Scleroderma is a clinical condition that is characterized by changes in blood vessels, skin, muscles, and cartilage due to a formation of antibodies that fight against one’s own body (an autoimmune disease).
This is classified as a ‘connective tissue disorder’ that is most prevalent in female individuals between the ages of 30 to 50. While the exact cause of scleroderma remains unknown, physical and occupational therapy offer useful treatments that can offset the effects of scleroderma.
1. Protection and Joint Care
It is advisable for every patient to ensure personal safety by wearing gloves and protective gear when performing any form of physical activity, including doing the dishes. Heat packs can be used to provide relief from pain and discomfort, but ensure that they are just warm and not too hot.
2. Gentle Stretching
Stretching is very beneficial to those suffering from scleroderma. Tightening of the skin and joints in the hands can reduce grip strength
due to the lack of use of hand muscles. Constant, gentle stretching of these structures helps maintain muscle tone and strength. When
performed slowly and gently, stretching can keep skin texture and tone normal while keeping joint movements adequate.
3. Exercise Therapy
This does not refer to cardiovascular activity, but more so to the range of movement of the joints. It is recommended that patients perform these exercises after a warm shower or an application of heat, as the joints are a lot more supple when warmed. Physical and occupational therapists will advise patients on what works best.
4. Strength Training
People suffering from scleroderma report muscle weakness and fatigue. In addition, muscle fibers can shorten and become stiff. Low-intensity weight training has been shown to increase stamina, improve muscle length, and improve muscle strength in
many cases.
5. Cardiovascular Activity
Physical and occupational therapists often recommend low-grade cardiovascular activities such as brisk walking or other low-impact activities like yoga and Pilates. Over time, cardiovascular activity can help reduce fatigue when performed as prescribed by your therapist. This also improves blood flow to the skin and joints