Inclusion Criteria:  Having a diagnosis of SSc according to 2013 ACR/EULAR criteria Having upper extremity/hand involvement Voluntary and consent to participate in the study  Exclusion Criteria:  Having a known diagnosis of additional rheumatological disease Diagnosis of any known non-rheumatic disease Existence of deformity that prevents doing the exercises Presence of active digital ulcer Being involved in another rehabilitation program Having cognitive disorder Failure to give consent to participate in the study