Non-pharmacological treatment in systemic sclerosis

Authors: M. Špiritović 1,2;  H. Štorkánová 1,3;  S. Oreská 1,3;  H. Šmucrová 1;  B. Heřmánková 1,2;  Romanowski Mw 4;  D. Pavlů 2;  M. Olejárová 1,3;  M. Tomčík 1,3
Authors‘ workplace: Revmatologický ústav 1;  Katedra fyzioterapie, Fakulta tělesné výchovy a sportu, Univerzita Karlova, Praha 2;  Revmatologická klinika, 1. lékařská fakulta, Univerzita Karlova, Praha 3;  Department of Rheumatology and Rehabilitation, University of Medical Sciences, Poznań, Polsko 4
Published in: Čes. Revmatol., 26, 2018, No. 1, p. 34-44.
Category: Review Article


Systemic sclerosis (SSc) is a rare and very severe rheumatic disease for which no effective universal therapy exists. Organ manifestations significantly increase the mortality of these patients, nevertheless, the involvement of the skin and the musculoskeletal system also leads to higher morbidity, loss of function, and decreased quality of life. Literature data, as well as our experience, suggest that physical activity interventions are an inherent and integral part of the treatment of SSc patients. However, most existing studies dealing with non-pharmacological treatment of SSc patients are limited by their suboptimal methodological quality, insufficient number of patients, absence of a control group or lack of follow-up or a short duration of intervention. The purpose of this review article is to present important publications that deal with the safety and benefits of various non-pharmacological approaches that are at the forefront of clinical research interest in SSc.

Key words:
systemic sclerosis, fibrosis, rheumatic diseases, rehabilitation, physiotherapy, non-pharmacological treatment


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