Evaluation of hydrotherapy versus land-based exercise on rheumatoid arthritis

INTERVENTION: Intervention1: specific set of exercises in in 2 experimental group and normal routine exercise for control group: Clear Control group‐ All the subjects included in the control group will be undergoing following Active Exercises regimen for six weeks in the Department of Physical Medicine & Rehabilitation (PMR) at Physiotherapy unit KGMU, UP. Experimental Group 1st ‐ Subjects in the hydrotherapy group will be undergoing the following exercises regimen in hydrotherapy tub submerge body for six weeks for 30 minutes weekly warm (30‐35 degree Celsius) water exercises in Department of Physical Medicine & Rehabilitation (PMR) at Physiotherapy unit KGMU, UP. a. Flexion, Extension, Stretching (Isometric Strengthening, Isotonic Strengthening), Twisting, Gait Training. Experimental Group 2nd ‐ Subjects in the land‐based group will be undergoing the following exercises regimen on land for six weeks for 30 minutes weekly exercises session in the physiotherapy unit of KGMU â?¢ Flexion, Extension, Stretching (Isometric Strengthening, Isotonic Strengthening), Twisting, Gait Training. Intervention2: Hydrotherapy versus land based exercise compare to clear control group on pain and quality of life among rheumatoid arthritis.: Randomized, Parallel Group, Multiple Arm Trial Duration 6 weeks (weekly exercises session). Time (30 minutes exercises in one session). Site of study Department of Physical Medicine & Rehabilitation (PMR) at Physiotherapy unit KGMU, Lucknow U.P. 1.Experimental Group 1st for hydrotherapy exercises. Water temperature (30‐35 degree Celsius). Exercises in hydrotherapy bath tub submerge body in water. Set of exercises Stretching â?? In the sitting position, support with the wall of the pool, cross one leg over the other leg and place one hand on top of the foot to CONDITION: Health Condition 1: D899‐ Disorder involving the immune mechanism, unspecified PRIMARY OUTCOME: Aim of this study is to evaluate the comparative effectiveness of hydrotherapy exercises versus land‐based exercises to decrease pain and improve quality of life (QOL) among patient with Rheumatoid Arthritis.Timepoint: Time point will be 6 weeks. ; (30 minutes weekly session for 6 weeks). SECONDARY OUTCOME: Evaluate comparative effectiveness of hydrotherapy versus land based exercise among rheumatoid arthritis. ; Timepoint: time point will be 6 weeks. INCLUSION CRITERIA: Adult patient age from 17 to 75 years old suffering from chronic rheumatoid arthritis subject to written informed consent. Able to use Numeric Rating Pain Scale and read and write and understand Hindi / English language.