Background Systemic sclerosis is a systemic autoimmune disease characterized by vasculopathy (Raynaud phenomena), pulmonary arterial hypertension (PAH), and renal crisis), fibrosis of skin visceral organs (notably the gut, heart, lungs), musculoskeletal inflammation (joints, muscles, tendons) [1]. Inflammation drives atherosclerosis contributes to cardiovascular (CV) [2] . A few studies have ex...

Background Systemic Sclerosis (SSc) with heterogeneous involvement limits the functionality of individuals. Anxiety-depression and biopsychosocial effects are observed due to these functional limitations. Therefore, a approach is recommended in disease management individuals SSc [1, 2]. The Cognitive Exercise Therapy Approach (BETY) developed on rheumatism has been presented literature as biops...