2022 American College of Rheumatology (ACR) Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis.
The guideline addresses the use of exercise, rehabilitation, diet, and additional integrative interventions in conjunction with disease-modifying anti-rheumatic drugs (DMARDs) as part of an integrative management approach for people with rheumatoid arthritis. It is not about the pharmacologic management of rheumatoid arthritis. It is about integrative interventions for the management of RA to accompany DMARD treatments.
Consistent engagement in exercise was strongly recommended. Aerobic, Aquatic, Resistance and Mind-Body exercise were the types of exercise recommended.
Occupational therapy; physical therapy; splinting, orthoses, compression, bracing, and/or taping; Joint protection techniques; activity pacing, activity modification, energy conservation, and/or fatigue management; Assistive devices, adaptive equipment, and/or environmental adaptations; Vocational rehabilitation, work site evaluations and/or modifications.
Mediterranean-style diet was recommended.
Standardized self management program; Cognitive behavioral therapy and/or mind body approaches; Acupuncture; Massage therapy; Thermal modalities.
FURTHER READING AND PERSONAL STORIES
If you are looking for further reading on these topics you may be interested in the following personal stories about some of these suggested interventions:
Aquatic Exercise: Starting hydrotherapy
Talk Over RA – Julia McNally and Yoga For RA
Activity pacing: Learning to Pace Myself
What do you actually eat on the Mediterranean diet? Mediterranean diet breakfasts. List of breakfast suggestions and a recipe.