{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:40:26Z","timestamp":1785476426264,"version":"3.56.0"},"reference-count":71,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"2","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>OBJECTIVE: To estimate the effects of rehabilitation interventions on strength in people with rotator cuff\u2013related shoulder pain (RCRSP).<\/jats:p>\n                  <jats:p>DESIGN: Intervention systematic review with meta-analysis.<\/jats:p>\n                  <jats:p>LITERATURE SEARCH: Seven databases were searched from inception to April 2024.<\/jats:p>\n                  <jats:p>STUDY SELECTION CRITERIA: Clinical trials or cohort studies reporting the effects of interventions lasting at least 6 weeks on objective strength outcomes in adults with RCRSP were included. Studies were excluded if they involved adults with other shoulder-related pathologies, focused exclusively on rotator cuff tears, or included participants who had undergone shoulder surgery.<\/jats:p>\n                  <jats:p>DATA SYNTHESIS: We grouped strength testing results from individual studies according to the direction of the strength test. Meta-analyses were conducted using standardized within-group mean difference from baseline to primary follow-up for each study intervention arm.<\/jats:p>\n                  <jats:p>\n                    RESULTS: Twenty-eight studies were included in the meta-analysis. Rehabilitation interventions had a moderate effect on shoulder external rotation strength (standardized mean difference [SMD], 0.56; 95% confidence interval [CI]: 0.39, 0.74; I\n                    <jats:sup>2<\/jats:sup>\n                    = 78%; P &lt; .01) and a small effect on shoulder abduction (SMD, 0.47; 95% CI: 0.32, 0.63; I\n                    <jats:sup>2<\/jats:sup>\n                    = 54%; P &lt; .01), internal rotation (SMD, 0.41; 95% CI: 0.30, 0.52; I\n                    <jats:sup>2<\/jats:sup>\n                    = 25%; P &lt; .08), flexion (SMD, 0.25; 95% CI: 0.01, 0.49; I\n                    <jats:sup>2<\/jats:sup>\n                    = 0%; P = .46), and scaption (SMD, 0.48; 95% CI: 0.27, 0.70; I\n                    <jats:sup>2<\/jats:sup>\n                    = 35%; P = .14) strength. Interventions that included strength training or active exercises had small-to-moderate effects on all strength outcomes. Interventions without exercises or strength training had no effects.\n                  <\/jats:p>\n                  <jats:p>CONCLUSION: Rehabilitation interventions improved strength in people with RCRSP. Interventions that incorporated active exercises or strength training are recommended to address strength deficits in people with RCRSP. J Orthop Sports Phys Ther 2026;56(2):67-84. 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