Scleroderma, also known as systemic sclerosis, can cause skin tightening, joint stiffness, muscle weakness, and reduced endurance. These changes may affect walking, transfers, hand function, and everyday activities. Scleroderma physical therapy focuses on maintaining mobility, improving function, and helping patients remain as independent as possible. START: Keep the Body Moving Start with gentle, functional activities that match the patient's ability. Start with range-of-mot