Eccentric training may be more effective for muscle strength, but the optimal duration, intensity, and contraction velocity for improving upper limb strength remain unclear. We conducted a search across four databases (PubMed, Embase, Web of Science, and Cochrane) to evaluate the impact of eccentric training on upper limb skeletal muscle strength. A meta-analysis using standardized mean differences (SMDs) and 95% confidence intervals (CIs) was performed. The results from 11 studies involving 368 participants indicated that eccentric training significantly enhanced upper limb strength (SMD = 0.55, CI: 0.32–0.79). Subgroup analysis showed a slight increase in strength in the 1–4 week period (SMD = 0.38, CI: 0.02–0.73), a significant increase in the 4–8 week period (SMD = 0.69, CI: 0.27–1.10), and a substantial increase at 20 weeks (SMD = 0.71, CI: 0.22–1.21). Moderate intensity showed moderate improvements (SMD = 0.47, CI: 0.18–0.77), while high intensity led to significant adaptations (SMD = 0.70, CI: 0.30–1.10). Rapid eccentric contractions (SMD = 0.70, CI: 0.39–1.02) outperformed slow contractions (SMD = 0.35, CI: −0.01–0.71). Eccentric training is effective, with significant results generally requiring 4–8 weeks of high-intensity rapid eccentric training.

We sincerely appreciate your valuable feedback on our manuscript, particularly your concerns regarding the control group designs addressed in the comment by Hertig-Godeschalk et al