Investigation of the effects of ESWT and PNF exercises added to ESWT on calcinosis in Ssc patients. Calcinosis cutis is a common, difficult-to-treat manifestation of systemic sclerosis associated with high morbidity. The aim of this study is to investigate the efficacy of ESWT therapy for calcinosis cutis in Ssc patients. The effects on grip strength, sleep, function and quality of life will be investigated.
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Inclusion Criteria: * Being diagnosed with SSc according to ACR/EULAR 2013 criteria * Being diagnosed with Calcinosis by a physician * Have the ability to adapt to exercises * Stability of medical treatments Exclusion Criteria: * Being diagnosed with a known additional rheumatological or chronic disease * Having a deformity that prevents doing the exercises * Cognitive impairment * Being pregnant