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Shoulder Rotations: Everything You Need to Know About This Exercise

By
Bojana Galic
Updated on August 12, 2025
by
Kara Andrew, RDN, LDN
ON THIS PAGE
  • Internal Versus External Rotations
  • Tips
  • Benefits
ON THIS PAGE
  • Internal Versus External Rotations
  • Tips
  • Benefits
an older woman doing shoulder rotations with an exercise band
Getty Images

Your typical shoulder workout may be full of overhead presses and lateral raises.

But banded internal and external shoulder rotations are one underrated exercise duo you don't want to leave out of your training routine.

Shoulder Rotations: The Difference Between Internal and External Rotations

Shoulder rotations are exercises that involve closing and opening your shoulder towards and away from your body. Internal shoulder rotation exercises involve turning your shoulder toward your body, according to Carolina Araújo, a certified personal trainer and strength coach based in New York City. External rotation of the shoulder turns the joint away from your body.

Internal shoulder rotations strengthen your front deltoids, latissimus dorsi, pectoralis major, teres major in your back, and subscapularis, one of the four rotator cuff muscles, according to Araújo.

External shoulder rotations strengthen your rear delts as well as infraspinatus and teres minor, two other rotator cuff muscles that stabilize your shoulder blades.

They are a common rehab exercise for shoulder injuries.

 But anyone who has had previous shoulder injuries (or feels pain or pinching) should talk to a qualified physical therapist before trying new exercises.
Here’s how to do them.

How to Do an Internal Shoulder Rotation

Next up video playing in 10 seconds

Internal Shoulder Rotation

  1. Attach a resistance band to a sturdy object at torso height. Stand so that it's on your left.
  2. Grasp the free end of the band with your left hand and take several steps away from the anchor point until the band is taught.
  3. Stand tall with your left elbow bent to 90 degrees and pressed against your side with a small rolled towel between your elbow and body. (The added padding of the towel can help reduce stress on your joints, which is especially helpful for those recovering from an injury.)
  4. Starting with your forearm out to your side, pull the band toward the center of your body while keeping your elbow tight to your side.
  5. Pause, then slowly return to the band to your side.
  6. Do all reps, then switch sides.

How to Do an External Shoulder Rotation

Next up video playing in 10 seconds

External Shoulder Rotation

  1. Attach a resistance band to a sturdy object at torso height. Stand so that it's on your right.
  2. Grasp the free end of the band with your left hand and take several steps away from the anchor point until the band is taught. The band should cross in front of your body.
  3. Stand tall with your left elbow bent to 90 degrees and pressed against your side with a rolled towel between your elbow and body.
  4. Starting with your forearm diagonally across your body, pull the band away from the anchor to your side while keeping your elbow tight to your side.
  5. Pause, then slowly return to the band in front of you.
  6. Do all reps, then switch sides.
Shoulder Rotation

4 Shoulder Rotation Exercise Tips

When giving these a try, here are a few things to keep in mind.

1. Keep Your Elbows Still

When your elbow moves away from your side, you start to lose out on some of the intended exercise benefits.

Placing and holding the rolled up towel between the elbow of your working side and ribs will help you keep that elbow tucked.

 Focus on keeping it in place throughout the entire exercise.

As you work to not let the towel fall, you'll automatically improve your form.

2. Use Light Resistance

Because these exercises focus on so many small stabilizing muscles of the shoulder, don't expect yourself to move a lot of (banded) weight, says Jereme Schumacher, DPT, a California-based physical therapist.

If you struggle to do 8 or 10 repetitions with good form, use a lighter resistance or stand closer to the band's anchor point. These are exercises you shouldn't usually load any heavier than your 8 or 10 repetition max.

3. Move With Control

Keep the motion as precise as possible, Schumacher recommends. Don't let the band boss you around, and resist the urge to swing your arm or use momentum.

If you have trouble keeping a slow, steady pace, try counting: 2 seconds moving, a 1-second pause, then 2 seconds back to start.

4. Brace Your Core

Keep your abs tight with your hips and shoulders squared to the front of the room. Avoid twistingas you pull the resistance band, and keep your lower back from arching.

4 Shoulder Rotation Exercise Benefits

Shoulder rotation exercises can help people recovering from shoulder injuries. But they’re good strengthening exercises for anyone to add to their fitness routine. Here’s why.

1. They Help Reduce the Risk of Shoulder Injury

Although they're surrounded by small stabilizing muscles, your shoulders are actually the least stable joints in your body.

 And when their muscles don't get enough attention, your joints become even more susceptible to injury.

That's why Schumacher recommends building internal and external rotations into your warm-up routine. Waking up your small stabilizers before upper-body workouts can help you keep your shoulders stable and safe through the rest of your workout, he says.

2. They Improve Workout Performance

Warm shoulders aren't just safer, they're stronger. These exercises improve your upper-back and shoulder alignment, which can help you move more weight in other exercises and safely do other types of activity.

3. They Build Shoulder Strength and Muscle

Internal and external rotations of the shoulder make great warm-up exercises, but the moves can also stand on their own in a strength workout.

 You can do the external shoulder rotation with a dumbbell to get more precise with how much resistance you're using and track your progress.

To build the most strength and muscle, focus on taking each set to fatigue. At the end of your set, you should feel like that was the last rep you could do with great form.

4. You Can Tailor Them to All Strength Levels

To make this resistance-band shoulder exercise more or less challenging, all you have to do is stand farther from or closer to the band's anchor point.

Or, if you have a set of multiple bands, you can simply pick one with greater or lighter resistance.

The Takeaway

  • Both internal and external shoulder rotations help balance out the rotator cuff muscles for shoulder stability.
  • The exercises can help people recovering from shoulder injuries, and they can be good strength exercises for healthy people, too. Check with your doctor if you have had a previous injury in the area before trying them.
  • When you do the exercise, keep your movements slow and controlled. Paying close attention to having correct form will help you get the most out of the exercise.
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Kara-Andrew-bio

Kara Andrew, RDN, LDN

Medical Reviewer
Member of American College of Lifestyle Medicine

Kara Andrew, RDN, LDN, is the director of health promotion for Memorial Hospital in Carthage, Illinois. She is also licensed as an exercise physiologist and certified in lifestyle ...

See full bio

Bojana Galic

Author

Bojana Galic is a NASM-certified personal trainer and a staff writer for everydayhealth.com covering fitness, sports nutrition and health. She is a 2018 graduate of the Arthur L. C...

See full bio
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EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Rotator Cuff and Shoulder Conditioning Program. OrthoInfo. June 2022.
  2. Rotator Cuff Internal Rotation. American Council on Exercise.
  3. Rotator Cuff External Rotation. American Council on Exercise.
  4. Exercises for Shoulder Impingement, from a PT. Hospital for Special Surgery. April 4, 2023.
  5. Shoulder Impingement/Rotator Cuff Tendinitis. OrthoInfo.
  6. Matsumura A et al. Effect of 8-Week Shoulder External Rotation Exercise With Low Intensity and Slow Movement on Infraspinatus. Physical Therapy Research. April 22, 2023.
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