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Rheumatoid Arthritis Exercise Programme (PMR)

Tailored aerobic, resistance and joint-protective exercise for chronic rheumatoid arthritis.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Rheumatoid Arthritis Exercise Programme (PMR)?

Therapeutic exercise is a cornerstone of rheumatoid arthritis (RA) management complementing pharmacological therapy by improving aerobic capacity, muscle strength, joint mobility, balance and fatigue while preserving cartilage and reducing cardiovascular risk.

EULAR and ACR guidelines recommend a combination of aerobic exercise (walking, cycling, swimming, 30-60 min, 3-5 days/week), resistance training (8-10 RM, 2-3 days/week) and joint-range-of-motion exercises supervised by a physiotherapist; aquatic therapy is preferred during flares.

Programmes are individualised to disease activity (DAS28), joint involvement, comorbidities and functional capacity; tai chi, yoga and gentle Pilates are useful adjuncts for balance and well-being; principles include joint protection, energy conservation and graded progression.

Symptoms

Persistent joint pain and stiffness
Morning stiffness >30 min
Reduced muscle strength and grip
Fatigue and depression
Functional limitation in ADLs
Cardiovascular deconditioning
Poor balance and falls risk

Risk Factors

Established RA on DMARD therapy
Functional limitation despite remission
Sedentary lifestyle
Comorbid cardiovascular disease
Sarcopenia and frailty
Depression and chronic fatigue
Joint deformity and erosion

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent functional limitation despite DMARD
  • Increased fatigue and deconditioning
  • Falls or balance impairment
  • Joint pain not improved by medical therapy

Treatment Methods

01
Initial functional assessment and DAS28 staging
02
Aerobic programme (walking, cycling, aquatic)
03
Resistance training 2-3 days per week
04
Joint-range-of-motion exercises daily
05
Joint protection and energy-conservation training
06
Tai chi, yoga or Pilates as adjuncts
07
Periodic reassessment and progression

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.