RT Journal Article
SR Electronic
T1 Physical or Occupational Therapy Use in Systemic Sclerosis: A Scleroderma Patient-centered Intervention Network Cohort Study
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 1605
OP 1613
DO 10.3899/jrheum.181130
VO 46
IS 12
A1 Karima Becetti
A1 Linda Kwakkenbos
A1 Marie-Eve Carrier
A1 Jessica K. Gordon
A1 Joseph T. Nguyen
A1 Carol A. Mancuso
A1 Luc Mouthon
A1 Christelle Nguyen
A1 François Rannou
A1 Joep Welling
A1 Brett D. Thombs
A1 Robert F. Spiera
A1 the SPIN Investigators
YR 2019
UL http://www.jrheum.org/content/46/12/1605.abstract
AB Objective. 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.Methods. 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.Results. 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 1.04–1.12), having moderately severe small joint contractures (OR 2.09, 95% CI 1.45–3.03), severe large joint contractures (OR 2.33, 95% CI 1.14–4.74), fewer digital ulcerations (OR 0.70, 95% CI 0.51–0.95), and higher disability (OR 1.54, 95% CI 1.18–2.02) and pain scores (OR 1.04, 95% CI 1.02–1.06). The highest rate of PT/OT use was reported in France (43%) and the lowest, in the United States (17%).Conclusion. Despite the potential of PT/OT interventions to improve function, < 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.