Background: Joint protection in rheumatoid arthritis is a major area of occupational therapy. The course of the disease results in pain, limited mobility, deformity and loss of function in the hand area. The research question of this thesis is: Can the consequences and symptoms of rheumatoid arthritis in the hand area be reduced through joint protection? Aim: An overview of the evidence described in the international literature to represent and then to evaluate the results critically. The relevance for occupational therapy will be discussed and further research approaches should be elicited. Methods: The literature search was conducted in the databases CINAHL, The Cochrane Library, OTseeker and PubMed between 09/23/2014 and 09/28/2014. In addition, there was a manual search in reference books and journals in the course library. Results: Patients often have difficulty with the implementation of the principles of joint protection in everyday life. The joint protection programs have evolved greatly over the years and led to better results. Ergonomic movements, the use of aids and splints, as well as adaptations in homes found often use in practice. Joint protection leads to an improvement of the gripping force and a reduction of pain. Many symptoms such as developing deformities and swelling are not considered in the studies. In future high-quality studies must be carried out in these areas. Conclusion: Joint protection reduces the effects and symptoms of rheumatoid arthritis in the hand area.