Mixed
When resistance profiles, elbow range of motion, and effort are matched, altering shoulder extension angle (neutral vs. maximally extended) does not produce meaningful differences in elbow flexor hypertrophy in untrained men.
For most recreational lifters, whether you perform bicep curls with your arms by your side (neutral) or slightly behind your torso (extended shoulder) makes no meaningful difference to muscle growth, provided you train to failure and manage the weight similarly. Choose the variation that feels best for your shoulders and allows you to lift consistently. Don't overcomplicate your exercise selection based on shoulder angle alone.
These findings suggest that when resistance profiles, elbow ROM, and effort are matched, altering shoulder extension angle in isolation does not appear to produce meaningful differences in elbow flexor hypertrophy in untrained men over 10 weeks.
Why this rating
Randomized within-participant design, matched resistance profiles, supervised training, and Bayesian analysis with moderate evidence for the null hypothesis.
Source
The effects of shoulder extension angle on elbow flexor hypertrophy in the cable curl exercise
Stian Larsen et al. · Frontiers in Physiology · 2026
DOI 10.3389/fphys.2026.1750722
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