Exercise Therapy for Rotator Cuff-Related Shoulder Pain: Navigating Uncertainty in Clinical Practice (tripp.co.za)

• Exercise therapy for RCRSP has modest effects and low certainty evidence.
• No specific exercise type (e.g., resistance, motor control) is superior.
• Shared decision-making and tailored exercise experiments are recommended.

"This critical review critiques exercise therapy for rotator cuff-related shoulder pain (RCRSP). Despite universal guideline recommendation, exercise shows modest effects and low evidence certainty. No exercise type (resistance, motor control) is superior. Exercise matches surgery and injections but not education alone. The authors propose shared decision-making and exercise experiments tailored to patient preferences and irritability. Exercise remains valuable but uncertainty persists."