borderline significantP = 0.05
Suspension exercise therapy (SET, 3 studies) demonstrated borderline significant effects (SMD = −3.07, 95% CI: −6.18 to 0.04, Z = 1.94, P = 0.05) with extraordinary heterogeneity ( I 2 = 99%), where Guo 2018 (SMD = −5.70) and Niu 2019 (SMD = −2.63) contributed extreme effect sizes that substantially influenced the pooled estimate.