{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:01:46Z","timestamp":1792803706359,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,15]],"date-time":"2021-07-15T00:00:00Z","timestamp":1626307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005771","name":"Dokuz Eyl\u00fcl \u00dcniversitesi","doi-asserted-by":"publisher","award":["2019.KB.SAG.008"],"award-info":[{"award-number":["2019.KB.SAG.008"]}],"id":[{"id":"10.13039\/501100005771","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the effects of supervised exercise and home exercise program in patients with systemic sclerosis (SSc).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010seven SSc patients were included. Patients with SSc were allocated into 2 groups as supervised and home exercise. Breathing, aerobic and resistance exercises were performed with a physiotherapist for 12\u00a0weeks in the supervised exercise group. Breathing, posture and aerobic exercises were given to the home exercise group as a home program for 12\u00a0weeks. All patients were assessed at baseline and 12\u00a0weeks later in terms of functional capacity, pulmonary functions, respiratory\u2010peripheral muscle strength, dyspnea severity, health\u2010related quality of life (HRQoL) and fatigue level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant improvements were observed in the functional capacity, measured by 6\u00a0minute walking test in the supervised exercise group (before\u00a0=\u00a0376.21\u00a0\u00b1\u00a065.50, after\u00a0=\u00a0518.78\u00a0\u00b1\u00a075.84\u00a0m) and home exercise group (before\u00a0=\u00a0384.44\u00a0\u00b1\u00a068.14, after\u00a0=\u00a0432.7\u00a0\u00b1\u00a070.8\u00a0m; (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05). Respiratory\u2010peripheral muscle strength (with the exception of inspiratory muscle strength and upper limb strength in the home exercise group) and HRQoL were significantly increased and fatigue level was significantly decreased in the supervised exercise and home exercise groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05). However, pulmonary functions and dyspnea severity were significantly improved only in the supervised exercise group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05). The supervised exercise program was found superior to the home exercise program for change in all parameters (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that exercise interventions should be applied in addition to the medical treatments of patients with SSc as supervised and home exercise programs play an important role in the functionality and health status of these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1756-185x.14177","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T01:18:57Z","timestamp":1626398337000},"page":"1200-1212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Effects of supervised exercise program and home exercise program in patients with systemic sclerosis: A randomized controlled trial"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4918-9249","authenticated-orcid":false,"given":"Hazal","family":"Yakut","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Eski\u015fehir Osmangazi University Eski\u015fehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi","family":"\u00d6zalevli","sequence":"additional","affiliation":[{"name":"School of Physical Therapy and Rehabilitation Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ridvan","family":"Aktan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Izmir University of Economics Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aylin","family":"\u00d6zgen Alpayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Pulmonary disease School of Medicine Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Merih Birlik","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Department of Internal Medicine School of Medicine Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ger\u00e7ek","family":"Can","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Department of Internal Medicine School of Medicine Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0806188"},{"key":"e_1_2_10_3_1","first-page":"961","article-title":"Systemic sclerosis\/Scleroderma: a treatable 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