{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T22:28:50Z","timestamp":1776119330287,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,7,5]],"date-time":"2020-07-05T00:00:00Z","timestamp":1593907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the type and frequency of physical therapy (<jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>) prescribed by physicians for patients in the registry of the German Network for Systemic Sclerosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data for 4,252 patients were analyzed using descriptive statistics, chi\u2010square tests, and odds ratios (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 37.4% of patients (1,590 of 4,252) received <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> at the end of a yearly follow\u2010up. The most frequently used type of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> was lymphatic drainage (n = 1,061, 36.8%), followed by exercise therapy (n = 1,047, 36.3%) and heat therapy (n = 689, 23.9%). More than three\u2010fourths of treated patients (82%) received 1 or 2 different forms of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> simultaneously. The prescription of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> was associated with the extent of skin fibrosis as measured by the modified Rodnan skin thickness score (&lt;10 [41.8% of patients], 11\u201320 [55.8% of patients], and &gt;21 [63.9% of patients]; <jats:italic>P<\/jats:italic> &lt; 0.001). Patients with musculoskeletal involvement (e.g., arthritis, muscle weakness, joint contractures, tendon friction rubs) had a higher chance of receiving <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> than patients without these symptoms, with corresponding <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>s ranging from 1.96 (95% confidence interval [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 1.69\u20132.28) for joint contractures to 3.83 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.89\u20135.08) for arthritis. When comparing the type of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> prescription across the initial and all follow\u2010up visits from 2003 to 2017, significant alterations with a decreasing frequency of patients receiving <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> could be observed (<jats:italic>P<\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To our knowledge, this is the first study reporting the use of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> in patients with systemic sclerosis (<jats:styled-content style=\"fixed-case\">SS<\/jats:styled-content>c) in a large cohort. Although <jats:styled-content style=\"fixed-case\">SS<\/jats:styled-content>c is characterized by considerable disability and restriction of motion, &lt;40% of patients received <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23998","type":"journal-article","created":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T11:42:32Z","timestamp":1559302952000},"page":"1041-1048","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7824-3315","authenticated-orcid":false,"given":"D.","family":"Belz","sequence":"first","affiliation":[{"name":"University Hospital Cologne  Cologne 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