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2022 American College of Rheumatology Guidelines for Rheumatoid Arthritis

 2022 American College of Rheumatology (ACR) Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis.

Rheumatoid Arthritis Guidelines

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.

EXERCISE.

Consistent engagement in exercise was strongly recommended. Aerobic, Aquatic, Resistance and Mind-Body exercise were the types of exercise recommended.

REHABILITATION RECOMMENDATIONS:

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.

DIET.

Mediterranean-style diet was recommended.

ADDITIONAL INTERVENTIONS:

Standardized self management program; Cognitive behavioral therapy and/or mind body approaches; Acupuncture; Massage therapy; Thermal modalities.

You can view the Guideline Summary in pdf here 

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.

Mediterranean diet simplified includes What a Day on the Mediterranean Diet might look like for both summer and winter.

Wellness for a Life with Rheumatic Disease

Rheumatoid Arthritis Guidelines

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