Comparison of Aquatic and Land-Based Mulligan Mobilization With Movement in Knee Osteoarthritis

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.

Inclusion Criteria: * 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 Exclusion Criteria: * 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. * Individuals with aquaphobia (fear of water), discomfort performing aquatic exercises, or allergy/sensitivity to chlorine or other pool treatment chemicals.