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Correlation Between Reduction in Pain and Improvement in Function Multimodal Physiotherapy Approaches in Postmenopausal Women with Bilateral Knee Osteoarthritis


Authors : Sehajleen Kaur; Varinder Kaur

Volume/Issue : Volume 11 - 2026, Issue 5 - May


Google Scholar : https://tinyurl.com/3fy65snm

Scribd : https://tinyurl.com/3df9nvv8

DOI : https://doi.org/10.38124/ijisrt/26May898

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Knee Osteoarthritis is a common degenerative joint disorder among postmenopausal women, frequently associated with pain, reduced muscle strength, and functional limitations. Multimodal physiotherapy approaches are widely used to manage symptoms and improve functional outcomes. However, limited evidence exists regarding the correlation between pain reduction and functional improvement following such interventions.  Objective: To determine the correlation between reduction in pain and improvement in function following multimodal physiotherapy approaches in postmenopausal women with bilateral knee osteoarthritis.  Methods: Thirty postmenopausal women aged 40–60 years diagnosed with bilateral knee osteoarthritis (Kellgren–Lawrence Grade II–III) were allocated. Participants received Maitland Mobilisation combined with Multiple-Angle Isometrics, Interferential Current Therapy and Mini-Squats. The interventions were administered three sessions per week for four weeks. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS) while functional status was evaluated using the WOMAC (Western Ontario and McMaster Universities Osteoarthritis) Index. Pre-intervention and postintervention scores were recorded. Correlation analysis was performed to determine the association between improvement in pain and functional outcomes using Pearson’s correlation coefficient.  Results: Following the intervention, participants demonstrated significant reduction in pain and improvement in functional status. A positive correlation was observed between reduction in pain scores and improvement in WOMAC scores, indicating that participants who experienced greater pain relief also demonstrated greater functional improvement. The findings suggest that multimodal physiotherapy interventions effectively enhance clinical outcomes in postmenopausal women with bilateral knee osteoarthritis.  Conclusion: Multimodal physiotherapy approaches incorporating Maitland Mobilisation combined with Multiple- Angle Isometrics, Interferential Current Therapy and Mini-Squats were effective in reducing pain and improving function in postmenopausal women with bilateral knee osteoarthritis. Furthermore, a significant correlation existed between pain reduction and functional improvement, highlighting the interrelationship between these clinical outcomes during rehabilitation.

Keywords : Knee Osteoarthritis, Postmenopausal Women, NPRS, WOMAC, Maitland Mobilisation, Multiple-Angle Isometrics, Interferential Current Therapy, Mini-Squats.

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Background: Knee Osteoarthritis is a common degenerative joint disorder among postmenopausal women, frequently associated with pain, reduced muscle strength, and functional limitations. Multimodal physiotherapy approaches are widely used to manage symptoms and improve functional outcomes. However, limited evidence exists regarding the correlation between pain reduction and functional improvement following such interventions.  Objective: To determine the correlation between reduction in pain and improvement in function following multimodal physiotherapy approaches in postmenopausal women with bilateral knee osteoarthritis.  Methods: Thirty postmenopausal women aged 40–60 years diagnosed with bilateral knee osteoarthritis (Kellgren–Lawrence Grade II–III) were allocated. Participants received Maitland Mobilisation combined with Multiple-Angle Isometrics, Interferential Current Therapy and Mini-Squats. The interventions were administered three sessions per week for four weeks. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS) while functional status was evaluated using the WOMAC (Western Ontario and McMaster Universities Osteoarthritis) Index. Pre-intervention and postintervention scores were recorded. Correlation analysis was performed to determine the association between improvement in pain and functional outcomes using Pearson’s correlation coefficient.  Results: Following the intervention, participants demonstrated significant reduction in pain and improvement in functional status. A positive correlation was observed between reduction in pain scores and improvement in WOMAC scores, indicating that participants who experienced greater pain relief also demonstrated greater functional improvement. The findings suggest that multimodal physiotherapy interventions effectively enhance clinical outcomes in postmenopausal women with bilateral knee osteoarthritis.  Conclusion: Multimodal physiotherapy approaches incorporating Maitland Mobilisation combined with Multiple- Angle Isometrics, Interferential Current Therapy and Mini-Squats were effective in reducing pain and improving function in postmenopausal women with bilateral knee osteoarthritis. Furthermore, a significant correlation existed between pain reduction and functional improvement, highlighting the interrelationship between these clinical outcomes during rehabilitation.

Keywords : Knee Osteoarthritis, Postmenopausal Women, NPRS, WOMAC, Maitland Mobilisation, Multiple-Angle Isometrics, Interferential Current Therapy, Mini-Squats.

Paper Submission Last Date
31 - May - 2026

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