Owing to the fear of exacerbating the destruction caused to joints

Owing to the fear of exacerbating the destruction caused to joints, it was advised for patients with RA to avoid or limit physical activity (Sokka et al., 2007). However, the role of exercise in the management of Rheumatoid arthritis has received ample research attention (Law et al., 2010), and proven that physical activity and exercise has innumerable positive effects on improving the health of patients with RA without aggravating symptoms (Veldhuijzen van Zanten et al., 2015).

Rheumatoid arthritis limits everyday activities of patients, such as dressing, climbing stairs, getting in and out of bed, or simply walking; leading to permanent disability (Nolte and Janse van Rensburg, 2013).

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