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The Glittre-ADL test assesses functional exercise capacity using activities of daily living and is useful due to the hands involvement. This study aimed to evaluate the effects of a physiotherapist-supervised home-based rehabilitation program on functional exercise capacity in women with systemic sclerosis using the Glittre-ADL test. A secondary aim was to evaluate the association between the Glittre-ADL test and handgrip strength, hand function, physical function, quality of life, and lung function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a quasi-experimental study in which 33 women with systemic sclerosis underwent a physiotherapist-supervised home-based rehabilitation program for 12\u2009weeks. The following pre- and post-physiotherapist-supervised home-based rehabilitation program assessments were performed: Glittre-ADL test, Health Assessment Questionnaire Disability Index, Cochin Hand Functional Scale, Short Form 36 Health Survey, handgrip strength, and spirometry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was a significant increase in Glittre-ADL test time after physiotherapist-supervised home-based rehabilitation program (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.036). There was a significant decrease in manual time of the Glittre-ADL test between pre- and post-physiotherapist-supervised home-based rehabilitation program (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001). For Health Assessment Questionnaire Disability Index, there was a significant decrease from 1.13 (0.5\u20131.8) points before physiotherapist-supervised home-based rehabilitation program to 1.0 (0.4\u20131.3) points after physiotherapist-supervised home-based rehabilitation program (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004). For the Cochin Hand Functional Scale, there was a decrease from 14 (5\u201335) points before physiotherapist-supervised home-based rehabilitation program to 7 (3\u201321) points after physiotherapist-supervised home-based rehabilitation program (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0002). There was a significant increase in handgrip strength between pre- and post-PHPR (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.008). The delta for Glittre-ADL test time (%predicted) was significantly correlated with the delta for handgrip strength (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009\u22120.360,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.039).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>After physiotherapist-supervised home-based rehabilitation program, women with systemic sclerosis require less time to complete the Glittre-ADL test tasks. Physiotherapist-supervised home-based rehabilitation program improves manual function, physical function, handgrip strength, lung function, and quality of life. There is a relationship between Glittre-ADL test time and handgrip strength. These results suggest that a 12-week physiotherapist-supervised home-based rehabilitation program could be a beneficial non-pharmacological therapy that reduces functional limitations and improves quality of life in systemic sclerosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23971983251360912","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T05:42:33Z","timestamp":1753767753000},"page":"576-587","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a 12-week physiotherapist-supervised home-based rehabilitation program on the functional exercise capacity in people with systemic sclerosis"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1234-9413","authenticated-orcid":false,"given":"Samantha Gomes","family":"de Alegria","sequence":"first","affiliation":[{"name":"Postgraduate Programme in Medical Sciences, 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