Hi Chiffon. I agree with Joanne. Having trained a basketball player with JRA, I know that it is vitally important that you familiarize yourself with the disease and ALL of its implications on exercise programming. FIRST of course, have the client obtain FULL medical clearance to exercise, and require that any exercise limitations and contraindications to be spelled-out by the medical professional.
If there is any doubt about your ability to safely work with a client with this, or any other health condition, you SHOULD NOT work with them. Their health and safety is the primary concern.
I hope that this helps.
Honestly, if I were the person with RA, I would ask you what do you know about rheumatoid arthritis?
FYI, RA is a systemic disease. Inflammatory rheumatic disease can affect cardiac and pulmonary function as well as cause widespread vasculitis. If you unfamiliar with the exercise effect as a consequence of the disease in addition to how the medications that are prescribed to treat RA effect the exercise response, it might be best to refer.
In order to decide whether someone with RA can/should be doing any type of workout, referral and clearance should be obtained. Most forms of exercies can be safely modified for people with RA, but some are explicitly contraindicated depending on which joints are affected. Only the client’s physician can make that assessment. I
I think any form of strength work needs to be done very carefully and any or all adjustments need to be determined for this situation.
It depends on where the pain is, some people have it in their knees, others in their wrists and elsewhere.
Once this client has been cleared by their doctor and has seen a Physical Therapist they can then continue on with the prescribed exercise plan.