Application and Progress of Rehabilitation Therapy in the Active Phase of Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a common chronic autoimmune disease that primarily affects the synovial joints, leading to joint swelling, pain, and functional impairment, significantly affecting patients' quality of life. Currently, the treatment of RA mainly relies on pharmacological interventio...

Full description

Saved in:
Bibliographic Details
Main Authors: WAN Yakun, LIU Yuan, QU Yuan, JIANG Ping
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2025-02-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2025.01013
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Rheumatoid arthritis (RA) is a common chronic autoimmune disease that primarily affects the synovial joints, leading to joint swelling, pain, and functional impairment, significantly affecting patients' quality of life. Currently, the treatment of RA mainly relies on pharmacological interventions, but these treatments have side effects and limitations. Therefore, rehabilitation therapy, as a non-pharmacological treatment approach, has gained increasing attention and been widely used. In the treatment of RA during the active phase, assessing disease activity is key. The Disease Activity Score (DAS28) provides a straightforward and effective method for clinicians to evaluate the disease activity of RA, classifying it into high, moderate, low activity phases, and remission phase. Rehabilitation assessment forms the foundation for individualized treatment during the active phase of RA. This assessment includes evaluations of physical function, pain, quality of life, and psychological status.Rehabilitation treatment during the active phase of RA includes rehabilitation strategies for high, moderate, and low activity phases. In the high and moderate activity phases, the focus is on alleviating pain, reducing swelling, and restoring joint function through physical modalities (such as transcutaneous electrical nerve stimulation, microwave therapy) and functional rehabilitation exercises (such as isometric exercises, passive movements, and occupational therapy). For the low activity phase, treatment includes physical modalities, exercise therapy, occupational therapy, orthotics, and psychological rehabilitation, aiming at reducing inflammation, promoting circulation, improving joint function, alleviating pain, and enhancing muscle strength. This approach also helps to alleviate patients' anxiety and depression, improving their overall quality of life. However, existing research faces challenges such as inconsistent assessment methods, insufficient individualization of treatment plans, and a lack of long-term efficacy evaluations. In the future, RA rehabilitation treatment should strengthen interdisciplinary collaboration, explore more suitable individualized treatment plans, and further assess their long-term effects.
ISSN:2096-0328