Abstract

Introduction: Autoimmune chronic disease Joint pain, inflammation, and irregularities are RA symptoms. Everyone's physical and emotional health is affected by this awful sickness. RA treatments are being investigated to improve life. Even while medications treat RA, physical therapy is growing. Patients can receive MET for musculoskeletal issues. The effects of MET on chronic rheumatoid arthritis quality of life are unknown. Free MET's impact on chronic rheumatoid arthritis sufferers will be studied. We seek to improve treatment options and empower patients through active rehabilitation by studying this unknown territory. Few have studied advanced manual therapy like MET for RA, making this study intriguing. A comprehensive MET and free exercise study may improve long-term RA patients' clinical processes and quality of life. This study addresses a knowledge gap, recommends future research, and promotes awareness of how advanced manual therapy may improve quality of life for chronic rheumatoid arthritis patients.
 Objectives:To determine the impact that the muscular energy technique has on the quality of life of people who suffer from chronic rheumatoid arthritis. To investigate the impact that free workouts have on the quality of life of people who suffer from chronic rheumatoid arthritis.
 Conclusion:This study found that free exercises and MET enhanced RA patients' quality of life. Therapeutic interventions targeting systemic inflammation and polyarthritis were guided by HAQ and NRS testing to reduce discomfort, strengthen, and enhance function. Hot moist packs reduced stiffness and NRS values declined quickly during MET and free exercises, relieving discomfort. 30–60-year-olds maintained muscle tone and power with medication and targeted exercises. After isometric relaxation, manual treatment harmonized inputs, reduced discomfort, and improved pain, disability, and joint range. High HAQ ratings suggested better quality of life, suggesting rigorous manual treatment and exercise may assist chronic RA. These findings advise treating rheumatoid arthritis using tailored methods and more investigation.

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