Age

18–any

Sex

ALL

Healthy volunteers

Not accepted

Diagnosed with Rheumatoid Arthritis according to American College of Rheumatology criteria
Age 18-65 years
Both genders eligible
Disease duration of at least 6 months
Stable medication regimen for at least 3 months before study
Mild to moderate disease activity
Able to walk independently with or without assistive devices
Willing and able to provide informed consent
Agree to participate in the exercise program for 6 weeks
Attending AL-Najaf Teaching Hospital for RA management

Severe cardiovascular disease (unstable angina, recent MI, severe heart failure)
Other inflammatory arthritis (psoriatic arthritis, ankylosing spondylitis, lupus)-
Recent joint surgery or fracture within the past 6 months
Severe osteoporosis with fracture risk
Pregnancy
Severe cognitive impairment preventing participation
Uncontrolled hypertension (BP \>180/110 mmHg)
Active infection or fever at baseline
Severe joint damage preventing exercise participation
Participation in another exercise program during the study period
Neuromuscular disorders affecting muscle function

Efficacy of Structured Progressive Training Exercise on Muscle Strength of Patients With Rheumatoid Arthritis