Background: Osteoarthritis (wearing and tearing of joints) is the most common problem in older adults where it particularly affects the knee joints. Affected people normally complaint of having pain and tenderness around the knee joints.

Objective: Physiotherapists have been performing isometric strengthening for quads from decades on the people suffering from knee OA and the results were quite satisfactory in improving functioning and relieving pain along with quads strengthening of knee joint. The chief aim of this study was to rule out that which ankle position can provide enhanced effects on the strengthening of quadriceps when comparing by using Hand held dynamometer along with the gain of functional activity in these positions using WOMAC scale.

Material Methodology:  It was a   quasi-experimental study. Subjects suffered from knee osteoarthritis and had visited different physiotherapy setups (public or private) of Faisalabad were included in this study using the selection criteria after they signed their consent forms. Some of the data was also collected from our surroundings such as from neighbors and relatives. Data was collected by convenient sampling technique through using different data collection tool like already diagnosed patients, physical examination and available X-Rays while weekly follow up was measured by using Hand held dynamometer (isometric strengthening of quads). Duration of this study was of three weeks including 45 subjects ranging from 40-65 years of age.

Results: The end results of this research clearly pointed out the fact that the dorsiflexion in terms of specified ankle position offered enhanced effects rather than other ankle positions. Hand held dynamometer was used for measuring to compare quadriceps strength in all three groups. While comparing the effect of functional activity in these positions, no significant difference was found.

Conclusion: This research concluded that the subjects who were placed in the dorsiflexion group during the whole procedure of strengthening regime reaped more benefits in terms of quadriceps strength comparing to other groups and functional activity improved equally in all three groups.

Key words: Hand held dynamometer, isometric strengthening, isometric strengthening of quadriceps, quadriceps, knee osteoarthritis, ankle positions, KOA.