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Abstract

Introduction: Systematic sclerosis is connective tissue autoimmune lesion, where nearby 90% suffers` have an apparent hand` functional restrictions. This research designed to estimate the value of low-level laser versus resisted exercise on systemic sclerosis suffers` hand function in line to state the proper management approach for hand function restrictions among systematic sclerosis individuals.
Material and methods: Forty participants suffering from systematic sclerosis affecting their hands` function with scleroderma allocated randomly into equal groups; A received 3 sessions per week of low-level laser, also conventional physical program involved stretch, and active mobility training, where B received resisted exercises, also conventional physical program comprising stretching, as well active range of motion exercises. Skin thickness, serum cortisol level, and Hand Grip strength were evaluated pre-, then post- intervention using a Modified Rodnan skin scoring, Serum cortisol laboratory analysis, and hand-held dynamometer (HHD), also pinch gauge, respectively.
Results: The groups revealed equivalent remarkable modified Rondon skin thickness, and serum cortisol level reduction, plus highly significant increase in hand grip strength (p < 0.001). 
Conclusion: Both low-level laser and resisted exercises are equivalent effectively enhance hand grip strength, as well functional capabilities throughout systematic sclerosis management.