27 Who in Sheol can glorify the Most High in place of the living who offer their praise?
There it means spirits in Sheol, the Jewish afterlife.
רפא (Rapha): This root means "healing." It points to souls in Sheol (the Jewish afterlife) who wait for final judgment by Elohim (God).
רפה (Rapheh): This root means "weak" or "powerless." It reflects the belief that souls in Sheol have no physical power or status, unlike in life.
In Sheol the usual sources of power count for nothing.
Newer readings see the Repha'im as dwellers of Sheol.
Hendel and others hear an echo of Genesis 6 warriors in Sheol.