The purpose of this study is to determine the effect of talar mobilization with movement versus acupuncture on knee pain and function in the postmenopausal women

A sample of forty postmenopausal women were selected from Department of Gynecology and Obstetrics, Participants were assigned into two groups (group A) postmenopausal women who receive the talar mobilization with movement technique for knee joint , their age raged from 50-60 years (n= 20) and (group B) postmenopausal women who receive acupuncture for knee joint (n= 20), their age ranged from 50-60 years and body mass index (BMI) for both groups were less than 30 kg/m2. All participants were evaluated through measuring knee range of motion by using goniometer and the degree of knee pain by using numeric rating scale and pressure algometer

Inclusion Criteria:

• ) Females patients refered from orthopedic surgeon diagnosed with knee OA (2) Their age ranged from 50 _60 years old 3) Their BMI less than 30 kg/m2. 5) knee pain in the previous week with an intensity of at least 3 points on a numeric pain rating scale (NPRS ) (5) Patients limited ankle dorsiflexion ROM 6) All Patients had 3 points on NPS (7) Presence of knee pain for at least 3 moonths 8) All patients were given the arabic version of KOOS questionnaire

Exclusion Criteria:

• 1) Patients with Rheumatoid arthritis 2) Their BMI more than 30 kg/m2. 3) Unrelated to any traumatic knee event 4) Patients with Previous tibial fracture 5) Patients with Ankle instability 6) Patients with previous meniscal degeneration 7) Patients with hyper laxity 8) Patients with neurological disorders

their age ranged from 50-60 years