The combination of connective tissue massage, Kabat's technique, kinesitherapy and home exercise is helpful in face rehabilitation of Systemic Sclerosis patients

In Systemic Sclerosis (SSc), face involvement
causes functional loss as well as aesthetic changes and loss
of the self-image. The aim of the work is to evaluate the
eYcacy of a rehabilitation program based on the combination
of Kabat’s technique, connective massage and kinesitherapy
speciWcally conceived for the face of SSc patients.
Forty SSc patients were enrolled: 20 patients (interventional
group) were treated for 9 weeks (twice a week, 1 h
per session) with a combined connective tissue massage,
Kabat’s technique, kinesitherapy and home exercise program,
and 20 patients (control group) were assigned only
home exercise program. All patients were assessed at baseline
(T0), at the end of the treatment (T1) and after 9 weeks
of follow-up (T2). They were evaluated with SF-36, HAQ,
modiWed Rodnan skin score, mouth opening in centimeters
and Mouth Handicap in Systemic Sclerosis (MHISS) scale.
At T1, both groups improved in mouth opening (P < 0.05),
but the improvement was maintained at T2 only in interventional
group. In interventional group, facial skin score
ameliorated at T1 and maintained at T2 (P < 0.05 vs. T0),
while no change was observed in controls. In both groups,
SF-36 and HAQ were not aVected by the treatment. MHISS
scale improved signiWcantly in interventional group at T1
(P < 0.001), while no change was found in controls. The
combination of connective tissue massage, Kabat’s technique,
kinesitherapy and home-based exercises is more
eVective than a home exercise program alone in the rehabilitative
treatment of SSc facial involvement.