Recommendations
Table 2. Recommendations for the Management of RA
a
A. Exercise recommendations Level of Evidence
We strongly recommend consistent engagement in exercise over no
exercise.
Moderate
We conditionally recommend consistent engagement in aerobic
exercise over no exercise.
Very low to Low
We conditionally recommend consistent engagement in aquatic
exercise over no exercise.
Low
We conditionally recommend consistent engagement in resistance
exercise over no exercise.
Very low
We conditionally recommend consistent engagement in mind-body
exercise over no exercise.
Very low to low
B. Rehabilitation interventions Level of Evidence
We conditionally recommend participation in comprehensive
occupational therapy over no comprehensive occupational therapy.
Very low
We conditionally recommend participation in comprehensive
physical therapy over no comprehensive physical therapy.
Very low
For patients with hand involvement, we conditionally recommend
performing hand therapy exercises over no hand therapy exercises.
Low
For patients with hand and/or wrist involvement and/or deformity,
we conditionally recommend use of splinting, orthoses, and/or
compression over no splinting, orthoses, and/or compression.
Very low
For patients with foot and/or ankle involvement, we conditionally
recommend use of bracing, orthoses, and/or taping over no bracing,
orthoses, and/or compression.
Very low
For patients with knee involvement, we conditionally recommend
use of bracing and/or orthoses over no bracing and/or orthoses.
No studies met
eligibility criteria
We conditionally recommend use of joint protection techniques
over no joint protection techniques.
Low
We conditionally recommend use of activity pacing, energ y
conservation, activity modification, and/or fatigue management
over no activity pacing, energ y conservation, activity modification,
and/or fatigue management.
No studies met
eligibility criteria
We conditionally recommend use of assistive devices over no
assistive devices.
No studies met
eligibility criteria
We conditionally recommend use of adaptive equipment over no
adaptive equipment.
No studies met
eligibility criteria
