{
  "abstract": "Exercise is considered requisite in the management of most musculoskeletal (MSK) pain conditions.1 It is the foremost treatment recommendation for conditions including rotator cuff-related shoulder pain, Achilles and patellar tendinopathy, MSK low back pain and osteoarthritis (OA).2 3 Driven by its intuitive logic and communicative simplicity, the hypothesis that ‘pain diminishes because strength increases’ remains a prominent explanation for the effectiveness of exercise. In this editorial, we challenge the premise that strength gains mediate pain reduction and highlight alternative mechanisms with stronger empirical support.",
  "authors": [
    {
      "affiliations": [
        "Bond University Institute of Health and Sport, Bond University, Gold Coast, Queensland, Australia",
        "Shoulder Physio Education Pty Ltd, Bundaberg, Queensland, Australia"
      ],
      "name": "Jared Powell"
    },
    {
      "affiliations": [
        "Public Health and Sports Science, University of Exeter, Exeter, UK"
      ],
      "name": "Lianne Wood"
    },
    {
      "affiliations": [
        "Prince of Wales Clinical School, University of New South Wales Faculty of Medicine, Randwick, New South Wales, Australia",
        "Neuroscience Research Australia, Randwick, New South Wales, Australia"
      ],
      "name": "Aidan Gregory Cashin"
    },
    {
      "affiliations": [
        "Central London Community Healthcare National Health Service Trust, London, UK",
        "School of Health and Social Work, University of Hertfordshire, Hatfield, UK",
        "School of Life and Health Sciences, Univeraity of Nicosia, Nicosia, Cyprus",
        "Clinical Therapies, University of Limerick, Limerick, Ireland"
      ],
      "name": "Jeremy S Lewis"
    }
  ],
  "title": "It is not all about strength: rethinking mechanistic assumptions in exercise-based rehabilitation for musculoskeletal pain relief",
  "uid": "018255e8-a257-554b-9c28-22d3dea20ede"
}