● A weekly research bulletin · est. 2026

The evidence behind what works.

We read the whole sports medicine, rehab & performance literature every week, critically appraise the papers that matter, and tell you what to do about them.

★★★★★ Built for physiotherapists, sports doctors & S&C coaches.

Endurance athletes competing
appraised · not summarised
250
papers screened / week
7
selected for the issue
0
landmark paper paired
009
current issue
01

Summaries are everywhere. Judgement is rare.

the method

Most feeds tell you what a paper said. We tell you whether it’s any good, how big the effect really is, and whether it should change what you do on Monday.

1 FIND

Every journal, every week

We harvest new and landmark research across sports medicine, rehab & performance, the whole literature, not a hand-picked handful, ranked by citation and field-weighted impact.

2 APPRAISE

Critically, not credulously

Each paper gets the same rigorous read: risk of bias, effect size vs. clinical significance, the gap it doesn’t fill, and the landmark study it builds on or contradicts.

3 REVIEW

Reviewed before it’s published

Nothing ships on autopilot. Every issue is reviewed before it’s published, the same structured appraisal, applied consistently, every week. Rigour is the product.

Clinician assessing an athlete

● signal ÷ noise

We read 200+ papers so you read 5.

The ones that matter, plus the one that’s overhyped, appraised for what they actually change in the clinic and on the field.

02

The lead

issue 009 · 21 Sep 2026

One paper, appraised. The same seven-field record every week, learn the shape once, read fast forever.

Sports medicine - open · 2026
Percentile-Based Normative Standards for Strength Assessment Beyond Linear Bodyweight Multipliers in Competitive Powerlifters
Strength & ConditioningSports & Exercise MedicineStrength & hypertrophyFemale athlete healthCohort / observational
Worth knowing
The paper
Retrospective normative database study, N=101,898 drug-tested classic competitive powerlifters aged 21-49.
Found
Relative strength (bodyweight multiplier) declined non-linearly with body mass at every percentile studied (p<0.001); the smoothed male 99th-percentile deadlift multiplier fell from 4.37x bodyweight in the 59kg class to 2.65x in the 120kg+ class, with decline steeper at the 99th percentile than the 50th, and women showing an even steeper mass-related fall in bench and squat than men.
Appraisal
The statistical significance here is close to meaningless given the sample size; what carries weight is the magnitude, and a 99th-percentile deadlift multiplier drop from 4.37x to 2.65x across the weight spectrum is a genuinely large, practically relevant gradient that undercuts flat bodyweight-multiplier benchmarks. It is purely descriptive of what competitive powerlifters achieve, not a causal or interventional claim, so it should be read as a reference tool rather than evidence that changes treatment or training decisions on its own.
The gap
It's not clear how much the 'Best-Ever' peak-selection filter inflates the upper percentiles versus a single competition-day performance, whether norms from athletes who chose to compete (and stayed in the sport long enough to log a best) generalise to non-competitive strength athletes or clinical return-to-sport testing, and the sample is capped at 21-49 years old, so it says nothing about youth or masters lifters.
Landmark
This extends the same rationale behind long-standing formula-based normalisation systems such as the Wilks coefficient and IPF GL points, which were built precisely because relative strength does not scale linearly with body mass; this paper re-quantifies that relationship empirically with quantile regression on a much larger, modern dataset.
On Monday
S&C coaches benchmarking competitive or serious raw powerlifters can replace flat bodyweight-multiplier targets with this paper's absolute-load, percentile-and-weight-class-specific tables, particularly for heavier lifters generally and for women's bench press and squat specifically, where flat multiplier thresholds are least realistic. Because the norms are built from each athlete's lifetime-best single performance, treat them as a benchmarking and goal-setting reference, not as a single-session pass/fail cutoff for return-to-sport strength testing, and don't apply them outside competitive raw powerlifting.
Verdict
60 / 100
CONF MODERATE
03

The five

the rest of what mattered
01
Adding strength training helped teen female players get stronger, pass better and score higher on a Stroop test, but their BDNF and IGF-1 levels didn't move, so skip the 'rewires the brain' pitch.Sports medicine - open · 2026
Strength & ConditioningSports & Exercise MedicineFemale athlete healthYouth & adolescent
Worth knowing
02
Combined PAO plus arthroscopy gave 89% return-to-sport in this uncontrolled case series, in line with prior single-procedure data, not proof it's better.Orthopaedic journal of sports medicine · 2026
Worth knowing
03
FIFA 11+ still edges out other hamstring prevention programs in this analysis, but the ranking is low-certainty and no trial has tested it head-to-head against Nordic exercise.Sports medicine - open · 2026
Sports & Exercise MedicineAthletic Training / Sports TherapyStrength & ConditioningThigh & Hamstring
Watch this space
04
We barely know why athletes eat ultra-processed foods, this review maps the gap rather than filling it.Sports medicine - open · 2026
Sports & Exercise MedicineStrength & Conditioning
Watch this space
05
An untested opinion piece argues match-based load targets are too noisy to trust, but offers no data proving its proposed fix works.Sports medicine - open · 2026
Strength & ConditioningLoad managementAthletic Training / Sports Therapy
Watch this space

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OVERHYPED · Sports medicine - open · 2026
The Effects of Exergames on Fundamental Movement Skills in Childhood: A Systematic Review and Meta-analysis
Strength & ConditioningYouth & adolescentSystematic review / meta-analysis
Overhyped
Why it matters
This sits within a growing but methodologically inconsistent literature on active/exergaming interventions and children's motor skill development; the authors themselves note this inconsistency is the paper's starting problem, but their proposed 'systematic hypothesis testing' approach is a departure from standard PRISMA/GRADE meta-analytic conventions used in that literature rather than an extension of a specific landmark trial.
On Monday
Nothing changes for individual programming decisions on the strength of this paper alone. Physios and S&C coaches should keep treating exergames as one option among several for engaging kids in movement, chosen on practicality and enjoyment, not as an evidence-backed equivalent to coached activity, and shouldn't cite this review as proof that modality doesn't matter until a proper pooled analysis with all comparisons, not just the significant ones, is published.
03

More than a bulletin. Your CPD, done.

for members

Reading is only half of CPD. Dose-Response turns every appraisal into a reflection, maps it to your regulator’s standards, and builds an audit-ready portfolio, automatically.

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04

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04

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05

Standards

reviewed before publishing
“Statistically significant isn’t the same as significant. Our whole job is telling you the difference, and whether it changes anything.”

— The Dose-Response editorial team

Appraisal, not summary
Risk of bias, effect size, generalisability, the judgement layer everyone else skips.
Latest + Landmark
Every new paper placed against the foundational study it builds on or overturns.
Reviewed before it ships
The week’s research is read and appraised at scale, then every issue is reviewed before it’s published. Nothing goes out on autopilot.
Clinician treating a patient