Evidence map›Paper›PMID 40794196›Full record

Trial reportRheumatology international2025

Effects of occupational therapy on hand function in patients with systemic sclerosis: a randomized controlled trial.

Burak Okyar, Gülşah Yaşa Öztürk, Burhan Fatih Kocyigit

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Rheumatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Burak OkyarDepartment of Rheumatology, Adana City Training and Research Hospital, Adana, Türkiye.ORCID http://orcid.org/0000-0002-9028-9930
Gülşah Yaşa ÖztürkFaculty of Medicine, Department of Physical Medicine and Rehabilitation, Adana City Training and Research Hospital, University of Health Sciences, Adana, Türkiye.ORCID http://orcid.org/0000-0002-9033-5095
Burhan Fatih KocyigitFaculty of Medicine, Department of Physical Medicine and Rehabilitation, Adana City Training and Research Hospital, University of Health Sciences, Adana, Türkiye. bfk2701@hotmail.com.ORCID http://orcid.org/0000-0002-6065-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hand involvement is one of the most disabling features of systemic sclerosis (SSc). Although occupational therapy is frequently employed in rheumatic conditions, its particular effects in SSc have not been studied in detail yet. This study aimed to evaluate the impact of a structured three-week occupational therapy program on hand function in SSc. This randomized controlled trial involved adult patients with SSc. Participants were randomly allocated to an intervention group that received a three-week occupational therapy program or a control group that received standard rheumatic care. Evaluations were performed at baseline (T1), immediately after the intervention (week 3, T2), and at follow-up (week 12, T3). Outcome measures included hand grip strength (HGS), fingertip pinch strength, tactile sensory threshold (as assessed by the Semmes-Weinstein monofilament test), pain threshold (dolorimetry), and hand functionality, as evaluated by the Duruöz Hand Index (DHI). Microvascular assessment was conducted utilizing nailfold videocapillaroscopy and the Capillaroscopic Skin Ulcer Risk Index. A total of 42 patients (22 in the intervention group, 20 in the control group) completed the study. There were no significant differences in baseline characteristics (p > 0.05). Significant improvements were observed in the intervention group regarding HGS, pinch strength, tactile sensation, and DHI scores (p < 0.05). No statistically significant changes were detected in pain threshold in either the intervention or control groups (p > 0.05). There were no significant differences in other outcome measures within the control group (p > 0.05). The structured occupational therapy program resulted in notable improvements in hand strength, tactile sensitivity, and functional hand use in SSc patients, with benefits sustained for up to 12 weeks. These findings suggest the incorporation of occupational therapy into routine multidisciplinary care for SSc.

Indexed as

HandOccupational TherapyScleroderma, SystemicAdultAgedFemaleHand StrengthHumansMaleMiddle AgedPain ThresholdPinch StrengthRecovery of FunctionTreatment OutcomeErgotherapyHand strengthOccupational therapyRehabilitationSystemic sclerosis

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.