Related Experiment Video
Updated: Jun 10, 2026

Muscle Function Obtained with Motion Mode Ultrasound and Surface Electromyography during Core Endurance Exercise
Published on: August 25, 2022
Comparison of muscle-activation patterns during the conventional push-up and perfect· pushup™ exercises
James W Youdas1, Brian D Budach, Jay V Ellerbusch
1Program in Physical Therapy, Mayo School of Health Sciences, College of Medicine, Mayo Clinic, Rochester, Minnesota, USA. youdas.james@mayo.edu
Abstract:
Manufacturers of Perfect·Pushup™ handgrips claim enhanced muscular recruitment when compared with the conventional hand-on-floor push-up exercise. Electromyographic (EMG) data were recorded using surface electrodes from the right-sided triceps brachii, pectoralis major, serratus anterior (SA), and posterior deltoid muscles during push-ups performed from 3 different hand positions: (a) shoulder width, (b) wide base, and (c) narrow base (NB). Push-ups were performed under 2 conditions: (a) standard push-up and (b) Perfect·Pushup™ handgrips. We recruited 20 healthy subjects, 11 men (24.9 ± 2.6 years) and 9 women (23.8 ± 1 years). Subjects completed 3 consecutive push-ups for each hand position under both conditions. Push-up speed was controlled using a metronome, and testing order was randomized. We recorded peak EMG activity for each muscle during each of the push-ups and normalized EMG values by maximum muscle contractions (% maximum voluntary isometric contraction [MVIC]). Electromyographic data were analyzed with 3 (hand position) × 2 (condition) repeated-measures analysis of variance with a post hoc Bonferroni-adjusted simple effects test to detect significant position effects for position by condition interactions (α = 0.05). A push-up required considerable muscle activation of the triceps brachii (73-109% MVIC), pectoralis major (95-105% MVIC), SA (67-87% MVIC), and posterior deltoid (11-21% MVIC) whether performed using the conventional hand-on-floor position or the Perfect·Pushup™ handgrips. The NB hand position was most effective for preferentially activating the triceps brachii and posterior deltoid muscles. Based upon EMG activation from 4 muscles, the Perfect·Pushup™ handgrips do not appear to preferentially enhance muscular recruitment when compared with the conventional push-up method.
Related Concept Videos
Motor Unit Stimulation
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
Isotonic and Isometric Muscle Contractions
Isotonic contractions
Isotonic contractions occur when a muscle changes length while the...
Muscle Stimulation Frequency
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...
Exercise and Muscle Performance
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Excitation-Contraction Coupling in Skeletal Muscles
When an action potential...
Muscle Coordination and Action
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement.

