Family Nurse Practitioner Exam

What is considered the best form of aerobic exercise for patients with severe rheumatoid arthritis?

1. Yoga

2. Swimming

3. Riding a bicycle

4. Passive range of motion

The correct answer is: Yoga

In the case of patients with severe rheumatoid arthritis, swimming is widely regarded as the best form of aerobic exercise. This is primarily due to the buoyancy of water, which reduces the stress and strain on the joints while allowing for movement and exercise. Swimming promotes cardiovascular fitness, flexibility, and provides a full-body workout without exacerbating pain or discomfort, which is crucial for individuals with joint-related conditions. Yoga, while beneficial for enhancing flexibility, strength, and stress relief, does not typically provide the same level of cardiovascular conditioning as swimming. Furthermore, certain poses and transitions in yoga can put stress on already inflamed and painful joints, potentially leading to injury or increased discomfort. Riding a bicycle can also be a good option, particularly if adjusted for comfort and if the patient has access to a stationary bike. However, it may not be as universally accessible or less stressful for those with severe joint issues compared to the supportive environment of water. Passive range of motion is primarily a rehabilitation technique rather than a form of aerobic exercise, focusing on maintaining joint mobility rather than promoting cardiovascular fitness or overall physical activity. In summary, swimming's unique advantages, such as low impact and the ability to exercise without exacerbating joint pain, make it the most suitable form of aerobic exercise