We herein report an undisclosed case of systemic lupus erythematosus (SLE) with class 4 lupus nephritis (LN). It is an autoimmune disease that occurs when the body's immune system attacks its tissues. It results in significant tissue damage and inflammation in the afflicted organs. It may affect the kidneys, brain, lungs, skin, joints, and blood vessels. A 30-year-old female presented to Acharya Vinoba Bhave Rural Hospital (AVBRH) with the complaint of breathlessness, cough with expectoration, and fever for two months. The patient is having musculoskeletal renal difficulties and psychological effects. The objective is to reduce the symptoms and to improve the quality of life. A multidisciplinary treatment approach is used, which includes physiotherapy intervention and patient education. In conclusion, this case report mainly focuses on a multidisciplinary treatment approach to improve patient outcomes and quality of life.

Background-Range of motion (ROM) is a module of evaluation of the body that is utilized in protocols of identification and rehabilitation. Goniometer is the device which are routinely used to assess musculoskeletal range of motion. Clinicians now have access to smartphone goniometer software. This study proposes a novel gadget that measures different joints ROM applying a smartphone goniometer. Objective- To test the reliability, relevance, use of smartphone goniometer application for ROM measurement at different joints. Sources of information-Four sources of information (Pubmed, Scopus, Web of Science) have been looked from 2012 to 2022. Review method-Studies on the reliability, validity and use of smartphone goniometer application were included. High quality experiment trails were chosen for the study. Result-98 articles were extracted; 4 articles were included in study which emphasized the use of Smartphone goniometer application (SGA) for ROM measurement in different joints. Studies shows inconsistent results on use of smartphone goniometer application on different joints. Conclusion- The measurement produced with the evaluated SGA are accurate as obtained with the UG. Therefore, it's a valid instrument for measuring range of motion for different joints.