Telerehabilitation Versus Traditional Balance Training in Women With Osteoporosis.

Osteoporosis is a silent disease that leads to fractures, postural deformities, and impaired balance, especially in postmenopausal women. In Pakistan, prevalence is high, with 39% of women reported as severely osteoporotic. Postmenopausal women with osteoporosis and balance issues face increased fall risk due to poor bone density, weakened muscles especially in the lower limb band altered posture .Balance and strength training reduce fall risk, but access to in-person rehabilitation is limited. Telerehabilitation provides remote delivery of structured exercise programs and has shown positive outcomes in balance and bone health. Few studies, however, have compared telerehabilitation with conventional training across all balance domains. The goal of this randomized controlled trial is to compare the effect of Telerehabilitation and Traditional Balance Training in Post Menopausal Women with osteoporosis. Participants will be randomly assigned to one of the two groups, and both will receive an identical standardized balance training program . The results of this clinical trial will help evaluate how telerehabilitation can improve the balance of postmenopausal women with osteoporosis and improve health outcomes.

Inclusion Criteria: * • Women diagnosed with osteopenia and osteoporosis at hip and lumbar spine through DEXA * Age 50-70 years * Have mobile phones and can communicate in video call * Have Balance score (21-44) on berg balance scale * A caregiver must be available to assist the participant during Tele sessions. Exclusion Criteria: * • Women with severe mobility impairments. * Women with cognitive conditions affecting participation. * Women with lower limb joint injury or surgery