Even exercise has lots of context effects based on someone's and your own expectations of what will happen
This doesn't mean nothing works btw. We just have to be honest about how things work and realize how our narratives impact people long term
#physio #physicaltherapy #backpain

It leads to a spiraling effect for that person
When people get better from it's also likely even if they're really strong you just introduced novel exercise for them or they just experienced an increase in fitness level just from doing anything at all

When actually it wasn't the intervention maybe that helped
Further this is mechanistic thinking that when perpetuates ideas of human frailty and being weak causes pain. So then what happens if they're stronger and still in pain?

Then likely you see those things improve with natural history in a lot of cases leading to the perpetuation that the person needed that type of exercise

But my job is literally to understand how research is done, if it’s good or bad, how to vet sources, and what the information means.

A series of small increments in physical activity, each followed by a period of adaptation, is associated with lower rates of musculoskeletal injuries than is an abrupt increase to the same final level."