• B FAROOQ Department of Biochemistry, Nishtar Medical University & Hospital (NMU & H) Multan, Pakistan
  • AR HAMMAD Department of Physiology, Abwa Medical College Faisalabad, Pakistan
  • ZH QURESHI Department of Physiology, Multan Medical, and Dental College (MMDC) Multan, Pakistan
  • B SHAHEEN Department of Biochemistry, Abwa Medical College Faisalabad, Pakistan



Resistance training, bodybuilding, shoulder injuries, Magnetic resonance imaging


The prospective study was conducted in Nishtar Medical Hospital Multan, MMDC Multan & FMU Faisalabad from January 2022 to July 2022 to assess the effect of persistent resistance training of the shoulder on undetected pathologies. A total of 10 subjects were included in the study. The participants underwent clinical and radiographic examinations. The clinical assessment also included UCLA, SST, and CMS tests. An experienced radiologist reviewed the MRI images. Analysis showed that the average duration of bodybuilding was 10.6 years. Of the 20 shoulders, 17 (85%) had no pain or limitation, and 3(15%) had mild pain because of recent heavy loading and exercise. All participants had maximum SST scores and UCLA Activity Test for both shoulders. Regarding radiological outcomes, MRI results reported 34 abnormalities. The results show that bodybuilding increase pathologies of AC joint in athletes, though other shoulder complex structures are unaffected.


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Barreto, R. P. G., Braman, J. P., Ludewig, P. M., Ribeiro, L. P., and Camargo, P. R. (2019). Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain. Journal of shoulder and elbow surgery 28, 1699-1706.

Beletsky, A., Okoroha, K. R., Cabarcas, B., Garcia, G. H., Gowd, A. K., Meyer, J., Vadhera, A. S., Singh, H., Gursoy, S., and White, G. M. (2022). Magnetic Resonance Imaging Findings of the Asymptomatic Shoulder May Impact Performance, Not Future Injury List Placement in Major League Baseball Pitchers. Arthroscopy, Sports Medicine, and Rehabilitation 4, e487-e493.

Bonilla, D. A., Cardozo, L. A., Vélez-Gutiérrez, J. M., Arévalo-Rodríguez, A., Vargas-Molina, S., Stout, J. R., Kreider, R. B., and Petro, J. L. (2022). Exercise selection and common injuries in fitness centers: a systematic integrative review and practical recommendations. International journal of environmental research and public health 19, 12710.

Fagotti, L., Ejnisman, L., Almeida-Santos, M. A., Gurgel, H. M. C., Miyahara, H. d. S., and Pedrinelli, A. (2021). Epidemiology of hip pain in Brazilian bodybuilders. Acta Ortopédica Brasileira 29, 124-126.

Hadjisavvas, S., Efstathiou, M. A., Malliou, V., Giannaki, C. D., and Stefanakis, M. (2022). Risk factors for shoulder injuries in handball: systematic review. BMC sports science, medicine and rehabilitation 14, 1-21.

Handoll, H. H., Elliott, J., Thillemann, T. M., Aluko, P., and Brorson, S. (2022). Interventions for treating proximal humeral fractures in adults. Cochrane Database of Systematic Reviews.

Keogh, J. W., and Winwood, P. W. (2017). The epidemiology of injuries across the weight-training sports. Sports medicine 47, 479-501.

Kolber, M. J., Hanney, W. J., Cheatham, S. W., Salamh, P. A., Masaracchio, M., and Liu, X. (2017). Shoulder joint and muscle characteristics among weight-training participants with and without impingement syndrome. Journal of Strength and Conditioning Research 31, 1024-1032.

Naunton, J., Street, G., Littlewood, C., Haines, T., and Malliaras, P. (2020). Effectiveness of progressive and resisted and non-progressive or non-resisted exercise in rotator cuff related shoulder pain: a systematic review and meta-analysis of randomized controlled trials. Clinical Rehabilitation 34, 1198-1216.

Pearson, J., Spathis, J. G., van den Hoek, D. J., Owen, P. J., Weakley, J., and Latella, C. (2020). Effect of competition frequency on strength performance of powerlifting athletes. The Journal of Strength & Conditioning Research 34, 1213-1219.

Pirruccio, K., and Kelly, J. D. (2019). Weightlifting shoulder injuries presenting to US emergency departments: 2000–2030. International journal of sports medicine 40, 528-534.

Ritsch, M. (2020). Verletzungen und Überlastungsschäden im Kraftsport. Sports Orthopaedics and Traumatology 36, 260-270.

Tashjian, R. Z., Shin, J., Broschinsky, K., Yeh, C.-C., Martin, B., Chalmers, P. N., Greis, P. E., Burks, R. T., and Zhang, Y. (2020). Minimal clinically important differences in the American Shoulder and Elbow Surgeons, Simple Shoulder Test, and visual analog scale pain scores after arthroscopic rotator cuff repair. Journal of shoulder and elbow surgery 29, 1406-1411.

Wilson, K. W., Popchak, A., Li, R. T., Kane, G., and Lin, A. (2020). Return to sport testing at 6 months after arthroscopic shoulder stabilization reveals residual strength and functional deficits. Journal of shoulder and elbow surgery 29, S107-S114.

Yamak, B., YILDIZ, M., Berent, M., Cebi, M., and ELİÖZ, M. (2021). The effect of wrist grip angle on traumatic symptoms in body builders. ABOUT THIS SPECIAL ISSUE, 116.




How to Cite

FAROOQ, B., HAMMAD, A., QURESHI, Z., & SHAHEEN, B. (2023). ASSESSING THE IMPACT OF STRENGTH TRAINING ON SHOULDER PATHOLOGY IN ATHLETES. Biological and Clinical Sciences Research Journal, 2023(1), 217.