Inclusion Criteria:  Postmenopausal women who can speak and understand the Urdu language Osteopenic with Lumbar spine or femur T-score between -1 to -2.5 Osteoporotic with Lumbar spine or femur T-score less than -2.5.  Exclusion Criteria:  Impairment of communicative and sensorial functions Impaired Cognition Unstable angina disease requiring oxygen therapy and Symptomatic orthostatic hypotension Hypertension in poor pharmacologic control (diastolic >95 mmHg, systolic >160 mmHg) Neurological disorders