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Abstract A number of phyaLca1 t h e r a p y modsllties are employed singly o r in combination in t r e a t m e n t of osteoartbroeis ,.S i x t e e n p a t i e n t s w i t h osteoarthrotio knee e f f u s i o n w e r e exmined clinically and radiobgically t o confirm the diagnosis, Their ages ranged from 40 t o 58 yearscI,a ’t h i s study t h e ah. Ls t o access t h e effect of ultrasonic t h e r a p y and strengthening exercise on t h e cLinLcaL stateas regard t h e degree of joLnt pain , effusion and range of j o i n t motion. Also, the effect on some chemical const i t u e n t s of the synovial f l u i d before end a f t e r ultrasonict herspy, |