The rehabilitation of facial involvement in systemic sclerosis: efficacy of the combination of connective tissue massage, Kabat’s technique and kinesitherapy: a randomized controlled trial

Maddali-Bongi, Susanna; Landi, G.; Galluccio, Felice; Rosso, Angela Del; Miniati, Irene; Conforti, Maria Letizia; Casale, Roberto; Matucci‐Cerinic, Marco

doi:10.1007/s00296-010-1382-9

Cited by 61 publications

(63 citation statements)

References 26 publications

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“…The effectiveness of the following interventions was assessed: education (26), oral therapy (24,25,27,28), comprehensive rehabilitation program for physical and/or psychological functioning (29,30), self-management (31,32), comprehensive rehabilitation for the hands and/or face (33)(34)(35)(36), aerobic training (37), stretching (38), paraffin treatment (39,40), carbon dioxide baths (41), manual lymph drainage (42), ultrasound (43), extracorporeal shock wave therapy (44), biofeedback (45), deep oscillation (45), transcutaneous electrical nerve stimulation (46), and home total parenteral nutrition (47). The most frequently examined interventions were aimed (among other treatment targets) to improve hand function (33)(34)(35)(38)(39)(40)(42)(43)(44)(45) and the function of the mouth and face (24,25,27,28,34,36).…”

Section: Resultsmentioning

confidence: 99%

“…The most frequently examined interventions were aimed (among other treatment targets) to improve hand function (33)(34)(35)(38)(39)(40)(42)(43)(44)(45) and the function of the mouth and face (24,25,27,28,34,36). The intervention duration ranged from 2 days (26) to 1 year (38).…”

Section: Resultsmentioning

confidence: 99%

“…The intervention duration ranged from 2 days (26) to 1 year (38). Of the included studies, 9 were home-based interventions (24,25,28,31,32,(38)(39)(40)46,47), 5 were clinic/hospitalbased interventions (26,30,34,37,42), 5 were combined home/hospital-based interventions (27,29,33,35,36), and 4 studies did not report the setting of the intervention (41,(43)(44)(45).…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Nonpharmacologic Interventions in Systemic Sclerosis: A Systematic Review

Willems

Vriezekolk

Schouffoer

et al. 2015

Arthritis Care & Research

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Objective. To systematically and comprehensively document the effectiveness of nonpharmacologic interventions on physical functioning and psychological well-being in patients with systemic sclerosis (SSc). Methods. Multiple electronic databases were searched for studies on the effectiveness of nonpharmacologic interventions in SSc. Randomized clinical trials (RCTs), controlled clinical trials (CCTs), and observational designs (ODs) with ‡10 participants were included. Two reviewers independently assessed methodologic quality using the Downs and Black checklist. Results. Twenty-three studies (9 RCTs, 4 CCTs, and 10 ODs) were included. Studies assessing comparable interventions were grouped, resulting in data for 16 different interventions. The total number of patients included per study ranged from 10 to 53. Seventeen different outcome domains were assessed, with hand function, limitations in activities, and quality of life being assessed most frequently. Three studies, all RCTs, were rated as high quality. These RCTs reported that 1) a multifaceted oral health intervention improves mouth hygiene, and additional orofacial exercises did not improve mouth opening, 2) a multidisciplinary team-care program improves limitations in activities, mouth opening, and hand grip strength, and 3) manual lymph drainage improves hand function, limitations in activities, and quality of life. Conclusion. The body of knowledge regarding nonpharmacologic care in SSc is very limited due to the wide variety in studied interventions and outcomes in the relatively uncommon but highly disabling disease. To structure and focus future research, an international consensus should be established to prioritize primary targets for nonpharmacologic treatment and the content of interventions and to agree on a core set of outcome measures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Nonpharmacologic Interventions in Systemic Sclerosis: A Systematic Review

Willems

Vriezekolk

Schouffoer

et al. 2015

Arthritis Care & Research

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“…We have also adopted facial exercises because SS patients may present temporomandibular joint changes and mouth opening limitation 23 . On the other hand, in a study involving 40 SS patients, group (n=20) performing a protocol based on Kabat exercises, massage and facial exercises, with 18 physiotherapy sessions (1 hour per session, 2x/week, 9 weeks) has not improved QL according to SF-36 24 as compared to the control group (n=20) who performed home exercises. These results are different from our study, because patients A and B have improved all SF-36 parameters, suggesting better QL and pain control or improvement according to VAS.…”

Section: Discussionmentioning

confidence: 84%

Physiotherapeutic intervention on pain and quality of life of systemic sclerosis elderly patients. Case reports

Jorge¹,

Wibelinger²,

Knob³

et al. 2016

Revista Dor

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BACKGROUND AND OBJECTIVES:Systemic sclerosis is a chronic, multi-systemic and auto-immune disease, characterized by widespread angiopathy in small and microcirculation, Raynoud's phenomenon and skin and internal organs fibrosis. Physiotherapy is an effective alternative to fight musculoskeletal injuries caused by the disease. This study aimed at evaluating the effects of a physiotherapy program on pain and quality of life of two systemic sclerosis elderly patients. CASE REPORTS: Longitudinal and interventionist case study. Participated in the study two elderly patients with systemic sclerosis, treated in the Physiotherapy Clinic, Universidade de Passo Fundo/RS. Patients were submitted to baseline evaluation made up of data collection (history and physical-functional evaluation) and application of the visual analog scale and of the Quality of Life Questionnaire -Medical Outcomes Study 36 -Item ShortForm Health Survey (SF-36) translated and validated to the Portuguese language. After baseline evaluation, elderly patients were submitted to a kinesiotherapy-based intervention program, with frequency of 2 weekly sessions and duration of 1h per session, in a total of 15 sessions. According to the visual analog scale, patients have improved pain and, according to SF-36, have improved quality of life. CONCLUSION: Kinesiotherapy-based physiotherapeutic intervention protocol was an effective strategy to treat pain and improve quality of life of systemic sclerosis elderly patients.

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“…According to the results of quality of life and health status, no effect of therapy was detected in any group. A significant improvement was also found in oral handicap at the end of therapy in the intervention group, whereas in the control group, no changes were observed [10].…”

Section: Orofacial Exercisesmentioning

confidence: 80%

Nonpharmacological Treatment in Systemic Sclerosis

Špiritović¹,

Tomčík²

2017

Systemic Sclerosis

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Systemic sclerosis (SSc) is a rare, severe connective tissue disease without available universal treatment. Organ involvement increases the mortality of this disease; nevertheless, skin involvement and the involvement of muscles and joints lead to loss of function, disability, and reduced quality of life.Our experience and data from the literature suggest that physical activity interventions are an essential and integral part of treatment of patients with SSc. The limitation on most of the small number of existing studies aimed at nonpharmacological treatment for patients with SSc includes suboptimal methodological quality, low number of patients, lack of a control group or monitoring (follow-up), and short-term intervention.The purpose of this chapter was to introduce the few studies that have examined this issue and to show that nonpharmacological therapy for diseases such as systemic sclerosis has been the focus of some research teams in recent years-the studies of which have demonstrated safety and benefits of these approaches.

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The rehabilitation of facial involvement in systemic sclerosis: efficacy of the combination of connective tissue massage, Kabat’s technique and kinesitherapy: a randomized controlled trial

Cited by 61 publications

References 26 publications

Effectiveness of Nonpharmacologic Interventions in Systemic Sclerosis: A Systematic Review

Effectiveness of Nonpharmacologic Interventions in Systemic Sclerosis: A Systematic Review

Physiotherapeutic intervention on pain and quality of life of systemic sclerosis elderly patients. Case reports

Nonpharmacological Treatment in Systemic Sclerosis

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