This study compares physical therapy delivered through video calls to in-person therapy for young baseball players with shoulder pain. The goal is to see if remote therapy is as effective and easier for them to stick with

This study compares physical therapy delivered through video calls to in-person therapy for young baseball players with shoulder pain. The goal is to see if remote therapy is as effective and easier for them to stick with

Inclusion Criteria:

• unilateral shoulder symptoms (chronic pain, instability, or weakness) for more than 3 months together with a diagnosis of rotator cuff tendinopathy or mild partial-thickness tear (≤25% of tendon thickness) confirmed by ultrasound or MRI

Exclusion Criteria:

• history of prior shoulder surgery within the past 12 months; partial-thickness tear greater than 25% or full-thickness tear; associated pathology requiring surgical management (e.g., humeral head avulsion fracture); significant elbow symptoms or injury; systemic inflammatory disease; neurologic disorders affecting upper limb function; and inability to comply with the intervention or scheduled assessments