This study showed that a simple, brief, and inexpensive exercise regimen could be safe and effective for people with RA with lower-limb involvement. This may make beneficial activity more accessible to persons with RA. With its general bias toward upper-limb disability, HAQ may not be the most effective tool to evaluate regimens that focus on lower limb function. New measures for lower-limb disability may need to be developed. While it is encouraging that the 6-month follow-up assessment showed continued improvement, further study is needed to determine the cause, especially when no participants reported any new or continued activity during this time frame other than ADL. Individualization of exercise based on a client's ability is ideal in one-to-one therapy situations, but unusual in a research setting. Overall improvements were shown, but it would be difficult to link the improvements to a characteristic of the rehabilitation regimen without further research.