Systemic sclerosis & Raynaud's

High-intensity interval and resistance training programme improves pain and fatigue outcomes in people with systemic sclerosis: a European multicentre randomised controlled trial

RMD OpenPublished Randomised controlled trial

Authors' conclusion

A 12-week supervised combined upper body exercise programme can improve pain, fatigue, depression, QoL, function, strength and cardiorespiratory fitness in PwSSc.

Study context

Population
People with SSc (89% limited cutaneous SSc), 6 European centres89% limited cutaneous SSc
Participants
170 people
Comparison
12-week supervised high-intensity interval training (HIIT) plus resistance training in addition to usual care vs usual care alone
Primary endpoint
Pain and fatigue
Follow-up
12 weeks
Methodological detailsmulticentre, European
  • Multicentre
  • European

Primary result

As reported in the abstract

Mean group difference (pain) (95% CI)P value
Between EIG and UCG
0.48(0.21–0.76)
P < 0.05
Exercise intervention group (EIG) vs usual care group (UCG)
mean group difference (fatigue) −10.4 (95% CI 19.4 to −1.4); P < 0.05

Secondary outcomes

OutcomeP value
Depression · 12 weeksSignificantly improved in EIGP < 0.001
QoL and self-reported function · 12 weeksSignificantly improved in EIGP < 0.05
Musculoskeletal strength and endurance (exploratory) · 12 weeksSignificantly improved in EIGP < 0.01
Cardiorespiratory fitness (exploratory) · 12 weeksSignificantly improved in EIGP < 0.001

Original publication

High-intensity interval and resistance training programme improves pain and fatigue outcomes in people with systemic sclerosis: a European multicentre randomised controlled trial. RMD Open. Published 11 November 2025. doi:10.1136/rmdopen-2025-005946

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