Abstract
Rheumatoid arthritis is a systemic rheumatoid disease that can involve many organ systems, the axial cervical spine, and almost all peripheral joints. Significant effects include fatigue, decreased aerobic capacity, muscle atrophy, diminished strength and joint motion, pain, and altered biomechanical joint function. Exercise has been proven to increase strength, joint motion, aerobic capacity, and function. Exercise programs should begin early in the disease process and should be individualized and periodically modified according to the disease stage and level of activity.
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