The aim of this clinical trial is to investigate the effects of an attention shift-based rehabilitation program on clinical outcomes in individuals with rotator cuff-related shoulder pain (RCRSP). The study will evaluate the effects of an attention shift approach, in which motor tasks targeting regions outside the shoulder are performed concurrently with standard shoulder exercises, on pain, functional status, and pain catastrophizing. These results will be compared with those of a standard shoulder rehabilitation program.
The main questions this study aims to answer are:
Is there a difference in pain levels between individuals with RCRSP who participate in an attention shift-based rehabilitation program and those who participate in a standard exercise program? Is there a difference between these two rehabilitation approaches in terms of shoulder function and pain catastrophizing?
Participants will:
Be randomly assigned to either an attention shift-based rehabilitation group or a standard shoulder rehabilitation group Participate in supervised exercise sessions twice per week for 6 weeks Attend sessions lasting approximately 60-75 minutes Undergo clinical assessments at baseline and at week 6
Having symptoms persisting for at least 3 months
Experiencing pain intensity of at least 3 on the Numeric Pain Rating Scale (NPRS) during activity
Presence of a painful arc during shoulder flexion or abduction
Positive Neer test or Hawkins-Kennedy test
Presence of adhesive capsulitis (≥30% limitation in passive range of motion)
Advanced osteoarthritis of the shoulder
History of fracture or dislocation affecting the shoulder region
Advanced acromioclavicular joint pathology