Mulligan Mobilization in Rheumatoid Hand

The goal of this randomized-controlled study is to learn about the effectiveness of the Mulligan mobilization in rheumatoid hands. The main question it aims to answer are:-Does mulligan mobilization reduce effusion in wrist joints with rheumatoid arthritis? Participants will take Mulligan mobilization application and active ROM exercises for their hands. Researcher will compare treatments group ith sham mobilization.

Inclusion Criteria:Having been diagnosed with RAS according to ACR and EULAR criteria,Being under the control of a physiatrist for at least 1 year,Have not had any upper extremity surgery in the last 6 monthsHave the cognitive capacity to understand commands,Not to be involved in any other rehabilitation program or study,Exclusion Criteria:Presence of soft tissue injury and chronic bone damage in the hand,Presence of acute inflammation in any joint in the previous week,Presence of a degenerative or non-degenerative neurological condition that causes a change in pain perception,