title: Evidence-based management of hand and mouth disability in a woman living with diffuse systemic sclerosis (scleroderma).
abstract: This paper uses a case study to highlight the evidence for rehabilitation interventions designed to reduce disability of the hand and mouth and manage fatigue in persons with diffuse systemic sclerosis to inform clinical practice and guide future research.
authors.affiliation: Occupational Therapy Graduate Program, University of New Mexico, Albuquerque, N.M.
authors.forename: Janet L
authors.initials: JL
authors.lastname: Poole
authors.affiliation: School of Rehabilitation Science, McMaster University, Hamilton, Ont.
authors.forename: Norma J
authors.initials: NJ
authors.lastname: Macintyre
authors.affiliation: School of Rehabilitation Science, McMaster University, Hamilton, Ont.
authors.forename: Heather N
authors.initials: HN
authors.lastname: Deboer
keywords: activities of daily living; evidence-based practice; hand deformities; mouth rehabilitation; scleroderma, diffuse; self-care; skin and connective tissue diseases