# Asymmetry of muscle co-activation during the two-armed kettlebell swing: insights into neuromuscular stability

**Authors:** Khaled Abuwarda, Abdulazeem Alotaibi, Abdel-Rahman Akl

PMC · DOI: 10.3389/fbioe.2025.1655248 · Frontiers in Bioengineering and Biotechnology · 2025-12-18

## TL;DR

This study examines muscle activation patterns and asymmetry during kettlebell swings, finding phase-dependent activation and minimal asymmetry during demanding phases.

## Contribution

The study provides new insights into neuromuscular stability and asymmetry during kettlebell swings through detailed EMG analysis of multiple muscle groups.

## Key findings

- Shoulder co-activation increased significantly during float, drop, and deceleration phases.
- Co-activation between erector spinae and abdominal muscles was highest during float and drop phases.
- Asymmetry in muscle co-activation was observed mainly during the float phase but remained low during more demanding phases.

## Abstract

Bilateral asymmetry reflects strength or functional differences between dominant and non-dominant limbs, which can influence performance. Investigating asymmetry and muscle co-activation during the two-armed kettlebell swing may clarify its role in performance enhancement and injury risk. This study specifically examined co-activation and asymmetry in shoulder and trunk muscles during the exercise.

Twenty-four participants (age: 23.9 ± 2.5 years; body mass: 82.8 ± 8.0 kg; height: 177.8 ± 6.5 cm) were included in the study. Surface electromyography signals were recorded using a wireless EMG system and data were collected bilaterally from twelve muscles (six muscles per side: anterior deltoid, posterior deltoid, erector spinae longissimus, erector spinae iliocostalis, external oblique, and rectus abdominis). Each participant completed two trials of the two-armed kettlebell swing, with at least five repetitions.

The results showed that the shoulder co-activation index significantly increased on both sides during the float, drop, and deceleration phases (Right side: F = 35.12; p < 0.001; Left side: F = 69.80; p < 0.001). Additionally, co-activation between the erector spinae and rectus abdominis, as well as between the erector spinae and external oblique muscles, was highest during the float and drop phases (Right side: F = 165.1; p < 0.001; Left side: F = 100.08; p < 0.001). The findings revealed some asymmetry in muscle co-activation, particularly during the float phase (22.39%). However, overall asymmetrical levels remained low during the more mechanically demanding phases (propulsion, drop, and deceleration).

The study shows clear phase-dependent muscle activation patterns, with anterior deltoid and spinal extensors leading during propulsion, and greater posterior engagement and co-activation stabilizing the float, drop, and deceleration phases. A small asymmetry appeared mainly in the float phase, while the overall asymmetry index stayed low during the more demanding phases.

## Full-text entities

- **Diseases:** injury (MESH:D014947)
- **Chemicals:** kettlebell (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12756136/full.md

## References

43 references — full list in the complete paper: https://tomesphere.com/paper/PMC12756136/full.md

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Source: https://tomesphere.com/paper/PMC12756136