Exercise in three to five sessions per week are recommended. Patients with rheumatoid arthritis (RA) should be advised not to exercise during periods of exacerbations/flare-ups.
The intensity should be between 60 and 75% HRmax. Type
This will depend on individuals and their symptoms. Low-impact activities are generally recommended in order to avoid stress on the lower limb joints. Comparable workload intensity to high-impact exercise can be achieved by adding dynamic upper limb exercises to low-impact exercises. Water-based activity may be suitable for arthritis.
Advice should be given regarding good shock-absorbing foot wear, and, if necessary, it may be more appropriate to prescribe non- or partial weight-bearing activities. In addition, patients should be encouraged to develop flexibility and to strengthen muscles around vulnerable joints to encourage joint stability.
The overload period should last for 20 to 30 minutes.
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