Exercise therapy for rheumatoid arthritis

  Exercise therapy, also known as sports therapy, is a method of treating disease with exercise or physical exercise. It is the patient’s self-treatment, shall be self-exercise by the patient; it is both local treatment and systemic treatment, muscle activity can not only play an exercise effect on local tissues, but also have a positive impact on the whole body organs, so as to accelerate the recovery of the disease.  (1) Treatment purpose: ① Maintain or improve the function and range of motion of diseased joints; ② Prevent muscle atrophy; ③ It can make the patient’s spirit uplifted, physical strength increased, and evoke confidence to fight against the disease. Therefore, it is also an effective psychological treatment.  (2) Forms of movement: There are two forms of movement: one is active movement, which is the main form of movement and is done by the patient actively in the form of muscles; the other is passive movement, which refers to the movement done with the help of external forces. The external force can be mechanical force, but also can be the force of others or my healthy limbs to assist. It is applicable to various causes of limb movement disorders, can play a role in relaxing spasm, preventing muscle adhesion, stretching contracted tendons and ligaments, restoring and maintaining joint mobility. For patients with severe rheumatoid arthritis who cannot get up, this exercise is used the most and can be used as a preparation for active exercise.  (3) Method: The “joint gymnastics” programmed for arthritis is a common exercise therapy and is performed as follows: ① Finger joint exercises: alternating fist clenching and finger flattening. When clenching a fist, you can hold a pencil or a thicker stick; when stretching, you can put your palm and fingers flat against the table, or put your hands together with force.  ② wrist joint exercises: both hands together, repeatedly alternating force to the side of flexion and extension, but also clutching dumbbells to do finger flexion and extension movement.  Elbow joint exercises: palms up, both arms forward flat, quickly clenched fist and flexion of the elbow, efforts to make the fist up to the shoulder, and then quickly stretch palm and elbow, repeatedly for many times, and then both arms to both sides flat, clenched fist and flexion of the elbow movement as before.  ④Shoulder joint exercise: one arm from the front from the neck side to the back, palm touching the back, while the other arm from the side (armpit) to the back, fingers touching the back, try to make the fingers of both hands in the back close, repeated several times a day.  ⑤ Ankle joint exercises: take a sitting position, flexion and extension of the ankle joint and rotation of both sides respectively.  (6) Knee and hip exercises: alternate between squatting and forward leg lifting exercises.