Gender matters and has an impact, and it is intended to encourage readers to think about this important issue in clinical practice, education, research, and a wider context of public health1. Due to the dearth of gender theoretical knowledge that has been discovered within the field of physiotherapy, there are still many difficulties that women must overcome in today's world of gender equality and feminism for women's rights2. Historically, women are predominated in the physiotherapy profession, although this has gradually changed throughout the years3. According to Chartered Society of Physiotherapists (CSP) data for both practicing and non-practicing physiotherapists, the gender split changed from 76% female to 24% male to 74% female to 26% male between 2017 and 2020. Although women make up more than 50% of the physiotherapy workforce globally, they make up fewer than 50% of executive positions in national physiotherapy associations3.

Background and aim: This study was conducted to find the effects of hydrotherapy and land-based exercises on pain, grip strength and functional status in hand osteoarthritis patients. Methodology: Eighty participants were randomized into two study groups i.e. hydrotherapy based exercise group or land based exercise group. Both groups were treated for 3 sessions per week for eight weeks and assessed after two months follow up. Numeric Pain Rating Scale (NPRS), Hand held dynamometer and Functional Index for Hand Osteoarthritis (FIHOA) were used to measure pain, grip strength and functional status of hand before and after treatment sessions for eight weeks and again assessed at two months of follow up. Results: Multivariate analysis of variance indicates a statistically significant group-by-time interaction (p=.00). Pain intensity was significantly reduced in both groups whereas Grip strength and functional outcomes were significantly improved in patients of group B (hydrotherapy based exercises) as compared to group A (land based exercises) (P=.02 and .00). Conclusion: Hydrotherapy based exercises prove to be more efficient in terms of improving functional outcomes of patients of hand osteoarthritis.