Journal of Clinical Cases and Reports Case Report | Vol 2 Iss 3 Citation: Mst. Rabea Begum, Physiotherapy Management in Patient with Knee Osteoarthritis through Three Tract Reasoning: A Case Report. J Clin Cases Rep 2(3): 85-93. © 2019 Tridha Scholars 85 Physiotherapy Management in Patient with Knee Osteoarthritis through Three Tract Reasoning: A Case Report Mst. Rabea Begum * and Mohammad Anwar Hossain Paediatric Unit, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh * Corresponding author: Mst. Rabea Begum, BPT, MPH, MPT, Senior Clinical Physiotherapist, Paediatric Unit, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1343, Bangladesh, Tel: +8801675793257; Email: physio_miilee@yahoo.com, drrabea3@gmail.com Received Date: May 22, 2019; Accepted Date: May 29, 2019; Published Date: June 05, 2019 Introduction Osteoarthritis (OA) is the most common joint disorder seen in the older adult population. Knee OA occurs in 10% men and 13% in women aged 60-year or older. Osteoarthritis of the knee is expected to be the fourth leading cause of disability by the year of 2020 [1]. Knee osteoarthritis affects millions of Americans. In India, the prevalence of knee OA is 22% to 39% [2]. Abstract Background: Knee Osteoarthritis is the most common joint disorder and one of the leading causes of disability. The main symptoms associated with osteoarthritis are pain, discomfort, limitation of activity and reduced participation. Physiotherapy management is evidence-based treatment approach that have short-term and long-term effect on reducing pain, improve muscle strength and function. Aim: The aim of this study was to find out evidence-based physiotherapy in patient with knee osteoarthritis through three tract reasoning on reducing pain, improve muscle strength and function. Method: A case-based study was conducted. The three tract reasoning: procedural, interactive and conditional were used during diagnosis and in management of knee osteoarthritis. Results: The patient respond well in physiotherapy treatment. The swelling was 100% reduced, reduced pain in VAS from 8/10 to 1/10, improved muscle strength by oxford muscle grading scale by grade V, weight bearing is more (90%) and only 25% remain limitation in functionally from 69%. Conclusion: Knee osteoarthritis is frequent musculoskeletal condition that affect person’s activities and restricted the participation. Using clinical reasoning physiotherapist diagnosed and managed the symptoms. After receiving physiotherapy treatment improved the patient’s status of health. Keywords: Knee osteoarthritis; Physiotherapy; Clinical reasoning