{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:37:39Z","timestamp":1792841859798,"version":"4.5.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100010418","name":"Institute for Information and Communications Technology Promotion","doi-asserted-by":"publisher","award":["2022000218"],"award-info":[{"award-number":["2022000218"]}],"id":[{"id":"10.13039\/501100010418","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adherence to exercise remains a challenge in rotator cuff-related shoulder pain (RCRSP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study compared an individualized exercise sequence with a content-matched random sequence on pain, disability, and adherence in adults with chronic RCRSP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a single-center randomized controlled trial, 55 participants with chronic RCRSP were assigned to an individualized, algorithm-based sequencing protocol or to a random sequence of the same 13 home-based exercises (24 sessions over four weeks). The primary outcome was the Shoulder Pain and Disability Index (SPADI) total score at eight weeks. Secondary outcomes included pain intensity, the Korean version of the Disabilities of the Arm, Shoulder and Hand questionnaire (K-DASH), and range of motion. Adherence, defined as completed cycles, was a key measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty-eight participants (87.3%) completed the eight-week follow-up. Group baseline characteristics were similar. Intervention fidelity was confirmed, with distinct sequencing patterns between groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Adherence was higher in the individualized group (media4.0 cycles) than in the random sequencing group (median 1.0 cycle;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). This difference corresponded to greater improvement in the primary outcome and all secondary outcomes across follow-ups (all post hoc\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Linear mixed-effects models also showed a steeper rate of functional improvement (K-DASH and range of motion) in the individualized group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Individualized sequencing was associated with superior adherence and improved outcomes. Interpretation requires caution: the large treatment effect was likely mediated by adherence, and the low compliance in the random sequencing group may not reflect usual practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261445293","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:04:07Z","timestamp":1777896247000},"page":"2051-2063","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing adherence and outcomes in rotator cuff-related shoulder pain: A randomized trial of individualized exercise sequencing"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9210-8224","authenticated-orcid":false,"given":"Beom Chang","family":"Baek","sequence":"first","affiliation":[{"name":"Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9650-2755","authenticated-orcid":false,"given":"Nackhwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Medical Science, College of Medicine, Korea University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05973-8"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2025.13182"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2022.11306"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2016.03.009"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1879"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2025.1560597"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1357763"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-039976"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2024.12453"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00846-1"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2019.07.002"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-020-04704-5"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2756"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2806"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-036881"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2024.03.074"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/10833196.2021.1935106"},{"key":"e_1_3_5_19_2","article-title":"Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults","volume":"2010","author":"Jordan JL","year":"2010","unstructured":"Jordan JL, Holden MA, Mason EE, et al. 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