Research

Adherence

Exercise selection must prioritize safety and comfort over maximal muscle activation to ensure long-term adherence and prevent injury, even if it means sacrificing some hypertrophic potential.

If an exercise causes joint pain or feels uncomfortable, stop doing it. Substitute it with a variation that targets the same muscle but feels safer (e.g., Smith machine squat instead of free bar, or lateral raise in the scapular plane). Comfort and safety are key to sticking with your program long enough to see results.

ModerateQualifiesMEDIUM confidence
Decision-making should also consider any potential injury risk of a given exercise, as well as the comfort of movement execution, as these factors play a role in both safety and exercise program adherence... Lifting comfort will facilitate enjoyment and foster adherence to the program.
Ewertton de Souza Bezerra et al. · Brazilian Journal of Kinanthropometry and Human Performance · 2021

Why this rating

The paper is a review/guideline proposing a method (ESCAM). It cites biomechanical studies on injury risk (e.g., shoulder impingement) but relies on expert consensus for the adherence link.

Source

Resistance training exercise selection: efficiency, safety and comfort analysis method

Ewertton de Souza Bezerra et al. · Brazilian Journal of Kinanthropometry and Human Performance · 2021

DOI 10.1590/1980-0037.2021v23e82849

narrative_review
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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