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Dr. Josh, PT@drjoshptInstagram

Try This EASY Posture Trick #posture #wfh #physicaltherapy

what it claims

To sit up straighter without forcing it, point your thumbs outward while keeping elbows bent — this externally rotates the arms and naturally brings the shoulders and upper back into a more upright position.

holds up

This is a modest post in what it actually promises: a momentary repositioning trick, not a claim of fixing or permanently 'correcting' posture.

noli's read

This is a modest post in what it actually promises: a momentary repositioning trick, not a claim of fixing or permanently 'correcting' posture. The mechanism is consistent with shoulder functional anatomy: external rotation of the arm mechanically drives scapular retraction, which temporarily straightens the upper back — a simple enough biomechanical move that it doesn't need a dedicated study to be plausible. The physical therapist presenting it never claims this trick makes pain go away or replaces strengthening; it's framed as a one-off body cue, which matches what the posture literature actually recommends — moving and varying position rather than chasing one fixed 'perfect' posture (Slater et al., 2019, finds no single ideal posture that protects against pain). The only gap is no nuance on how long the effect lasts (probably seconds to minutes), but the video doesn't claim lasting change either. This is one of the few posts in the batch that doesn't overreach beyond what its own mechanism can support.

the sources

  1. 1Slater D, Korakakis V, O'Sullivan P, et al. 2019

Claimed by Dr. Josh, PT. Noli grades the claim, never the person.

Decoded by Noli · August 3, 2026 · the original post

What the graded evidence says

Evidence
C

Linked to, not proven to cause.

Effect
association between a specific static posture and musculoskeletal pain — expert synthesis: no strong or consistent evidence that a single 'ideal' posture prevents pain, or that 'poor' posture reliably causes it; prolonged static loading and reassurance/movement are the more relevant factors
Measured on
general adult population; office workers

What’s uncertain

This corrects the common 'perfect posture prevents pain' belief and is based largely on expert synthesis of mixed evidence. Movement variety and strength matter more than holding any one ideal position.

Dr. Josh, PT in the Register1 claims gradedSee their record →

Noli has read similar claims

Other advice in the Register that leans on the same research.

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