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In 1991, Kimberly Steinbarger, PT, MHS, had a minor injury that did not heal as expected. She had jammed her finger in a door and, 2 weeks later, found it odd that the swelling had not subsided. Making matters more alarming, one morning she noticed that the same finger on her other hand had swelled up.

Autoimmune

"I was 24, so I was too old for juvenile rheumatoid arthritis and too young for adult rheumatoid arthritis, and I had no family history of arthritis," she explains.

Steinbarger, who had been a physical therapist (PT) for just 2 years, was shocked when a rheumatologist eventually diagnosed her with rheumatoid arthritis (RA).

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  1. Shomon M. An overview of autoimmune diseases. Verywell Health. June 24, 2019. https://www.verywellhealth.com/autoimmune-diseases-overview-3232654. Accessed August 15, 2019.
  2. Estimates of prevalence for autoimmune disease. The Autoimmune Registry. http://www.autoimmuneregistry.org/autoimmune-statistics. Accessed August 15, 2019.
  3. Watson S. Autoimmune diseases: types, symptoms, causes, diagnosis & more. Healthline. March 26, 2019. https://www.healthline.com/health/autoimmune-disorders#common-autoimmune-diseases. Accessed August 15, 2019.
  4. Autoimmune Diseases. National Institutes of Health-National Institute of Environmental Health Sciences. November 2012. https://www.niehs.nih.gov/health/materials/autoimmune_diseases_508.pdf. Accessed August 15, 2019.
  5. Autoimmune Diseases. MedlinePlus. April 25, 2019. https://medlineplus.gov/autoimmunediseases.html. Accessed August 15, 2019.
  6. Sharif K, Watad A, Bragazzi NL, et al. Physical activity and autoimmune diseases: Get moving and manage the disease. Autoimmunity Reviews. 2018;17(1):53-72. doi:10.1016/j.autrev.2017.11.010.
  7. Sowers K. The impact of an exercise program on stress, fatigue, and quality of life for individuals living with primary immunodeficiency disease [dissertation]. 2018 Fort Lauderdale, FL: Nova Southeastern University.
  8. Li R, Zheng Y, Li Y, et al. Common variable immunodeficiency with genetic defects identified by whole exome sequencing. BioMed Res Int. 2018;2018:1-7. doi:10.1155/2018/3724630.
  9. About Primary Immunodeficiencies. Immune Deficiency Foundation. https://primaryimmune.org/about-primary-immunodeficiencies. Accessed August 15, 2019.
  10. Flachenecker P. Autoimmune diseases and rehabilitation. Autoimmunity Reviews. 2012;11(3):219-225. doi:10.1016/j.autrev.2011.05.016.
  11. Williams MA, Williamson EM, Heine PJ, et al. Strengthening And stretching for Rheumatoid Arthritis of the Hand (SARAH). A randomised controlled trial and economic evaluation. Health Technol Assess. 2015;19(19):1-222. doi: 10.3310/hta19190.
  12. Williamson E, McConkey C, Heine P, et al. Hand exercises for patients with rheumatoid arthritis: an extended follow-up of the SARAH randomised controlled trial. BMJ Open. 2017;7(4):e013121. doi: 10.1136/bmjopen-2016-013121.
  13. Hammond A, Prior Y. The effectiveness of home hand exercise programmes in rheumatoid arthritis: a systematic review. Br Med Bull. 2016;119(1):49-62. doi: 10.1093/bmb/ldw024.
  14. Halabchi F, Alizadeh Z, Sahraian MA, Abolhasani M. Exercise prescription for patients with multiple sclerosis; potential benefits. BMC Neurol. 2017;17(1):185. doi: 10.1186/s12883-017-0960-9.
  15. Corvillo I, Varela E, Armijo F, et al. Efficacy of aquatic therapy for multiple sclerosis: a systematic review. Eur J Phys Rehabil Med. 2017;53(6):944-952. doi: 10.23736/S1973-9087.
  16. Profound, debilitating fatigue found to be a major issue for autoimmune disease patients in new national survey. ScienceDaily. March 23, 2015. https://www.sciencedaily.com/releases/2015/03/150323105245.htm. Accessed August 15, 2019.
  17. Tatta J. The Link Between Nutrition and Pain Is Too Strong to Ignore in Your PT Practice. American Physical Therapy Association website. aspx?blogmonth=11&blogday=16&blogyear=2016&blogid=266. Accessed August 15, 2019.

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