Mateusz W. Romanowski, Maja Špiritović, Agata Zdanowska, Anna Kwaśniewska

M. W. Romanowski, M. Špiritović, A. Zdanowska, A. Kwaśniewska – Evaluation of the manual therapy effect on hand functional efficiency in the patients with systemic sclerosis – case description. FP 2016;16(4);14-23

Abstract

The systemic sclerosis is chronic systemic disease of connective tissue that is characterized by damage of blood vessels, presence of autoantibodies and progressing skin and internal organs fibrination, leading to their failure. The loss of mobility in hand and wrist joints, which often affects patients with the systemic sclerosis, significantly worsens their life quality.
Non-pharmacological treatment of the systemic sclerosis includes: physiotherapy, education, new therapeutic methods. Individually selected therapy counteracts and diminishes dysfunctions in the joints area, soft tissues and skin, and may improve efficiency of internal organs.
Manual therapy perfectly complements comprehensive in this group of patients, by influencing the following receptors: of Golgie, Ruffini, Pacini and interstitial. The manual therapy techniques directed to the skin, fascia, muscles, joints, improve hand efficiency and decrease pain in patients with systemic sclerosis.
Application of manual techniques (skin rolling, deep massage of superficial fascia and muscles responsible for straightening the wrist joint, postisometric muscle relaxation, mobilization in ridge direction in rediocarpal joint, side-to-side mobilization in finger joints) performed in the study improved hand functional efficiency in all tested parameters (Cochin Hand Scale, Hand Mobility in Scleroderma, finger-to-palm-distance).

Keywords:

systemic slerosis, manual therapy, soft tissue therapy, physiotherapy

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