Shoulder muscular activation during common kettlebell exercises: a randomized cross-sectional surface EMG study


Işiklar Ç., Paköz B., TURGUT E.

Physiotherapy Theory and Practice, 2026 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2026
  • Doi Number: 10.1080/09593985.2026.2654028
  • Journal Name: Physiotherapy Theory and Practice
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, MEDLINE
  • Keywords: neuromuscular activation, overhead stability, resistance modalities, Scapular recruitment, upper-body exercises
  • Hacettepe University Affiliated: Yes

Abstract

Purpose: This study aimed to examine shoulder muscle activation patterns within functionally similar upper-body exercise categories performed using different resistance modalities. Methods: Twenty healthy males (mean age 22.6 ± 1.69 years) performed overhead pressing, rowing, and swinging tasks using kettlebells, dumbbells, and elastic bands. Surface electromyography (EMG) was used to record activity from seven shoulder muscles. The recorded electromyographic signals were normalized to maximal voluntary isometric contractions (%MVIC), log-transformed, and analyzed using a two-way repeated-measures analysis of variance (ANOVA) with exercise and muscle as within-subject factors. Results: A repeated-measures ANOVA on log-transformed EMG data showed significant main effects of exercise (F(2.10, 39.95)=22.04, p<.001, η2 p=.537) and muscle (F(4.49, 85.34)=47.55, p<.001, η2 p=.714), as well as a significant exercise×muscle interaction (F(8.16, 154.98)=82.84, p<.001, η2 p=.813). Within the overhead pressing category, the Bottoms-Up Kettlebell Overhead Press elicited significantly greater activation than the traditional Kettlebell Overhead Press in the upper trapezius, lower trapezius, biceps brachii, and infraspinatus (all p<.050), with upper trapezius activation reaching 30.4±13.4%MVIC. In the rowing category, middle and lower trapezius activation was greater during free-weight rowing than during elastic band rowing, while serratus anterior activation remained relatively low across the rowing conditions. In the swing category, activation patterns were largely comparable between the two-hand kettlebell and dumbbell swings, whereas the one-hand kettlebell swing produced greater activation in selected muscles, with the lower trapezius showing the highest activation. Absolute between-exercise differences in %MVIC were modest. Conclusion: Kettlebell, dumbbell, and elastic band exercises elicit distinct shoulder muscle activation profiles. These findings may inform exercise selection and program design when targeting specific shoulder muscles within task-oriented training contexts.