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Rethinking Warm-Up in Overhead Exercise: Acute Shoulder Responses to a Strength- and Mobility-Oriented Protocol in
Andrea Pagliaro1, Alessia Boatta2,3, Anna Alioto1
1Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human, University of Palermo, 90128 Palermo, Italy.
Sports (Basel, Switzerland)
|May 26, 2026
Summary
A targeted shoulder warm-up improved shoulder range of motion in young athletes compared to a general routine. This suggests specific warm-ups may enhance readiness for overhead sports.
Area of Science:
- Sports Medicine
- Biomechanics
- Exercise Physiology
Background:
- Overhead sports place significant stress on the shoulder complex.
- Effective warm-ups are crucial for acute readiness in athletes.
- Current warm-up protocols may not be sport-specific enough for overhead athletes.
Purpose of the Study:
- To compare the immediate effects of a shoulder-specific warm-up versus a habitual routine.
- To evaluate the impact on shoulder range of motion, strength, and stability in youth overhead athletes.
Main Methods:
- A randomized controlled pilot trial involving 24 youth competitive overhead athletes (14-20 years).
- Athletes were assigned to either a shoulder-specific warm-up (EG) or a habitual warm-up group (SWG).
- Outcome measures included shoulder flexion range of motion (ROM), handgrip strength, Closed Kinetic Chain Upper Extremity Stability (CKCUES), and Rating of Perceived Exertion (RPE).
Main Results:
- A significant increase in right shoulder flexion ROM was observed in the experimental group (EG) post-warm-up (p = 0.008).
- No significant changes were found for left shoulder ROM, handgrip strength, or CKCUES performance in either group.
- Post-warm-up RPE was significantly higher in the EG compared to the SWG (p = 0.041).
Conclusions:
- A shoulder-specific warm-up may offer immediate benefits for shoulder range of motion in youth overhead athletes.
- These findings suggest potential practical value for tailored warm-up strategies.
- Larger longitudinal studies are needed to confirm broader functional relevance and long-term effects.

