Evidence map›Paper›PMID 41989449›Full record

ArticleArchives of rheumatology2026

The Effect of Adding Paraffin Bath to the Therapeutic Hand Exercise Programme on Hand Functions in Patients with Systemic Sclerosis: A Randomized, Controlled, Single-Blind Study.

Salim Mısırcı, Ali Ekin, Burcu Yağız, Belkis Nihan Coşkun, Ediz Dalkılıç, Lale Altan, Yavuz Pehlivan

Abstract read
In one paragraph

Article in Archives of rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Salim MısırcıDivision of Rheumatology, Department of Internal Medicine, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.
Ali EkinDivision of Rheumatology, Department of Internal Medicine, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.
Burcu YağızDivision of Rheumatology, Department of Internal Medicine, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.
Belkis Nihan CoşkunDivision of Rheumatology, Department of Internal Medicine, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.
Ediz DalkılıçDivision of Rheumatology, Department of Internal Medicine, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.
Lale AltanDepartment of Physical Medicine and Rehabilitation, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.
Yavuz PehlivanDivision of Rheumatology, Department of Internal Medicine, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsParaffin bath therapy is used as a topical treatment for inflammatory and non-inflammatory diseases of the hands. The effects of adding paraffin bath therapy to the exercise programme on pain, hand movements, and hand function in patients with systemic sclerosis (SSc) and hand involvement were investigated. MATERIALS AND

methodsThe study included 40 patients (a total of 245 patients were screened for eligibility) with hand dysfunction (Cochin Hand Functional Scale (COCHIN) ≥ 10). The patients were randomized into a control group (exercise only) (n = 20) and a paraffin bath group (exercise and paraffin bath) (n = 20). Patients were assessed with COCHIN, Modified Hand Mobility in Scleroderma (HAMIS), Delta Finger-To-Palm (DFTP), Hand Grip Strength (HGS), and Numerical Rating Scale (NRS) at baseline, 6 and 12 weeks after treatment.

resultsThirty-five patients (control group (n = 18), paraffin bath group (n = 17)) who had completed the study period were evaluated. There was a significant difference in the change values of the parameters COCHIN, HAMIS-Right Hand, HAMIS-Left Hand, HGS-Right Hand, and HGS-Left Hand at both the 6-week and 12-week follow-up examinations of the control and paraffin groups compared to the baseline values (P < .05 for all). In addition, there was a significant difference in the change values of the NRS and DFTP-Right Hand parameters in the paraffin bath group at both the 6-week and 12-week follow-ups, in addition to the existing parameters (P < .05 for both). When the 2 groups were compared with each other, there was a statistical difference in the NRS parameter in favor of the paraffin bath group (P = .007 in the 6th week, P < .001 in the 12th week). There was no difference between the groups for the other parameters (P > .05).

conclusionTherapeutic hand exercises are effective for SSc patients with impaired hand function, and the addition of paraffin baths in the exercise program reduces pain.

Identifiers

PMID41989449
PMCPMC13083774

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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.