Kinesthetic treatment on stiffness, quality of life and functional independence in patients with rheumatoid arthritis

Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease of unknown etiology that primarily affects the joints, causing joint destruction, deformity and functional disability. Genetic, immunological, environmental, psychological and endocrine factors are believed to contribute to its development. The diagnosis of RA is based on the confrontation of clinical manifestations and laboratory tests, with classification criteria established by the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR). Treatment has evolved significantly in recent years, focusing on obtaining and maintaining clinical remission to prevent structural and systemic complications. Rehabilitation plays a crucial role in the management of RA, relieving pain, preventing deformities and improving quality of life. Physical therapy programs include joint mobility exercises, resistance exercises, therapeutic massage, aerobic exercises and stretching, among others. RA can have different patterns of evolution, such as acute, cyclic or progressive. Physiotherapy helps to improve the physical and psychological function of patients, adapting to the stages of the disease. In addition, a multidisciplinary approach including pharmacological treatment, orthopedic surgery when necessary and personal care is recommended. Rehabilitation is essential to maintain the functional independence of RA patients and improve their quality of life. Physical therapy programs should be tailored to the individual needs of each patient and consider the stage of the disease. Physiotherapy has been shown to reduce pain, improve muscle function and strength, and contribute to the overall well-being of RA patients.