An interventional study of Home Exercises and Dual Task Exercises in Total Knee Arthroplasty and Dual Task Exercises, sponsored by Yuzuncu Yil University. Not yet recruiting. Open to participants aged 50 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-02-18.
Sponsored by Yuzuncu Yil University · Not applicable, Interventional, and Treatment
Introduction: Total knee arthroplasty (TKA) is a widely used surgical treatment method worldwide for advanced pain and functional loss resulting from osteoarthritis and other degenerative knee pathologies. The aim of TKA is to reduce pain, restore joint function, and improve quality of life. Although many patients experience a significant reduction in pain after surgery, balance problems, risk of falls, and functional limitations may persist in the postoperative period.In addition, loss of performance may occur in daily tasks requiring motor-cognitive interaction (e.g., talking while walking, changing direction while carrying objects).The dual-task paradigm describes exercises and assessments that require the simultaneous execution of both motor and cognitive tasks; in rehabilitation, it aims to improve daily living functions by targeting the simultaneous functioning of motor and cognitive systems.In the literature, studies on dual-task assessment and training in individuals with knee osteoarthritis and TKA are limited, and the findings are heterogeneous. Studies in elderly and osteoarthritic populations have reported that both single-task and dual-task training improve balance performance, but dual-task training does not always show a clear superiority compared to single-task training. These studies have generally focused on balance and gait parameters; evidence on how other clinically important variables such as pain, reaction time, and fear of movement (kinesiophobia) change with dual-task interventions is insufficient and inconsistent.
Method: The effect size of the WOMAC Osteoarthritis Index assessment parameter in the reference article is 1.02. It was calculated that a minimum of 20 individuals in total, 10 in each group, were required for a study with 80% power, using a type I error of α=0.05 and a type II error of β=0.20.After obtaining informed consent from all participants, their sociodemographic information will be recorded. Subsequently, their cognitive status will be assessed using the Mini Mental State Test (MMSE).Pain will be assessed using the Numerical Pain Rating Scale (NPRS). Functional mobility will be assessed using the Timed Up and Go (TUG). Dynamic balance will be assessed using the Functional Reach Test. Static balance will be assessed using the Berg Balance Scale (BBS). Functionality will be assessed using the WOMAC Osteoarthritis Index. Kinesiophobia will be assessed using the Tampa Kinesiophobia Scale (TKS). Lower extremity reaction time will be assessed using the Fitlight Trainer (FITLIGHT Sports Corp., Ontario, Canada), a wireless system consisting of 8 sensors.Interventions: After participants were randomly divided into two groups, those in the control group would perform a physiotherapy program consisting of strengthening and balance exercises at home, provided by us, and would not participate in any other exercise program during the study period. Exercises would be taught to the control group in person by a physiotherapist at the time of the initial assessment, and follow-up sessions would be video-recorded. The intervention group's program would be a dual-task exercise program, in addition to the exercises provided in the home exercise program. Interventions would last for 8 weeks, 2 days a week, and the program would be updated weekly.
9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.
This study's planned enrollment of 40 is below the median of 60 across 8,388 interventional studies indexed under Motor Activity.
Browse Motor Activity studies →Yuzuncu Yil University is the lead sponsor of 78 studies on the registry; 20 are open to participants now.
Compared within Motor Activity, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →
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Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Other: Home Exercises
Dual Task Exercises
Other: Home Exercises · Other: Dual Task Exercises
Home exercises consisting of strengthening and balance exercises at home and will not engage in any other exercise programs during the study period.The interventions will last for 8 weeks, 2 days a week, and the program will be updated each week.
In addition to the home exercise program, a dual-task exercise program will be implemented.The interventions will last for 8 weeks, 2 days a week, and the program will be updated each week.
Reaction time
The total time and average time until the light turns off were recorded.
Time frame: 8 weeks
WOMAC Osteoarthritis Index
This is a 24-item self-report scale used to assess functional status after osteoarthritis and TKA (Total Knee Arthroplasty). It has three sub-dimensions: pain (5 items), stiffness (2 items), and physical function (17 items). Each item is scored between 0 and 4. A higher score indicates a worse functional level.
Time frame: 8 weeks
Kinesiophobia
The Tampa Kinesiophobia Scale (TKS) will be used for assessment. The TKS is a 17-item scale that measures fear of movement and re-injury. Each item is scored from 1 to 4; the total score ranges from 17 to 68. A higher score indicates a greater fear of movement.
Time frame: 8 weeks
Functional Mobility
The TUG test measures the time, in seconds, for an individual to stand up from a chair, walk 3 meters, turn around, and sit back down. It comprehensively evaluates functional mobility, balance, walking speed, and lower extremity strength.
Time frame: 8 weeks
Static Balance
The Berg Balance Scale (BDS) will be used for assessment. The BDS is a 14-item scale that evaluates an individual's static and dynamic balance skills. Each item is scored between 0 and 4; the total score ranges from 0 to 56.
Time frame: 8 weeks
Pain Intensity
Pain will be assessed using the Numerical Pain Rating Scale (NPRS). Pain intensity is evaluated on a numerical scale of 0-10; 0 = no pain, 10 = unbearable pain.
Time frame: 8 weeks
Dynamic balance
The functional reach test will be used in the dynamic balance assessment.
Time frame: 8 weeks
No study locations are listed for this record.
Plan to share: No — Study Protocol and Statistical Analysis Plan
No publications or documents are linked to this record.
Start is estimated for Feb 2026; primary completion for Jul 2026, 5 months later.
Of 5,147 non-industry interventional studies with no phase under Motor Activity, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 36. This study's planned 5 months is below that.
Counting every sponsor, half of 5,207 studies reached it within 17 months; a quarter within 7 and three quarters within 36.
How these figures are worked out, and which studies are left out of them.
This study is not yet recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.
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Yuzuncu Yil University