{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T15:12:50Z","timestamp":1785510770135,"version":"3.56.0"},"reference-count":15,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scapular-targeted rehabilitation is increasingly incorporated into the management of rotator cuff-related shoulder disorders; however, its clinical value across both conservative and postoperative stages of care remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of scapular-targeted rehabilitation on pain, disability, and shoulder function across the rotator cuff care continuum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis was conducted in accordance with PRISMA 2020 guidelines. PubMed\/MEDLINE, Scopus, and Web of Science were searched from inception through May 2026. Eligible studies included adults with rotator cuff-related shoulder pain, subacromial pain syndrome, subacromial impingement syndrome, scapular dyskinesis-associated shoulder disorders, or patients undergoing rehabilitation following rotator cuff repair. Randomized controlled trials were included in quantitative synthesis. Random-effects models were used to pool standardized mean differences (SMDs) or mean differences (MDs) with 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies met the inclusion criteria, comprising seven randomized controlled trials, one propensity score-matched study, and one single-group pre-post study. Meta-analysis demonstrated that scapular-targeted rehabilitation significantly reduced pain compared with control interventions (SMD \u22120.88, 95% CI \u22121.71 to \u22120.06; I\u00b2=84.8%) and significantly improved shoulder function measured by the Constant-Murley Score (MD 6.94, 95% CI 0.37 to 13.52; I\u00b2=85.7%). Disability outcomes favored scapular-targeted rehabilitation but did not reach statistical significance (SMD \u22120.47, 95% CI \u22121.05 to 0.11; I\u00b2=72.8%). Postoperative studies generally reported favorable effects on pain, function, and range of motion, although evidence was insufficient for quantitative synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Scapular-targeted rehabilitation appears to be a useful adjunct within comprehensive rotator cuff rehabilitation, with evidence supporting improvements in pain and shoulder function. Evidence for disability reduction and postoperative effectiveness remains inconclusive, warranting further high-quality trials across the rotator cuff care continuum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.165083","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:54:35Z","timestamp":1785509675000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical Value of Scapular-Targeted Rehabilitation Within the Rotator Cuff Care Continuum: A Systematic Review and Meta-analysis of Conservative and Postoperative Evidence"],"prefix":"10.52965","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0091-5844","authenticated-orcid":true,"given":"Abdulelah F.","family":"Alshehri","sequence":"first","affiliation":[{"name":"Independent Researcher, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waleed O.","family":"Samarkandi","sequence":"additional","affiliation":[{"name":"College of Medicine, Almaarefa University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khulud A.","family":"Alshahrani","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5106-1110","authenticated-orcid":false,"given":"Abrahim Sulaiman","family":"Alreyaee","sequence":"additional","affiliation":[{"name":"School of Medicine, University College Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9958-4540","authenticated-orcid":false,"family":"Altowairqi Raad hameed A","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Resident, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghyda Trad A .","family":"Alasmari","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maali Malawi","family":"Alshahrani","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bushra Yahya","family":"Al-Amer","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fai A.","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah Loay","family":"Bohairi","sequence":"additional","affiliation":[{"name":"College of Medicine, Almaarefa University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6824-7147","authenticated-orcid":false,"given":"Alayham","family":"Hakiem","sequence":"additional","affiliation":[{"name":"School of Medicine, University College Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joud Fahad","family":"Albishri","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada Hadi","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thurya A.","family":"Asiri","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghad Y.","family":"Alwadai","sequence":"additional","affiliation":[{"name":"College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia","department":["Department of Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1302\/2058-5241.6.210043","article-title":"The role of scapular dyskinesis on rotator cuff tears: A narrative review of the current knowledge","volume":"6","author":"D. 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