{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:18:11Z","timestamp":1793053091700,"version":"4.5.0"},"reference-count":43,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"7","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>OBJECTIVE: To compare the effect of combining proprioceptive exercises with strengthening exercises versus strengthening exercises alone, on shoulder pain and disability in individuals with chronic rotator cuff-related shoulder pain (RCRSP).<\/jats:p>\n                  <jats:p>DESIGN: Parallel group randomized controlled trial.<\/jats:p>\n                  <jats:p>METHODS: Seventy individuals with chronic RCRSP were randomly assigned to either the control group (n = 35; muscle strengthening exercises) or the experimental group (n = 35; muscle strengthening combined with proprioceptive exercises) for a 2-month program of supervised and home-based exercises. The primary outcome, the Shoulder Pain and Disability Index (SPADI), was assessed at baseline, 2 months, and 5 months, while the secondary outcomes (pain intensity, proprioception, isokinetic muscle strength, catastrophizing, kinesiophobia, and self-efficacy), were evaluated at baseline and 2 months. A linear mixed model was used for statistical analysis.<\/jats:p>\n                  <jats:p>RESULTS: There was no significant group-by-time interaction for the SPADI ( P = .25). Significant time effects, but no between-group differences, were found for improvements in pain intensity, kinesiophobia, catastrophizing, self-efficacy, kinesthesia, and joint position sense, while a decline in lateral rotator peak torque was noted.<\/jats:p>\n                  <jats:p>CONCLUSION: Combining proprioceptive with shoulder strengthening exercises did not lead to additional improvements across all outcomes in individuals with chronic RCRSP. The lack of a nonintervention group limits the ability to determine whether the improvements in both groups were due to the exercise programs or to natural recovery. J Orthop Sports Phys Ther 2025;55(7):495-511. Epub 16 June 2025. doi:10.2519\/jospt.2025.13097<\/jats:p>","DOI":"10.2519\/jospt.2025.13097","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T03:26:09Z","timestamp":1750044369000},"page":"495-511","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Proprioceptive Exercises Combined With Strengthening Exercises Are Not Superior to Strengthening Exercises Alone for Shoulder Pain and Disability in Individuals With Chronic Rotator Cuff-Related Shoulder Pain: A Randomized Controlled Trial"],"prefix":"10.2519","volume":"55","author":[{"given":"Ana Luiza Bernardino","family":"Buccioli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamaria Siriani","family":"de Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Carolina Carmona","family":"Vendramim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna Dutra","family":"Scaglione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-S\u00e9bastien","family":"Roy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise Martineli","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1394","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2015.03.013"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2019-0400"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2019.06.002"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2014.01075"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20630"},{"issue":"1","key":"bib6","first-page":"33","volume":"1","author":"Bonaf\u00e9 FSS","year":"2018","journal-title":"Braz J Pain."},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2021.01.010"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/j.annrmp.2004.07.002"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181849dbe"},{"key":"bib10","volume-title":"Sensorimotor Rehabilitation: At the Crossroads of Basic and Clinical Sciences","author":"Dancause N","year":"2019"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31816c8329"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000327"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11030529"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310031801"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2024.01.003"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-039976"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2007.09.005"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.3233\/IES-2009-0329"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.20.3.367"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200939080-00004"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2014.08.006"},{"key":"bib22","first-page":"260","volume":"28","author":"Gallasch CH","year":"2007","journal-title":"Rev Gaucha Enferm."},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12055"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2019.11.003"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.0602"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2022.2114552"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-024-07973-6"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2022.11306"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552010000600012"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552012005000057"},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.05.015"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2018.09.009"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.8498"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2021.10199"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181915670"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-49.3.84"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1177\/0269215520930790"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.02.007"},{"key":"bib39","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c332"},{"key":"bib40","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2012.01492.x"},{"key":"bib41","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097383"},{"key":"bib42","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1469"},{"key":"bib43","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2017.10.001"}],"container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2025.13097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T03:02:27Z","timestamp":1751338947000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2025.13097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":43,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.2519\/jospt.2025.13097"],"URL":"https:\/\/doi.org\/10.2519\/jospt.2025.13097","relation":{},"ISSN":["0190-6011","1938-1344"],"issn-type":[{"value":"0190-6011","type":"print"},{"value":"1938-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-07-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}