Question

A client with rheumatoid arthritis is experiencing a flare and demonstrates reduced movement in the affected joints. The OTR develops an intervention plan to include exercises to be completed even during the flare. Which exercises would be MOST appropriate for the client to complete at this time?

1) No exercises; rest is important at this time
2) Make fists, then open hands and fingers
3) Sewing and mending for prolonged time
4) Theraputty exercises to improve strength

Answer 1

During a rheumatoid arthritis flare-up, the most suitable exercises are those that are low-impact and involve gentle movements. Making fists, then opening hands and fingers, is a good example of such an exercise, which helps maintain joint flexibility without excessive strain. Complete rest is not recommended as it can lead to increased stiffness and muscle weakness.

Step-by-step explanation:

In the case of a client with rheumatoid arthritis (RA) experiencing a flare-up with reduced movement in affected joints, exercising can still be important for maintaining joint flexibility and muscle strength. However, it is crucial that these exercises are low-impact and gentle to not exacerbate the condition. The most appropriate exercises during such a flare would be low-impact activities that involve gentle movements and minimal stress on the joints.

Thus, option 2) Make fists, then open hands and fingers would be the most suitable exercise for a client to complete during an RA flare. Such range-of-motion exercises can help keep the joints flexible without putting too much strain on them. On the other hand, options 3) Sewing and mending for a prolonged time and 4) Theraputty exercises to improve strength may be too intensive during a flare and may lead to increased joint stress and pain. Rest, as mentioned in option 1), is also vital; however, complete avoidance of physical activity is not recommended as it may lead to joint stiffness and muscle weakness over time.