
#52 It’s Not All About Strength: What the Evidence Shows and What the Reaction Reveals
The Shoulder Physio PodcastShow Notes
In this episode, I discuss our recently published BJSM editorial “It’s Not All About Strength” ; what the paper argues, why we wrote it, and what the evidence says about mechanisms of exercise-related pain relief in musculoskeletal conditions.
I then turn to the reaction. Not to name names or settle scores, but to examine what the response reveals about how we handle criticism, uncertainty, and challenges to familiar explanations in rehabilitation science.
This episode is about evidence, mechanisms, cognitive comfort, and why letting our theories (ideas) be criticised is essential for progress.
Register for The Complete Clinician here
Key paper:
It is not all about strength: rethinking mechanistic assumptions in exercise-based rehabilitation for musculoskeletal pain relief
Connect with Jared and guests:
Jared on Instagram: @shoulder_physio
Jared on X: @jaredpowell12
See our Disclaimer here: The Shoulder Physio - Disclaimer
More from The Shoulder Physio Podcast
Jared is joined by Professor Chad Cook who is one of the great researchers and academics in the field of physical therapy.
Jared is joined by Professor Jeremy Lewis who really needs no introduction but we will give him one just for fun.
The supraspinatus is one of the most misunderstood muscles in the human body. This episode aims to correct that.
A peanut isn't dangerous until it meets someone who can't tolerate it. Same with the upright row exercise. This episode scrutinises the "worst exercise for your shoulder" claim by tracing it back to a theory that's already dead, then shows what determines outcome: the person lifting. Shock. Horror.
Jared is joined by Tim Cook who is Senior Lecturer in Physiotherapy at the University of Chichester, Advanced Physiotherapy Practitioner in the NHS, and doctoral researcher to discuss their new paper with Prof. Jeremy Lewis in the Journal of Manual & Manipulative Therapy: "Rethinking strength testing in rotator cuff-related shoulder pain: a clinical tradition that lacks muscle."