What is a common risk when performing an overhead press behind the neck?

Performing an overhead press behind the neck is associated with an increase in shoulder mechanical stress due to the positional challenges it places on the shoulder joint. In this position, the shoulder experiences an unusual range of motion that may put excessive strain on the rotator cuff muscles and the surrounding connective tissues. This is particularly true if the individual lacks adequate shoulder flexibility or mobility.

The shoulder complex is designed to move through various planes, but extending the arms overhead behind the neck can create a scenario where the glenohumeral (shoulder joint) and scapulothoracic (shoulder blade and rib cage) mechanics are compromised. This can lead to abnormal movement patterns and increased stress on the shoulder joint, making it susceptible to injuries such as tendinitis or impingement syndromes over time.

In contrast, the other concerns listed—shoulder stabilization, knee injury, and elbow strain—are less directly correlated with the specific mechanics and stressors associated with a behind-the-neck press. Shoulder stabilization pertains more to overall shoulder joint function rather than the mechanical stress from this particular lift. Knee injuries are not relevant to this exercise, and elbow strains are usually not as significant in relation to the shoulder stresses involved. Therefore, the correct characterization of the risk in