reading).

Size isn't only muscle

A tape round your neck takes in fat as well, and the NHS lists having a large neck among the things that make sleep apnoea more likely. In 157 young adults, neck strength tracked neck size only loosely.

Sources 11, 12

People differ

Neck strength ranged from 38 to 383 N (newtons) in men and 15 to 223 N in women in that study. Women and men gain muscle at similar rates relative to their size, but people respond very differently to the same training. The length of your neck and your frame are set (our reading).

Sources 12, 13, 14

What the evidence says

Neck exercises grew the neck; big lifts didn'tEmerging evidence

In 22 active students training 3 days a week for 12 weeks, squats, deadlifts, push presses, bent rows and pulls left total neck muscle area unchanged on MRI (magnetic resonance imaging) scans, at 19.6 to 19.7 square centimetres, while the thigh muscles grew 7%. Adding 3 sets of 10 head extensions, at a load they could lift about 10 times, grew it from 19.5 to 22.0 square centimetres, with the deep muscles at the back up about 24 to 25%. It's the only trial we found that measured neck muscle growth, and its loaded head extensions aren't a move we can show in 3D.

Source 1

The neck learns to work more efficientlyEmerging evidence

After neck training, a light head-extension effort used about 31% less neck muscle, and a maximal effort 16% more.

Source 15

Short holds raised strength in young rugby playersEmerging evidence

In 28 under-18 rugby players, one maximal 15-second hold against their own hand in each of four directions, 30 seconds apart, 3 times a week for 8 weeks (about 3 minutes a session), raised total neck strength a lot (effect size 1.2). No player reported a side effect. It was a pilot trial, and it measured strength, not size.

Source 2

Strength rose in 5 weeks in professionalsEmerging evidence

A twice-weekly neck programme raised neck extension strength from 606 to 734 N in 15 professional rugby players over 5 weeks, against 10 semi-professional players who didn't do it.

Source 3

But not in every trialEmerging evidence

In 40 elite women footballers, 12 weeks of neck holds 3 times a week didn't raise neck strength more than their usual strength programme.

Source 5

Stronger, without better head controlEmerging evidence

In 36 college soccer players, 8 weeks of neck training twice a week raised neck flexor strength by 15% but didn't change how the head and neck resisted a sudden force. Women's neck girth rose 3.4% whether or not they trained.

Source 16

A pilot in young athletesEmerging evidence

In 17 youth athletes, 8 weeks of neck training against a partner's resistance raised neck girth and strength more than other exercise, and everyone completed it safely. It was a small pilot.

Source 17

A year of hard neck training for neck painStrong evidence

In 180 women office workers with long-standing neck pain, 12 months of high-intensity band training raised neck strength by 110% (bending forward), 76% (turning) and 69% (extending), and cut pain and disability.

Source 4

Neck strengthening is safe for most peopleStrong evidence

In a review of 27 trials, strength training for the neck, shoulders and arms improved long-standing neck pain, with moderate-quality evidence. Side effects were minor and short-lived where reported, though more than half the trials didn't report on them.

Source 6

Neck size tracks strength only looselyEmerging evidence

In 157 healthy young adults, neck strength correlated only modestly with neck circumference and neck muscle volume.

Source 12

Shrugs and neck muscle painEmerging evidence

Strength training that included shrugs cut the worst neck muscle pain by about 79% in 48 women over 10 weeks.

Source 18

Holds and head lifts

Start with chin tucks, head lifts and light presses (the presses have their own dose on their move pages); add the harder four-way holds once those are comfortable. Build the pressure slowly and keep breathing.

The upper traps

Shrugs have their own dose on their move pages; farmer's carries at 3 walks of 30 m are as our traps workout uses them, and Y-T-W raises at 5 to 8 of each shape as our neck and shoulder strength routine does. Our traps guide covers the rest.

Harnesses, plates and neck bridges

What grew the neck in the trial

The 12-week scan trial used head extensions against a load: 3 sets of 10 at a weight they could lift about 10 times, 3 times a week. It's the only trial we found that measured neck muscle growth, and that loaded move isn't one we can demonstrate in 3D.

Source 1

Harnesses, plates and neck machines

Harness extensions, plate neck curls lying on a bench and four-way neck machines load the neck the same way, but none has a 3D demo here, and we found no trial of their safety. If you use one: start very light, move slowly through a small range with no jerking, stop well short of failure, and get coaching (our suggestion).

The nearest moves we can show

The head lift (chin tuck with head lift) is a lying neck curl without weight, and the backward press is head extension without movement. Both are in the grid above.

Neck bridges

We leave them out: no trial has tested them, and they put your body weight through your head and neck (our view).

How much and how often

2 or 3 times a week

On days apart. The trials that worked trained 2 or 3 times a week.

Sources 2, 3, 1

Start light

The isometric neck presses' move pages give the starting dose: build to a 10-second press, 3 times in each direction, for 3 rounds, starting with light pressure. Add head lifts at 3 to 5 holds of 5 seconds, building over the weeks towards 10 holds of 10 seconds, as our neck and shoulder strength routine does.

Then hard holds

From about week 3, if the presses are comfortable: one 15-second hold in each of four directions, building the push over 2 to 3 seconds, with 30 seconds' rest between directions. That's the structure of the young rugby players' trial, which used all-out efforts; hard but short of all-out is our suggestion for adults training alone.

Source 2

Shrugs for the upper traps

The dumbbell shrug's move page gives 2 to 3 sets of 8 to 12, stopping with 2 or 3 reps in reserve, and pausing for a second at the top of each rep. Rest 60 to 90 seconds between sets, as our plans suggest for small moves.

How many sets

We found no study of how much neck training is best. As a guide, about 10 or more hard sets per muscle a week builds more muscle, with diminishing returns; count each round of holds as a set (our suggestion).

Sources 19, 20

Progress

Make holds longer, then harder; add reps to shrugs before weight. Build the effort over weeks, not within a session (our suggestion).

A neck session, step by step

Our neck strength workout's structure: from our neck and shoulder strength routine, the isometric neck presses' move pages, a trial in young rugby players and our traps workout. The order is editorial.

  1. Warm up: 3 slow neck circles each way (or separate nods, tilts and turns), then 5 chin tucks with a 5-second hold.
  2. Head lifts: lie on your back with your knees bent, tuck your chin and lift your head a finger's width off the floor; 3 to 5 holds of 5 seconds, building over the weeks towards 10 holds of 10 seconds. Stop if your chin pokes forward.
  3. Presses: sit tall with your chin gently tucked. Press your forehead into your hands while your hands stop it moving, building the pressure over a couple of seconds, and hold for up to 10 seconds; then the back of your head, then each side. 3 in each direction, for 3 rounds, with light pressure in your first two weeks.
  4. From about week 3: one hard 15-second hold in each direction, building the push over 2 to 3 seconds, with 30 seconds' rest between directions. Your head shouldn't move, and keep breathing.
  5. Shrugs: 2 to 3 sets of 8 to 12, lifting straight up and pausing for a second at the top; then 3 farmer's carries of 30 metres.
  6. Ease off with the upper trap release, 2 slow holds of 30 seconds each side. Stop for a headache, dizziness or tingling in your arm.

Loading the 3D figure…

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

The movement on the figure: Isometric neck holds (four-way)

Neck strength and concussion

Stronger necks and concussion: mixedMixed evidence

In 6,704 high school athletes, each extra pound of neck strength went with 5% lower odds of concussion, and in 225 professional rugby players, 10% more neck extension strength went with 13% fewer concussions. But in 136 professional players, neck strength didn't usefully predict concussion while a previous concussion did, and pooled across 8 studies of 7,625 athletes the link was small and of very low certainty.

Sources 7, 8, 9, 10

Does neck training prevent concussion?Mixed evidence

A review of 3 adult studies found 2 raised neck strength and none reported an effect on neck injuries. A 2025 review reported a lower concussion risk in men's rugby from 2 studies, which may have included whole warm-up programmes, and found no evidence in soccer or in women. One professional squad had fewer match injuries after a neck programme, but not significantly fewer neck injuries, and 8 weeks of neck training didn't change how the head resisted a force in college soccer players.

Sources 21, 22, 23, 16

A whole warm-up programme helpedEmerging evidence

The Activate warm-up, which includes neck exercises alongside balance, landing and strength work, cut concussions by about 60% in a trial across 81 men's community rugby clubs, though it had no clear effect on injuries overall. That's the whole programme, not neck work alone; our rugby warm-up follows it.

Source 24

What matters more

In contact sport, tackle technique, the rules and how concussion is managed matter more than neck size (our reading of the studies above and our rugby guides). After a knock to the head, follow our concussion guide.

Sources 9, 10

How long it takes

Strength in weeks

Neck strength rose within 5 to 8 weeks in trials.

Sources 2, 3

Size over months

The neck muscles grew on scans within 12 weeks in the one trial that measured it, with loaded head extensions. People vary a lot in how much they grow from the same training.

Sources 1, 14

Track your training, not the tape

A tape round your neck changes slowly and measures fat too. Track your holds and shrug weights instead (our suggestion).

Source 12

Easing off afterwards

Both have their own doses on their move pages. Let the hand's weight do the work; don't pull, as our neck and shoulder strength routine says.

Workouts to follow

Our neck strength workout is the main session for a healthy neck. If your neck is sore, start with the neck and shoulder strength routine instead. The sport sessions include four-way neck holds.

Neck strength workout: holds, head lifts, shrugs and carries

A 20-minute neck session for healthy necks: head lifts and four-way presses that build to hard 15-second holds, then shrugs and carries for the upper traps.

20 minBeginner9 movesA dumbbell, A kettlebell

Neck and shoulder strength routine

Deep neck holds and shoulder-blade strength in under 20 minutes: one of the best-supported kinds of exercise for a stiff, sore neck.

18 minBeginner11 movesA band, An anchor point

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

Neck and shoulder stretches

Eight gentle neck and shoulder stretches for desk stiffness, done standing or seated in ten minutes.

10 minBeginner8 movesA wall

Strength workout for rugby players: legs, upper body, hamstrings and neck

A 55-minute gym session for rugby: jump squats and chest throws, heavy squats, bench press, Romanian deadlifts, rows, Nordic lowers, shoulder and neck work.

55 minIntermediate15 movesA band, Medicine ball

Wrestling strength workout: jumps, deadlifts, split squats, pull-ups, grip and neck

A 55-minute strength and power session for wrestlers: jump squats, medicine-ball throws, trap bar deadlifts, split squats, pull-ups, carries and neck holds.

55 minIntermediate16 movesA wall, A band

Strength workout for martial arts: hips, grip, neck and shoulders

A 45-minute strength and power workout for BJJ, judo, karate, taekwondo and MMA: jumps, squats, single-leg work, pull-ups, carries, shoulders and trunk.

45 minIntermediate17 movesA wall, A band

Strength workout for American football: power, legs, upper body, hamstrings and neck

A 55-minute gym session for American football: hang cleans or jump squats, back squats, bench press, Romanian deadlifts, rows, Nordics, neck work and carries.

55 minIntermediate16 movesA band, A barbell

Activate rugby warm-up: the adult sample phase

England Rugby's and World Rugby's Activate warm-up, the manual's adult sample phase: running, balance, partner holds, hops, sprints and neck holds.

25 minBeginner15 movesCardio machine, A wall

Plans

Neck work fits on 2 or 3 days of any plan: add the neck strength workout's neck blocks after your main lifts (our suggestion).

Sore necks, arthritis, blood pressure, pregnancy and contact sport

A sore or stiff neck

Strength training that included shrugs eased long-standing neck muscle pain in women. During exercise, neck pain of 0 to 3 out of 10 is minimal and 4 to 5 acceptable; 6 or more is too much, and your neck should be no worse the next morning, as our neck pain guide sets out. See a GP if neck pain hasn't gone after a few weeks.

Start with our neck and shoulder strength routine rather than the hard holds (our suggestion).

Sources 18, 25

Rheumatoid arthritis: the presses, holds and loaded neck work

With rheumatoid arthritis that affects your neck, leave this out: the NHS says long-standing rheumatoid arthritis raises the risk of an uncommon but serious problem at the top of the spine (cervical myelopathy).

Source 26

High blood pressure

Breathe out as you lift and don't hold your breath, keep the effort moderate, and get advice before maximal lifts.

Hard holds invite breath-holding: keep breathing throughout (our suggestion).

Pregnancy

The NHS advises avoiding lying flat on your back for more than a few minutes in later pregnancy, so do chin tucks and presses sitting up rather than head lifts lying down (our suggestion).

Source 27

After shoulder surgery or a dislocation

After a recent shoulder dislocation or shoulder surgery, follow our shoulder dislocation guide or your surgical team first.

Warning signs: when to stop and get help

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.

Call 999 or go to A&E (911 in the US)

Call 999 or go to A&E: a headache that came on suddenly and is extremely painful; numbness or weakness in the face or body; a drooping face, or being unable to lift both arms and keep them up; difficulty speaking, swallowing, balancing, walking or remembering; double vision or loss of vision; drowsiness or confusion. A torn neck artery often starts with headache and neck pain, sometimes with dizziness or tingling, so head or neck pain unlike any you have had before needs checking.

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.

Sources 28, 29

Same day

Same day (urgent GP appointment or NHS 111): severe neck pain that starts suddenly or gets worse quickly; heaviness or weakness in the arms or legs; pins and needles in an arm along with neck or arm pain; or pain between the shoulder blades.

Same day: clumsiness in your hands, or numbness, pins and needles or weakness in one or both arms, that is getting worse; problems with balance or walking since the neck pain started; or neck pain with a severe headache.

Source 25

A headache brought on by exercise

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. In the US, contact your doctor or urgent care.

Source 28

During neck exercise

Arm symptoms are the exception. If an exercise sends pain, tingling or numbness further down your arm, or the extra symptoms last more than an hour afterwards, make the movement smaller or leave it out. (A hospital leaflet on nerve glides allows a short-lived rise in symptoms but not one lasting over an hour; the rest of this rule is this site's suggestion.)

Stop and get checked for dizziness, double vision, slurred speech, trouble swallowing or any of the warning signs above.

Build the pressure slowly, never push suddenly against your hand, and ease off if a press brings on a headache.

Shrugs

If shrugs bring on pins and needles, numbness or pain down your arm, lighten them or leave them out, and get it checked if it persists, as our shrug guide says.

See a GP

If neck pain or stiffness hasn't gone after a few weeks, painkillers haven't helped, or you have pins and needles or a cold arm.

Source 25

After a neck injury

Call 999 or go to A&E after a neck injury if the person is unresponsive, has severe neck pain or cannot move their head, has fallen from a height such as 5 or more stairs, or is drunk or has taken recreational drugs. Do not drive yourself. Being 65 or over, a dangerous fall or crash (from more than 1 metre or 5 stairs, diving, a high-speed or rollover crash, being thrown from a vehicle, a bicycle collision or an accident on a motorised recreational vehicle), or tingling in the arms or legs after an injury puts you at high risk of a broken neck: get checked.

For a knock to the head, see our concussion guide.

Snoring, gasping and a large neck

A large neck is one of the things that make sleep apnoea more likely. See a GP if your breathing stops and starts while you sleep, or you make gasping, snorting or choking noises.

Source 11

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.

When eating, training or your body becomes a worry

The NHS lists spending a lot of time worrying about your weight and body shape, eating very little food, exercising too much, and having very strict routines around food among the signs of an eating disorder, and says to see a GP as soon as you can. Worrying a lot about one area of your body can be body dysmorphic disorder. Beat's helpline in England is 0808 801 0677, and our eating disorders guide has the other numbers.

Sources 30, 31, 32

Myths

"Neck training is dangerous"Emerging evidence

Built up gradually, trials reported only minor, short-lived side effects such as headache or neck soreness, though more than half didn't report on them. A year of hard band training was safe and helpful in 180 women with neck pain, and no side effects were reported in 8 weeks of maximal holds in young rugby players. Jerking against heavy loads, neck bridges and harness work haven't been tested.

Sources 6, 4, 2

"Squats, deadlifts and shrugs are all you need for a thick neck"Emerging evidence

In 12 weeks of squats, deadlifts, push presses, rows and pulls, the neck muscles didn't grow on scans; neck exercises grew them about 13%. Shrugs build the upper traps, not the deep neck muscles, as our traps guide explains.

Source 1

"Holds against your hand will make your neck bigger"Mixed evidence

Holds raised neck strength in weeks, but no trial has measured whether they add size. The one trial that measured neck growth used loaded head extensions.

Sources 2, 1

"A thicker neck prevents concussion"Mixed evidence

Some cohorts found fewer concussions with stronger necks and another didn't, pooled evidence shows a small link of very low certainty, and no trial shows neck training alone prevents concussion in adults. Eight weeks of neck training didn't change how the head resisted a force in college soccer players.

Sources 7, 8, 9, 10, 21, 16

"Neck size is neck strength"Emerging evidence

Neck strength correlated only modestly with neck circumference in young adults, and fat adds to neck size.

Sources 12, 11

"Train your neck to failure every day"Mixed evidence

We found no trial of daily neck training. The trials that worked trained 2 or 3 times a week, and training a muscle more often adds little once the weekly sets match.

Sources 1, 2, 3, 33

Questions people ask

How do I get a thicker neck?

Train your neck directly, 2 or 3 times a week: head lifts, presses and holds in four directions, and shrugs for the upper traps, building the effort slowly. In one trial, adding neck exercises grew the neck muscles by about 13% in 12 weeks, while squats, deadlifts and rows alone didn't.

Do neck exercises make your neck bigger?

They can: in the one scan trial, loaded head extensions grew the muscles at the back of the neck by about a quarter in 12 weeks. Holds raise strength quickly, but how much they add to size hasn't been measured.

How long does it take to grow your neck?

Neck strength rose within 5 to 8 weeks in trials, and the neck muscles grew on scans within 12 weeks. A change you can see takes months, and people vary a lot.

Is neck training safe?

Built up gradually, yes for most people: trials of neck strengthening reported only minor, short-lived side effects such as headache or neck soreness. Stop for dizziness, tingling down an arm or a headache, and never jerk against a load.

Can I get a thicker neck at home without weights?

You can build neck strength at home: your own hands provide the resistance, and holds against your hand raised neck strength a lot in 8 weeks in young rugby players. Whether holds add size hasn't been measured, and shrugs with dumbbells build the upper traps.

Does neck training prevent concussion?

It isn't settled. Stronger necks went with fewer concussions in some studies of high school athletes and professional rugby players but not in others, and pooled studies found only a small link of very low certainty. Technique and whole warm-up programmes matter too.

Do shrugs or deadlifts build your neck?

Shrugs build the upper traps beside your neck. Whole-body lifting, including deadlifts, didn't grow the neck muscles in the scan trial, so your neck needs its own work.

Should I use a neck harness or plates?

They load the muscles at the back of your neck, as in the scan trial, but we found no trial of their safety, and we can't show them in 3D. If you use one, start very light, move slowly through a small range and get coaching.

Do women train their neck the same way?

Yes. Women's necks are weaker on average, but both sexes gained neck strength with training in trials, and women gain muscle at similar rates relative to their size.

Will neck training help neck pain?

Strength training for the neck and shoulders has moderate-quality evidence for long-standing neck pain, and a year of it cut pain and disability in women office workers. If your neck hurts, follow our neck pain guide's plan first.

Is a thick neck healthy?

A neck that's large from fat makes sleep apnoea more likely; neck muscle is different. Neck size tracks neck strength only loosely, so judge your training by your holds and shrugs.

Why do I get a headache doing neck exercises?

Pushing too hard too soon or holding your breath can bring one on, so ease off and build up more slowly. A headache brought on by exercise needs an urgent GP appointment or NHS 111, and a sudden, extremely painful headache is a 999 call.

Sources

  1. Conley 1997 · Neck muscle size and strength after 12 weeks of training with or without neck exercises, in 22 students (MRI study, Eur J Appl Physiol)
  2. Attwood 2022 · Eight weeks of self-resisted neck strength training in 28 under-18 rugby players (pilot randomised trial, Sports Health; full text read)
  3. Geary 2014 · Five weeks of neck strength training in 15 professional rugby union players against 10 controls (controlled study, Clin J Sport Med)
  4. Ylinen 2003 · A year of neck muscle training for chronic neck pain in 180 women (RCT, JAMA)
  5. Deng 2022 · A 12-week isometric neck strengthening programme in 40 elite women footballers (RCT, J Sci Med Sport)
  6. Gross 2015 · Exercises for mechanical neck disorders: 27 trials (Cochrane review; side-effect passages read in full)
  7. Collins 2014 · Neck strength and concussion in 6,704 high school athletes (cohort study, J Prim Prev)
  8. Farley 2022 · Neck extension strength and concussion in 225 professional rugby players (cohort study, Br J Sports Med)
  9. Liston 2023 · Neck strength didn't predict concussion in 136 professional rugby players (cohort study, J Orthop Sports Phys Ther)
  10. Garrett 2023 · Neck strength and concussion in team sports: 8 studies (meta-analysis, J Orthop Sports Phys Ther)
  11. NHS · Sleep apnoea
  12. Catenaccio 2017 · Neck strength, neck size and neck muscle volume in 157 healthy young adults (cross-sectional study, PM R)
  13. Refalo 2025 · Sex differences in absolute and relative muscle growth with resistance training (Bayesian meta-analysis, PeerJ)
  14. Hubal 2005 · How much muscle and strength 585 adults gained from 12 weeks of arm training (trial, MSSE)
  15. Conley 1997 · How training changes which neck muscles work in head extension (MRI study, J Appl Physiol)
  16. Mansell 2005 · Eight weeks of neck strength training and head and neck stability in 36 college soccer players (trial, J Athl Train)
  17. Eckner 2018 · Eight weeks of neck resistance training in 17 youth athletes (pilot study, Am J Phys Med Rehabil)
  18. Andersen 2008 · Specific strength training against leg cycling for chronic neck muscle pain in 48 women (randomised trial, Arthritis Rheum)
  19. Currier 2026 · Resistance training for muscle strength, size and performance in healthy adults: 137 reviews (ACSM position stand, Med Sci Sports Exerc)
  20. Pelland 2026 · Weekly volume and frequency, muscle growth and strength (meta-regressions, Sports Med)
  21. Daly 2021 · Neck strength training to raise neck strength and prevent injuries in collision sports (systematic review, J Funct Morphol Kinesiol)
  22. Alvacite Cardenas 2025 · Neck strengthening, neck strength and concussion in rugby and football players (systematic review, J Bodyw Mov Ther)
  23. Naish 2013 · Neck strengthening and neck injuries in a men's professional rugby team (retrospective study, J Sports Sci Med)
  24. Attwood 2018 · A movement control warm-up in men's community rugby: 81 clubs (cluster randomised trial, Br J Sports Med)
  25. NHS · Neck pain and stiff neck (past its review date: reviewed April 2023, review due April 2026)
  26. NHS · Rheumatoid arthritis: complications (past its review date: reviewed March 2023, review due March 2026)
  27. NHS · Exercise in pregnancy
  28. NHS · Headaches
  29. NHS · Subarachnoid haemorrhage
  30. NHS · Eating disorders: overview
  31. NHS · Body dysmorphic disorder (BDD) (past its review date: reviewed October 2023, review due October 2026)
  32. Beat · Support now: helplines
  33. Schoenfeld 2019 · How many times a week to train a muscle for growth: 25 studies (meta-analysis, J Sports Sci)

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.