{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:26:06Z","timestamp":1780626366038,"version":"3.54.1"},"reference-count":36,"publisher":"The Journal of Rheumatology","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>Systemic sclerosis (SSc) is characterized by significant disability because of musculoskeletal involvement. Physical and occupational therapy (PT\/OT) have been suggested to improve function. However, the rate of PT\/OT use has been shown to be low in SSc. We aimed to identify demographic, medical, and psychological variables associated with PT\/OT use in SSc.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>Participants were patients with SSc enrolled in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort. We determined the rate and indication of PT\/OT use in the 3 months prior to enrollment. Multivariable logistic regression was used to identify variables independently associated with PT\/OT use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>Of the 1627 patients with SSc included in the analysis, 23% used PT\/OT in the preceding 3 months. PT\/OT use was independently associated with higher education (OR 1.08, 95% CI 1.04\u20131.12), having moderately severe small joint contractures (OR 2.09, 95% CI 1.45\u20133.03), severe large joint contractures (OR 2.33, 95% CI 1.14\u20134.74), fewer digital ulcerations (OR 0.70, 95% CI 0.51\u20130.95), and higher disability (OR 1.54, 95% CI 1.18\u20132.02) and pain scores (OR 1.04, 95% CI 1.02\u20131.06). The highest rate of PT\/OT use was reported in France (43%) and the lowest, in the United States (17%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Despite the potential of PT\/OT interventions to improve function, &lt; 1 in 4 patients with SSc enrolled in a large international cohort used PT\/OT services in the last 3 months. Patients who used PT\/OT had more severe musculoskeletal manifestations and higher pain and disability.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.181130","type":"journal-article","created":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T16:28:45Z","timestamp":1556728125000},"page":"1605-1613","source":"Crossref","is-referenced-by-count":19,"title":["Physical or Occupational Therapy Use in Systemic Sclerosis: A Scleroderma Patient-centered Intervention Network Cohort 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