title: Effects of the myofascial release in diffuse systemic sclerosis.
abstract: OBJECTIVE
  To improve breathing and functionality of the temporomandibular joint (TMJ) and hands, by increasing the range of motion (ROM), and to reduce the level of pain.
  
  
  METHODS
  Twenty myofascial release (MR) sessions in 2002 with assessments (chest expansion, mouth opening, ROM of wrist and fingers). Between the 19th and the 20th session there was a break of 110 days. Every winter, 1-3 sessions have been made.
  
  
  RESULTS
  Chest: expansion increased by 3.5 cm and pain was eliminated at the scar from a biopsy; TMJ: an 8mm increase in mouth opening with pain eliminated; hands and fingers: increase of ROM in all joints of fingers and wrists, of up to 100%, reduction in ulcerations and recovery of nail growth.
  
  
  CONCLUSIONS
  The connective tissue affected by diffuse systemic sclerosis (dSSc) is subject to remodeling through MR, receding when the work is interrupted. Resuming the treatment on a regular basis increased the ROM in joints, reduced the effects of the Raynaud Phenomenon and the pain.
authors.affiliation: ABR-Associação Brasileira de Rolfing, ERA-European Rolfing Association, Rua Ambrosina de Macedo, 107, CEP 04013-030 São Paulo, Brazil. marilene-martin@hotmail.com
authors.forename: Marilene Marfin
authors.initials: MM
authors.lastname: Martin
mesh_terms: D000328:Adult; D005260:Female; D005384:Finger Joint / Q000502:physiology; D006801:Humans; D009209:Myofascial Pain Syndromes / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D011928:Raynaud Disease / Q000503:physiopathology / Q000628:therapy; D015656:Respiratory Mechanics; D012595:Scleroderma, Systemic / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D013704:Temporomandibular Joint / Q000502:physiology; D014955:Wrist Joint / Q000502:physiology