Kamble (2024) Effects of aquatic therapy on the physiological knee varus deformity and osteoarthritis through radiographic findings in post menopausal obese women- A case report

This case report explores the effects of aquatic therapy on correcting physiological knee varus deformity and managing knee osteoarthritis (OA) in a postmenopausal obese woman. The 61-year-old participant underwent 100 aquatic therapy sessions over approximately 8 months, divided into progressive phases focusing on stretching, strength training, functional exercises, and cardiovascular training. Radiographic evidence showed increased joint space in the medial compartments of both knees post-intervention.

Significant clinical improvements were observed, including reductions in pain (VAS scores reduced from 9/10 to 1/10), stiffness, and tenderness, alongside enhanced functional capacity as measured by the Foot and Ankle Disability Index (FADI) and WOMAC scores. Body composition improved, with a 3.7 kg weight loss and a decrease in BMI from 35.3 to 33.3.

Aquatic therapy leveraged buoyancy and hydrostatic pressure to reduce joint load and promote safe, effective rehabilitation. These outcomes demonstrate the potential of aquatic therapy in managing knee OA and associated deformities, particularly in obese and postmenopausal populations. The authors advocate for further research to standardize protocols and validate findings in larger cohorts.