• Suad Mahdi Mohammed Sadiq
Keywords: Rheumatoid arthritis, Disease Activity Score -28 (DAS-28), Health Assessment Questionnaire (HAQ), Physiotherapy.


Rheumatoid arthritis (RA) is a chronic inflammatory disease with a prevalence around 0.8 (range: 0.3–1.0) per 100 adults, and a peak in onset of disease between 55 years and 64 years of age. It has a high societal impact due to treatment requirements and losses in productivity which, mainly affects the synovium of peripheral joints, with great impact on quality of life, regarding the social, economic and psychological aspects.
The study carried to assess the impact of physiotherapy exercise on rheumatoid arthritis patients.
Patients and methods:
The sample consisted of 50 cases42 of them are females and 8 of them are males, patients’ age ranges from 22-75 years. In this research the impact of physiotherapy on quality of life in patients with rheumatoid arthritis was investigated using the Index of disease activity: Disease Activity Score(DAS) and Health Assessment Questionnaire (HAQ).
The study demonstrated significant increment between baseline and post exercise between (5.06±0.844) and (4.764±0.973) respectively (P -value 0.01) for DAS score and(1.144±0.111) baseline and (1.085±0.148) post exercise ( P value= 0.014) for HAQ scores. This increment was as result to exercise which helps decreasing disability, functional capacity impairment and joint count. The positive impact on both functional capacity and disability is likely to be clinically relevant.
Keywords: Rheumatoid arthritis, Disease Activity Score -28 (DAS-28), Health Assessment Questionnaire (HAQ), Physiotherapy.

Author Biography

Suad Mahdi Mohammed Sadiq

MSc. Scholar at University of Al-Mustansiriyah


Huscher D, Mittendorf T, von Hinüber U, Kötter I, Hoese G, Pfäfflin A, Bischoff S, Zink A, German Collaborative Arthritis Centres. Evolution of cost structures in rheumatoid arthritis over the past decade. Annals of the rheumatic diseases. 2015 Apr 1;74(4):738-45.

Park Y, Chang M. Effects of rehabilitation for pain relief in patients with rheumatoid arthritis: a systematic review. Journal of physical therapy science. 2016;28(1):304-8.

Peungsuwan P, Sermcheep P, Harnmontree P, Eungpinichpong W, Puntumetakul R, Chatchawan U, Yamauchi J. The effectiveness of Thai exercise with traditional massage on the pain, walking ability and QOL of older people with knee osteoarthritis: a randomized controlled trial in the community. Journal of physical therapy science. 2014;26(1):139-44.

Barkoot M, Albejawi A, Alhadri A, Albalawi S, Al Awwas M, Alameer M, Alshlaqi B, Alshammary A, Alameer D, Alhawiti M. The impact of fish oil supplementation in patients with rheumatoid arthritis. International Journal Of Community Medicine And Public Health. 2018 Jun 22;5(7):2637-41.

Nair M, Peate I. Pathophysiology for Nurses at a Glance. John Wiley & Sons; 2015 Apr 20:143-46.

Sokka T, Häkkinen A, Kautiainen H, Maillefert JF, Toloza S, MØrk hansen T, Calvo‐Alen J, Oding R, Liveborn M, Huisman M, Alten R. Physical inactivity in patients with rheumatoid arthritis: data from twenty‐one countries in a cross‐sectional, international study. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2008 Jan;59(1):42-50.

Jiang L, Yin J, Ye L, Yang J, Hemani G, Liu AJ, Zou H, He D, Sun L, Zeng X, Li Z. Novel risk loci for rheumatoid arthritis in Han Chinese and congruence with risk variants in Europeans. Arthritis and rheumatology 2014May;66(5):1121-32.

Lee YH. Comparison of Disease Activity Score-28 Based on Erythrocyte Sedimentation Rate and C-reactive Protein Level in Rheumatoid Arthritis. Journal of Rheumatic Diseases. 2018 Jan 1;25(1):1-2.

Hifinger M, Norton S, Ramiro S, Putrik P, Sokka-Isler T, Boonen A. Equivalence in the Health Assessment Questionnaire (HAQ) across socio-demographic determinants: Analyses within QUEST-RA. In Seminars in arthritis and rheumatism 2018 Feb 1;47(4):492-500.

Kimura N, Suzuki K, Takeuchi T. Demographics and clinical characteristics associated with sustained remission and continuation of sustained remission in patients with rheumatoid arthritis treated with adalimumab. Inflammation and Regeneration. 2019 Dec;39(1):5-17.

Chang K, Yang SM, Kim SH, Han KH, Park SJ, Shin JI. Int J Mol Sci. 2014 Dec 3;15(12):22279-95.

Xu B, Lin J. Characteristics and risk factors of rheumatoid arthritis in the United States: an NHANES analysis. PeerJ. 2017 Nov 24;5:e4035.

Hedström AK, Klareskog L, Alfredsson L. Interplay between obesity and smoking with regard to RA risk. RMD Open. 2019 Apr 1;5(1):e000856.

Versini M, Jeandel PY, Rosenthal E, Shoenfeld Y.Obesity in autoimmune diseases:not a passive bystander.In Mosaic of Autoimmunity 2019 Jan1 343-372.

Jeong H, Baek SY, Kim SW, Eun YH, Kim IY, Kim H, Lee J, Koh EM, Cha HS. Comorbidities of rheumatoid arthritis: results from the Korean National Health and Nutrition Examination Survey. PLOS ONE.2017, 12:e0176260.

Weyand CM, Yang Z, Goronzy JJ. T-cell aging in rheumato Current Opinion Rheumatology.2014, 26:93-100.

Qin B, Yang M, Fu H, Ma N, Wei T, Tang Q, Hu Z, Liang Y, Yang Z, Zhong R. Body mass index and the risk of rheumatoid arthritis: a systematic review and dose-response meta-analysis. Arthritis Research and Therapy.2015, 17:86-97.

Khalid U, Egeberg A, Ahlehoff O, Lane D, Gislason GH, Lip GY, Hansen PR. Incident heart failure in patients with rheumatoid arthritis: a nationwide cohort study. Journal of the American Heart Association. 2018 Jan 19;7(2):e007227.

Shaw M, Collins BF, Ho LA, Raghu G. Rheumatoid arthritis-associated lung disease. European Respiratory Review. 2015 Mar 1;24(135):1-6.

Jiang P, Li H, Li X. Diabetes mellitus risk factors in rheumatoid arthritis: a systematic review and meta-analysis.Clin Exp Rheumatol.2015Jan-Feb;33(1) :115-21.

Senara SH, Wahed WY, Mabrouk SE. Importance of patient education in management of patients with rheumatoid arthritis: an intervention study. Egyptian Rheumatology and Rehabilitation. 2019 Jan 1;46(1):42-7.

Flint-Wagner HG, Lisse J, Lohman TG, Going SB, Guido T, Cussler E, Gates D, Yocum DE. Assessment of a sixteen-week training program on strength, pain, and function in rheumatoid arthritis patients. JCR: Journal of Clinical Rheumatology. 2009 Jun 1;15(4):165-71.

Baillet A, Payraud E, Niderprim VA, Nissen MJ, Allenet B, Francois P, Grange L, Casez P, Juvin R, Gaudin P. A dynamic exercise programme to improve patients’ disability in rheumatoid arthritis: a prospective randomized controlled trial. Rheumatology. 2009 Feb 11;48(4):410-5.

Klippel JH, Stone JH, White PH, editors. Primer on the rheumatic diseases. Springer Science & Business Media; 2008 Jan 23.

Ayhan F, Gecene M, Gündüz R, Borman P, Yorgancioglu R. Long-Term Effects of Comprehensive In patient Rehabilitation on Function and Disease Activity in Patients with Chronic Rheumatoid Arthritis and Ankylosing Spondylitis/ Turkish Journal of Rheumatology. 2011 Jun 1;26.
How to Cite
Suad Mahdi Mohammed Sadiq. (2019). STUDY ON THE IMPACT OF PHYSIOTHERAPY EXERCISE ON RHEUMATOID ARTHRITIS PATIENTS. Mintage Journal of Pharmaceutical and Medical Sciences (ISSN: 2320-3315), 20-22. Retrieved from
Original Article(s)