Which principle is emphasized in the positioning and activity management of rheumatoid arthritis?

• A. Prolonged immobilization of involved joints
• B. Protect bony prominences
• C. Perform careful/gentle exercises several times a day
• D. Avoid any movement

Answer: (C)

Keeping joints mobile through careful daily movement is essential in rheumatoid arthritis because activity helps preserve range of motion and muscle strength while preventing the stiffness and contractures that develop with inactivity. RA causes inflammatory swelling in the joints, leading to pain and morning stiffness; sustained rest can make joints more rigid and weaken supporting muscles. Gentle, careful exercises several times a day maintain ROM, promote circulation, and help manage symptoms without overloading inflamed joints. It’s about balancing movement with rest and avoiding positions that trap or strain joints. Prolonged immobilization would worsen stiffness, while complete avoidance of movement would hasten loss of mobility.