Journals / Turkish Journal of Kinesiology / 2026 / Volume: 12 Issue: 2

Evaluation of the effectiveness of orofacial exercises in systemic sclerosis

Fatma Erdeo(Physical Therapy and Rehabilitation, Necmettin Erbakan University, Konya, Türkiye)0000-0002-0266-229X
Betül Ergün(Division of Rheumatology, Department of Internal Medicine, Meram Medical Faculty, Necmettin Erbakan University, Konya, Türkiye)
Neslihan Altuntaş Yılmaz(Physical Therapy and Rehabilitation, Necmettin Erbakan University, Konya, Türkiye)0000-0003-0116-9089
Adem Küçük(Division of Rheumatology, Department of Internal Medicine, Meram Medical Faculty, Necmettin Erbakan University, Konya, Türkiye)0000-0001-8028-1671
Pages
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Publication Date
2026-05-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These results strongly support the incorporation of orofacial rehabilitation into clinical management of individuals with systemic sclerosis.

📌 3 Key Takeaways

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Objective & Hypothesis:This study investigated the effects of a structured facial exercise program on tongue protrusion (Tprot/tongue length), mouth opening, facial stiffness, and quality of life (SF-36) in individuals with systemic sclerosis (SS), compared to a control group given only home exercises.
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Key Findings & Data:A total of 32 individuals with SS were included in the study (EG n=16, CG n=16).
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Conclusion & Impact:These results strongly support the incorporation of orofacial rehabilitation into clinical management of individuals with systemic sclerosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Exercises · fascial stiffness · mouth opening

Abstract

This study investigated the effects of a structured facial exercise program on tongue protrusion (Tprot/tongue length), mouth opening, facial stiffness, and quality of life (SF-36) in individuals with systemic sclerosis (SS), compared to a control group given only home exercises. A total of 32 individuals with SS were included in the study (EG n=16, CG n=16). The exercise group received an exercise program targeting the face/orofacial region, while the control group received a home exercise program. Assessments were performed at baseline (T) and post-treatment (PT). For post-test group comparisons, baseline values were subjected to covariate testing using ANCOVA (p<0.05). Significant differences were observed in the PT exercise group values compared to the control group (p<.05). According to ANCOVA results, when baseline values were controlled, the group effect for Tprot2 was significant (F(1,29)=83.67, p<0.001, ηp²=0.743) and the adjusted mean was 31.34±0.61 for EG and 23.47±0.61 for CG. The supervised facial/orofacial exercise program produced significant improvements in tongue protrusion (Tprot), mouth opening, and facial stiffness, leading to superior outcomes in most SF-36 quality-of-life subscales compared to home exercises. These results strongly support the incorporation of orofacial rehabilitation into clinical management of individuals with systemic sclerosis.

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Cite This Article

Erdeo, F., Ergün, B., Yılmaz, N. A., Küçük, A. (2026). Evaluation of the effectiveness of orofacial exercises in systemic sclerosis. Turkish Journal of Kinesiology, Volume: 12 Issue: 2. https://doi.org/10.31459/turkjkin.1848013

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References (17)

  1. Antonacci, A., Praino, E., Abbinante, A., Favia, G., Rotondo, C., Bartolomeo, N., Giotta, M., Iannone, F., Orrù, G., Agneta, M. T., Capodiferro, S., Barile, G., & Corsalini, M. (2024). Orofacial manifestation of systemic sclerosis: a cross-sectional study and future prospects of oral capillaroscopy. Diagnostics (Basel, Switzerland), 14(4), 437. doi: 10.3390/diagnostics14040437
  2. Cossutta, R., Zeni, S., Soldi, A., Colombelli, P., Belotti Masserini, A., & Fantini, F. (2002). Evaluation of quality of life in patients with systemic sclerosis by administering the SF-36 questionnaire. Reumatismo, 54(2), 122–127. doi: 10.4081/reumatismo.2002.122
  3. Gallagher, C., Gallagher, V., Whelton, H., & Cronin, M. (2004). The normal range of mouth opening in an Irish population. J Oral Rehabil, 31(2), 110–116. doi: 10.1046/J.0305-182X.2003.01209.X
  4. Hamburger, J. (2016). Orofacial manifestations in patients with inflammatory rheumatic diseases. Best Pract Res Clin Rheumatol, 30(5), 826–850. doi: 10.1016/j.berh.2016.09.013
  5. Isola, G., Migliorati, M., Dalessandri, D., & Matarese, G. (2018). Systemic Sclerosis: Small mouth, big burden? Autoimmun Rev, 17(3), 323–324. doi: 10.1016/J.AUTREV.2018.01.005
  6. Kang, H. (2021). Sample size determination and power analysis using the G*Power software. J Educ Eval Health Prof, 18, 17. doi: 10.3352/JEEHP.2021.18.17
  7. Ninaber, M. K., Ajmone Marsan, N., Huizinga, T. W. J., van der Helm-van Mil, A. H. M., & de Vries-Bouwstra, J. K. (2023). Mouth opening in systemic sclerosis: Its course over time, determinants and impact on mouth handicap. J Scleroderma Relat Disord, 8(1), 64–71. doi: 10.1177/23971983221138177
  8. Khidir, S. J. H., Boonstra, M., Bergstra, S. A., Boerrigter, G. W. M., Voogt-van der Harst, E. M., Ninaber, M. K., Ajmone Marsan, N., Huizinga, T. W. J., van der Helm-van Mil, A. H. M., & de Vries-Bouwstra, J. K. (2023b). Mouth opening in systemic sclerosis: Its course over time, determinants and impact on mouth handicap. J Scleroderma Relat Disord, 8(1), 64–71. doi: 10.1177/23971983221138177
  9. Liem, S. I. E., Vlieland, T. P. M. V., Schoones, J. W., & de Vries-Bouwstra, J. K. (2019). The effect and safety of exercise therapy in patients with systemic sclerosis: a systematic review. Rheumatol Adv Pract, 3(2), rkz044. doi: 10.1093/rap/rkz044
  10. Mouthon L. (2013). L'atteinte de la main dans la sclérodermie systémique [Hand involvement in systemic sclerosis]. Presse medicale (Paris, France: 1983), 42(12), 1616–1626. doi: 10.1016/j.lpm.2013.10.003
  11. Oh, J. C. (2016). Effects of tongue-hold swallows on suprahyoid muscle activation according to the relative tongue protrusion length: a preliminary study. SpringerPlus, 5(1), 1144. doi: 10.1186/S40064-016-2799-8
  12. Perelas, A., Silver, R. M., Arrossi, A. V., & Highland, K. B. (2020). Systemic sclerosis-associated interstitial lung disease. Lancet Respir Med, 8(3), 304–320. doi: 10.1016/S2213-2600(19)30480-1
  13. Rocha, L. F., Marangoni, R. G., Sampaio-Barros, P. D., Levy-Neto, M., Yoshinari, N. H., Bonfa, E., Steen, V., & Kowalski, S. C. (2014). Cross-cultural adaptation and validation of the Brazilian version of the Scleroderma Health Assessment Questionnaire (SHAQ). Clin Rheumatol, 33(5), 699–706. doi: 10.1007/S10067-013-2370-8
  14. Türk, İ., Cüzdan, N., Çiftçi, V., Arslan, D., & Ünal, İ. (2020). Correlations between clinical features and mouth opening in patients with systemic sclerosis. Arch Rheumatol, 35(2), 196-204. doi: 10.46497/ArchRheumatol.2020.7434
  15. Uras, C., Mastroeni, S., Tabolli, S., Masini, C., Pallotta, S., Teofoli, P., Rocco, G., Mazzanti, C., & Abeni, D. (2019). A comparison between two educational methods in the rehabilitation of the microstomia in systemic sclerosis: a randomized controlled trial. Clin Rehabil, 33(11), 1747–1756. doi: 10.1177/0269215519858395
  16. Yuen, H. K., Marlow, N. M., Reed, S. G., Mahoney, S., Summerlin, L. M., Leite, R., Slate, E., & Silver, R. M. (2012). Effect of orofacial exercises on oral aperture in adults with systemic sclerosis. Disabil Rehabil, 34(1), 84–89. doi: 10.3109/09638288.2011.587589
  17. Zhang, S., Zhu, J., Zhu, Y., Zhang, X., Wu, R., Li, S., & Su, Y. (2021). Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. BMC Oral Health, 21(1), 250. doi: 10.1186/S12903-021-01603-2