This study aims to compare the effects of aquatic and land-based Mulligan mobilization with movement in individuals with knee osteoarthritis, with particular focus on their impact on pain and functional outcomes.
Age 40-65 years
Bilateral knee osteoarthritis diagnosed according to the American College of Rheumatology Clinical Classification system for at least 1 year
Kellgren & Lawrence grade 2 and 3
Able to walk independently/unaided
Active participation in gyms, pool(swimming), or any other physical activity
Intra-articular corticosteroid injections in the last 3 months or hyaluronic knee injection in the last 6 months.
History of lower limb trauma/surgery, presence of fracture or lower limb deformity, or planned surgery within the study period
Any diagnosed severe cardiovascular, pulmonary, neurological, or psychological disease/impairment.