Encontré una solución funcional para el problema anterior y la publico aquí, en caso de que alguien más experimente un problema similar.
La solución es usar una subselección, en lugar de una declaración de caso. Aquí está la desviación de código anterior, corregida. (No sé si esta es la mejor solución o la más eficiente, pero me ha solucionado el problema, por el momento, y parece devolver resultados de búsqueda razonablemente rápido).
SELECT
exercises.ID AS ID,
exercises.title AS title,
(
(
SELECT COUNT(1)
FROM searchtags
LEFT JOIN exerciseSearchtags
ON exerciseSearchtags.searchtagID = searchtags.ID
WHERE searchtags.title LIKE CONCAT('%',?,'%')
AND exerciseSearchtags.exerciseID = exercises.ID
)+
(
SELECT COUNT(1)
FROM searchtags
LEFT JOIN exerciseSearchtags
ON exerciseSearchtags.searchtagID = searchtags.ID
WHERE searchtags.title LIKE CONCAT('%',?,'%')
AND exerciseSearchtags.exerciseID = exercises.ID
)+
...etc...
(
SELECT COUNT(1)
FROM searchtags
LEFT JOIN exerciseSearchtags
ON exerciseSearchtags.searchtagID = searchtags.ID
WHERE searchtags.title LIKE CONCAT('%',?,'%')
AND exerciseSearchtags.exerciseID = exercises.ID
)
) AS relevance
FROM
exercises
LEFT JOIN exerciseSearchtags
ON exerciseSearchtags.exerciseID = exercises.ID
LEFT JOIN searchtags
ON searchtags.ID = exerciseSearchtags.searchtagID
WHERE
searchtags.title LIKE CONCAT('%',?,'%') OR
searchtags.title LIKE CONCAT('%',?,'%') OR
...etc...
searchtags.title LIKE CONCAT('%',?,'%')
GROUP BY
exercises.ID
ORDER BY
relevance DESC