Reference
Exercise Selection for Regional Growth: Lengthened Positions and Targeted Choices
Overview
A muscle does not grow evenly, and muscles that cross two joints can be trained at very different lengths depending on body position. This lecture covers controlled trials showing that exercise choice and body position change how much, and where, a muscle grows.
Triceps: overhead vs arms-down extensions
The triceps long head crosses the shoulder, so it is more stretched with the arm overhead. Twenty-one adults trained one arm with overhead cable extensions and the other with the arm at the side, for 12 weeks.[1]
- Long head: +28.5% overhead vs +19.6% neutral.
- Lateral and medial heads: +14.6% vs +10.5%.
- Whole triceps: +19.9% vs +13.9%, despite lighter absolute loads in the overhead position.
- Authors' recommendation: do cable extensions overhead rather than with the arm at the side.
Glutes: hip thrust vs back squat
Untrained participants trained either hip thrusts or back squats for 9 weeks, with sets equated.[2]
- Glutes: similar growth, with estimates modestly favoring the hip thrust.
- Squat-only gains: the squat group grew the quadriceps and adductors more.
- Strength: each group gained more on its own lift, and both transferred similarly to the deadlift.

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Source attribution
- [1]Maeo S, Wu Y, Huang M, et al. Triceps brachii hypertrophy is substantially greater after elbow extension training performed in the overhead versus neutral arm position. European Journal of Sport Science. 2022;23(7):1240. https://doi.org/10.1080/17461391.2022.2100279
- [2]Plotkin DL, Rodas MA, Vigotsky AD, et al. Hip thrust and back squat training elicit similar gluteus muscle hypertrophy and transfer similarly to the deadlift. Frontiers in Physiology. 2023;14:1279170. https://doi.org/10.3389/fphys.2023.1279170 (free full text: https://pmc.ncbi.nlm.nih.gov/articles/PMC10593473/)
- [3]Every DWV, Coleman M, Rosa A, et al. Loaded inter-set stretch may selectively enhance muscular adaptations of the plantar flexors. PLoS ONE. 2022;17(9):e0273451. https://doi.org/10.1371/journal.pone.0273451 (free full text: https://pmc.ncbi.nlm.nih.gov/articles/PMC9436038/)