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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
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Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
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Related Experiment Video

Updated: Feb 17, 2026

Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
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ANALYSIS OF SHOULDER ROTATOR TRAINING BY ARM WRESTLERS.

Luiz Leopoldo Silva Gonzaga1, Mauro Alexandre Pascoa2,3, Paulo Roberto Moreira4

  • 1Universidade de Campinas (UNICAMP), Faculdade de Ciencias Medicas, Departmento de Ortopedia, Reumatologia e Traumatologia, Campinas, Sao Paulo, SP, Brazil.

Acta Ortopedica Brasileira
|February 16, 2026
PubMed
Summary

Armwrestling training leads to muscular imbalance in elite athletes, with internal shoulder rotators gaining more strength than external rotators. This study analyzed agonist/antagonist ratios in shoulder rotation for professional armwrestlers.

Keywords:
Muscle Strength DynamometerPhysical Functional PerformanceResistance TrainingShoulderSports Medicine

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Area of Science:

  • Sports Science
  • Biomechanics
  • Human Physiology

Background:

  • Armwrestling is a globally recognized sport involving intense upper limb exertion.
  • The sport heavily relies on shoulder rotators, elbow flexors/extensors, and wrist strength.
  • Understanding muscle balance is crucial for injury prevention and performance optimization in athletes.

Purpose of the Study:

  • To assess the agonist/antagonist muscle force balance in shoulder rotation among armwrestlers.
  • To compare the strength and power ratios of internal to external shoulder rotators against established normative values.
  • To identify potential muscular imbalances resulting from specialized armwrestling training.

Main Methods:

  • Seventeen international-level armwrestling athletes participated in the study.
  • A Biodex isokinetic dynamometer was utilized to measure peak torque for shoulder rotation strength and power.
  • Agonist (internal) and antagonist (external) rotator muscle groups were evaluated.

Main Results:

  • Significant differences were observed in the agonist/antagonist ratio for both power (57% vs. 66% normative) and strength (58% vs. 64% normative) tests.
  • P-values indicated statistical significance (P=0.001 for power, P=0.064 for strength).
  • The findings suggest a muscular imbalance in shoulder rotators within this cohort of athletes.

Conclusions:

  • Armwrestling training significantly enhances the strength of internal shoulder rotators compared to their antagonists.
  • The study highlights a muscular imbalance in shoulder rotation among elite armwrestlers.
  • Results indicate a need for training program adjustments to address imbalances and potentially reduce injury risk.