Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis
ObjectiveTo investigate the effect of specific modes of exercise on rotator cuff-related shoulder pain (RCRSP) patients, aiming to provide a theoretical reference for conservative treatment and exercise prescription.MethodsData sources included PubMed/MEDLINE, Web of Science, ScienceDirect, and CNKI...
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Frontiers Media S.A.
2025-04-01
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| author | Dianxuan Wu Dianxuan Wu Dianxuan Wu Zhicheng Wen Zhicheng Wen Zhicheng Wen Haolin Ke Haolin Ke Haolin Ke Jiexin Zhang Jiexin Zhang Jiexin Zhang Shaozi Zhong Shaozi Zhong Shaozi Zhong Jiachen Teng Jiachen Teng Jiachen Teng Lan Xu Lan Xu Jintao Li Jintao Li Jintao Li Yan Shao Yan Shao Yan Shao Yan Shao Chun Zeng Chun Zeng Chun Zeng Chun Zeng |
| author_facet | Dianxuan Wu Dianxuan Wu Dianxuan Wu Zhicheng Wen Zhicheng Wen Zhicheng Wen Haolin Ke Haolin Ke Haolin Ke Jiexin Zhang Jiexin Zhang Jiexin Zhang Shaozi Zhong Shaozi Zhong Shaozi Zhong Jiachen Teng Jiachen Teng Jiachen Teng Lan Xu Lan Xu Jintao Li Jintao Li Jintao Li Yan Shao Yan Shao Yan Shao Yan Shao Chun Zeng Chun Zeng Chun Zeng Chun Zeng |
| author_sort | Dianxuan Wu |
| collection | DOAJ |
| description | ObjectiveTo investigate the effect of specific modes of exercise on rotator cuff-related shoulder pain (RCRSP) patients, aiming to provide a theoretical reference for conservative treatment and exercise prescription.MethodsData sources included PubMed/MEDLINE, Web of Science, ScienceDirect, and CNKI, covering studies from database inception to June 2024. Study selection followed pre-set inclusion/exclusion criteria. Cochrane methods guided quality assessment and data extraction. Outcome measures included VAS, CMS, and DASH scores. Publication bias assessed via funnel plots; forest plots created using RevMan 5.4.Results13 studies (n = 690) met inclusion criteria for RCRSP exercise interventions. It is indicated that: (1) specific exercises led to modest improvements in performance of pain (SMD = −0.31, 95% CI: 0.46 to −0.16, P < 0.0001) and function, with enhancements in CMS (SMD = 0.59, 95% CI: 0.44 to 0.74, P < 0.00001) and DASH (SMD = −0.60, 95% CI: 0.80 to −0.39, P < 0.00001). (2) Interventions lasting less than 2 months were slightly more effective than those lasting 2 months or longer, observed in VAS (SMD = −0.35, 95% CI: 0.56 to −0.15, P = 0.0007), CMS (SMD = 0.71, 95% CI: 0.47 to 0.96, P < 0.00001), and DASH (SMD = −0.71, 95% CI: 0.99 to −0.43, P < 0.00001). (3) Subgroup analyses revealed that handgrip strength exercises enhanced shoulder pain relief, shoulder mobilization/stretching improved both function and pain levels over 2 months, scapular stabilization exercise improved pain and DASH performance over 2 months, eccentric exercises boosted CMS and DASH performance over 2 months, while proprioceptive exercises showed no significant improvement in pain or CMS performance.ConclusionCompared to non-specific exercises, specific exercise programs moderately alleviate RCRSP symptoms, with shorter interventions (<2 months) demonstrating marginally superior outcomes. Efficacy varies by exercise type, emphasizing the need for individualized prescriptions.Systematic Review RegistrationPROSPERO (CRD42024550602). |
| format | Article |
| id | doaj-art-9e962619626f4fd6a5b9c3a5d615d766 |
| institution | DOAJ |
| issn | 2296-4185 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Bioengineering and Biotechnology |
| spelling | doaj-art-9e962619626f4fd6a5b9c3a5d615d7662025-08-20T03:17:43ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852025-04-011310.3389/fbioe.2025.15605971560597Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysisDianxuan Wu0Dianxuan Wu1Dianxuan Wu2Zhicheng Wen3Zhicheng Wen4Zhicheng Wen5Haolin Ke6Haolin Ke7Haolin Ke8Jiexin Zhang9Jiexin Zhang10Jiexin Zhang11Shaozi Zhong12Shaozi Zhong13Shaozi Zhong14Jiachen Teng15Jiachen Teng16Jiachen Teng17Lan Xu18Lan Xu19Jintao Li20Jintao Li21Jintao Li22Yan Shao23Yan Shao24Yan Shao25Yan Shao26Chun Zeng27Chun Zeng28Chun Zeng29Chun Zeng30Department of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Bone and Joint Degeneration Diseases, Department of Cell Biology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Second School of Clinical Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Bone and Joint Degeneration Diseases, Department of Cell Biology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaDepartment of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaDepartment of Orthopedics, Orthopedic Hospital of Guangdong Province, Academy of Orthopedics·Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Bone and Joint Degeneration Diseases, Department of Cell Biology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaObjectiveTo investigate the effect of specific modes of exercise on rotator cuff-related shoulder pain (RCRSP) patients, aiming to provide a theoretical reference for conservative treatment and exercise prescription.MethodsData sources included PubMed/MEDLINE, Web of Science, ScienceDirect, and CNKI, covering studies from database inception to June 2024. Study selection followed pre-set inclusion/exclusion criteria. Cochrane methods guided quality assessment and data extraction. Outcome measures included VAS, CMS, and DASH scores. Publication bias assessed via funnel plots; forest plots created using RevMan 5.4.Results13 studies (n = 690) met inclusion criteria for RCRSP exercise interventions. It is indicated that: (1) specific exercises led to modest improvements in performance of pain (SMD = −0.31, 95% CI: 0.46 to −0.16, P < 0.0001) and function, with enhancements in CMS (SMD = 0.59, 95% CI: 0.44 to 0.74, P < 0.00001) and DASH (SMD = −0.60, 95% CI: 0.80 to −0.39, P < 0.00001). (2) Interventions lasting less than 2 months were slightly more effective than those lasting 2 months or longer, observed in VAS (SMD = −0.35, 95% CI: 0.56 to −0.15, P = 0.0007), CMS (SMD = 0.71, 95% CI: 0.47 to 0.96, P < 0.00001), and DASH (SMD = −0.71, 95% CI: 0.99 to −0.43, P < 0.00001). (3) Subgroup analyses revealed that handgrip strength exercises enhanced shoulder pain relief, shoulder mobilization/stretching improved both function and pain levels over 2 months, scapular stabilization exercise improved pain and DASH performance over 2 months, eccentric exercises boosted CMS and DASH performance over 2 months, while proprioceptive exercises showed no significant improvement in pain or CMS performance.ConclusionCompared to non-specific exercises, specific exercise programs moderately alleviate RCRSP symptoms, with shorter interventions (<2 months) demonstrating marginally superior outcomes. Efficacy varies by exercise type, emphasizing the need for individualized prescriptions.Systematic Review RegistrationPROSPERO (CRD42024550602).https://www.frontiersin.org/articles/10.3389/fbioe.2025.1560597/fullexercise therapyspecific exercisechronic sports injuriesrotator cuff-related shoulder painmeta-analysis |
| spellingShingle | Dianxuan Wu Dianxuan Wu Dianxuan Wu Zhicheng Wen Zhicheng Wen Zhicheng Wen Haolin Ke Haolin Ke Haolin Ke Jiexin Zhang Jiexin Zhang Jiexin Zhang Shaozi Zhong Shaozi Zhong Shaozi Zhong Jiachen Teng Jiachen Teng Jiachen Teng Lan Xu Lan Xu Jintao Li Jintao Li Jintao Li Yan Shao Yan Shao Yan Shao Yan Shao Chun Zeng Chun Zeng Chun Zeng Chun Zeng Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis Frontiers in Bioengineering and Biotechnology exercise therapy specific exercise chronic sports injuries rotator cuff-related shoulder pain meta-analysis |
| title | Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis |
| title_full | Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis |
| title_fullStr | Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis |
| title_full_unstemmed | Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis |
| title_short | Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis |
| title_sort | specific modes of exercise to improve rotator cuff related shoulder pain systematic review and meta analysis |
| topic | exercise therapy specific exercise chronic sports injuries rotator cuff-related shoulder pain meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fbioe.2025.1560597/full |
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