Contextually Enhanced Exercise Programs for Rotator Cuff-Related Shoulder Pain

Inclusion Criteria: * Age between 18 and 75 years * Clinical diagnosis of rotator cuff-related shoulder pain * Shoulder pain duration longer than 3 months * Painful arc during shoulder flexion or abduction * Positive Neer or Hawkins-Kennedy test * Pain during resisted external rotation or abduction, or positive Jobe test * Ability to understand and speak Turkish * Willingness to participate and provide informed consent Exclusion Criteria: * Clinical signs of a large rotator cuff tear characterized by marked weakness without pain * Other shoulder conditions (e.g., frozen shoulder defined as at least 30 percent passive glenohumeral restriction in two or more directions, advanced osteoarthritis, fracture, dislocation, or severe acromioclavicular joint pathology) * Previous shoulder surgery * Neurological disorders or significant systemic diseases such as rheumatoid arthritis * Current or past history of malignancy * Physical or cognitive impairments preventing participation in assessments or intervention sessions * Reproduction of shoulder symptoms with active cervical spine movements indicating symptomatic cervical pathology * Corticosteroid injection within the previous 6 weeks * Participation in other concurrent shoulder treatments during the study