Efficacy of a tailored rehabilitation program for systemic sclerosis

Area of Science:

• Rheumatology
• Physical Medicine and Rehabilitation

Background:

• Systemic Sclerosis (SSc) presents significant challenges due to skin and joint involvement, impacting patient quality of life.
• Rehabilitation strategies are crucial for managing SSc-related disabilities.

Purpose of the Study:

• To assess the effectiveness of a comprehensive rehabilitation program for Systemic Sclerosis patients.
• The program integrated district-specific and global rehabilitation techniques.

Main Methods:

• Twenty Systemic Sclerosis patients were randomized into an interventional group (n=10) and a control group (n=10).
• The interventional group received tailored hand, face, and global rehabilitation (hydrokinesitherapy/land-based, respiratory exercises), with optional lymphatic drainage.
• The control group received only educational advice. Assessments occurred at baseline (T0), post-treatment (T1), and follow-up (T2 for interventional group).

Main Results:

• The interventional group showed significant improvements across all evaluated parameters post-treatment.
• At follow-up, improvements in mouth mobility and global health status were partially lost.
• Hand mobility and functionality were maintained at follow-up, while the control group showed no changes.

Conclusions:

• The combined approach of district-specific and global rehabilitation effectively reduces disability and enhances quality of life in Systemic Sclerosis patients.
• The positive effects on hand and face function and disability are notable.
• While some benefits may diminish over time, the program demonstrates sustained improvements in key functional areas.