ClinicalTrials.gg
Not yet recruitingNCT07774195Updated Aug 19, 2026

Efficacy of AI-Driven and Traditional Physical Therapy Programs in Patients With Knee Osteoarthritis

An interventional study of AI-Guided Physical Therapy Program and Traditional Physical Therapy Program in Knee Osteoarthritis, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 45 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
45 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 26 studies in Osteoarthritis, Knee by Cairo University — 10 open to participants now, 12 under way, none of them phase 3. Osteoarthritis, Knee · Cairo University.

Planned enrollment
19th of 26
40 · median 60
Started
2026
with 2 others
No phase
25 of 26
10 open now
Primary completion
2026-11
later than 10 of 11 live
Registered
26th of 26
by date

Among the 26 studies in Osteoarthritis, Knee by Cairo University, this one is the 19th largest by planned enrollment, is one of 3 that started in 2026, is one of 25 with no phase, reaches primary completion later than 10 of the 11 other live ones, and was the 26th registered.

By phase

26 studies; the count open now beside each. This study's row is marked.

No phasethis study25 · 10 open
Phase 41 · 0 open

By the year they started

First in 2018; this study’s year is marked. 3 started in 2026.

Size and results

Median enrollment 60 across the 26 interventional studies. Of the 13 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 26 studies in Osteoarthritis, Knee by Cairo University, or all of them as a file.
02

Study summary

This study aims to compare the effectiveness of an artificial intelligence (AI)-guided physical therapy program with a traditional physical therapy program in patients with knee osteoarthritis.

Forty patients with knee osteoarthritis will be randomly assigned to one of two groups. The traditional physical therapy group will receive a conventional rehabilitation program including transcutaneous electrical nerve stimulation (TENS), strengthening, flexibility, and balance exercises. The AI-guided group will receive an individualized rehabilitation program generated using ChatGPT-4 based on standardized patient information and clinical assessment findings.

Both groups will receive education regarding lifestyle modification and joint protection strategies. The effects of the two rehabilitation approaches will be evaluated by measuring pain intensity, knee range of motion, knee-related functional ability, and functional mobility and fall risk before and after the intervention.

The study will determine whether an AI-guided physical therapy program can provide outcomes comparable or superior to those of traditional physical therapy in individuals with knee osteoarthritis.

Read the detailed description

This study is a prospective, single-blind, randomized controlled trial designed to compare the efficacy of an AI-guided physical therapy program with a traditional physical therapy program in patients with knee osteoarthritis.

A total of 40 patients with knee osteoarthritis will be recruited from the Outpatient Clinic of the Faculty of Physical Therapy, Cairo University. Eligible participants will be aged 45-70 years and diagnosed with knee osteoarthritis according to the American College of Rheumatology criteria, with Kellgren-Lawrence grade II or III osteoarthritis. Participants will be randomly allocated into two equal groups.

The control group will receive a conventional physical therapy program consisting of transcutaneous electrical nerve stimulation (TENS), strengthening exercises, flexibility exercises, and balance exercises. Treatment will be provided three times per week for 12 weeks.

The AI-guided group will receive an individualized rehabilitation program generated using ChatGPT-4. Standardized patient information, including age, sex, pain intensity, functional disability, knee range of motion, symptom duration, and physical activity level, will be entered by the researcher to generate an evidence-based rehabilitation program for each participant.

Both groups will also receive education regarding lifestyle modification and joint protection strategies.

Outcome measures will be assessed before and after the intervention. Pain intensity will be evaluated using the Visual Analog Scale (VAS), knee range of motion using a digital goniometer, knee-related pain, stiffness, and physical function using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and functional mobility and fall risk using the Timed Up and Go (TUG) test.

The study will compare changes in these outcomes between the two groups to determine the relative efficacy of AI-guided and traditional physical therapy programs for patients with knee osteoarthritis.

03

Conditions studied

  • Knee Osteoarthritis
04

Who can participate

Ages eligible
45 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants will be recruited through outpatient orthopedic clinics and community health centers affiliated with the study sites.
  • Their age will be ranged from 45-70 years.
  • Their (BMI) will be ranged from 24.9 to 30 kg /m2 .
  • With a clinical and radiographic diagnosis of knee osteoarthritis based on American College of Rheumatology criteria, with Kellgren-Lawrence grade II or III osteoarthritis, and who will able to ambulate
  • Independently walk without assistive devices.

Exclusion criteria

Exclusion Criteria:

  • Prior knee replacement surgery, inflammatory arthritis (e.g., rheumatoid arthritis).
  • Recent intra-articular injections within three months.
  • Neurologic impairments affecting lower limb function.
  • Inability to comprehend or use the mobile application due to cognitive or sensory impairments.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    AI-Guided Physical Therapy Program + Lifestyle modification and joint protection strategies

    Participants in this arm will receive an individualized AI-guided physical therapy program generated using ChatGPT-4. The researcher will manually enter standardized patient data, including age, sex, pain intensity (VAS), functional disability (WOMAC), knee range of motion, symptom duration, and physical activity level. ChatGPT-4 will then generate an evidence-based, in-clinic rehabilitation program for knee osteoarthritis. Participants will also receive education on lifestyle modification and joint protection strategies.

    Other: AI-Guided Physical Therapy Program · Behavioral: Lifestyle Modification and Joint Protection Education

  • Active comparator
    Traditional Physical Therapy Program + Lifestyle modification and joint protection strategies

    Participants in this arm will receive a conventional physical therapy program consisting of transcutaneous electrical nerve stimulation (TENS), strengthening exercises, flexibility exercises, and balance exercises. The program will be delivered three times per week for 12 weeks. Participants will also receive education on lifestyle modification and joint protection strategies.

    Other: Traditional Physical Therapy Program · Behavioral: Lifestyle Modification and Joint Protection Education

Interventions

  • OtherAI-Guided Physical Therapy Program

    Participants will receive an individualized physical therapy program generated using ChatGPT-4. The researcher will manually enter standardized patient data, including age, sex, pain intensity (VAS), functional disability (WOMAC), knee range of motion, symptom duration, and physical activity level. ChatGPT-4 will be prompted to generate an evidence-based, in-clinic rehabilitation program for adults with knee osteoarthritis.

  • OtherTraditional Physical Therapy Program

    Participants will receive a traditional physical therapy program including transcutaneous electrical nerve stimulation (TENS), strengthening exercises, flexibility exercises, and balance exercises. The intervention will be administered three sessions per week for 12 weeks.

  • BehavioralLifestyle Modification and Joint Protection Education

    Participants in both study arms will receive education on lifestyle modification and joint protection strategies as part of the management of knee osteoarthritis.

06

What researchers measure

Primary outcomes

  1. Pain Intensity

    Pain intensity will be assessed using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 (no pain) to 10 (worst pain imaginable). Lower scores indicate less pain.

    Time frame: 12 weeks

Secondary outcomes

  1. Knee Range of Motion

    Active knee range of motion will be measured in degrees using a digital goniometer. Knee flexion and extension will be assessed before and after the intervention.

    Time frame: 12 weeks

  2. Knee Pain, Stiffness, and Physical Function

    Knee-related pain, stiffness, and physical function will be assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The questionnaire includes 24 items covering pain, stiffness, and physical function. Higher scores indicate greater symptom severity and functional limitation.

    Time frame: 12 weeks

  3. Functional Mobility and Fall Risk

    Functional mobility and fall risk will be assessed using the Timed Up and Go (TUG) test. Participants will stand from a chair, walk 3 meters, turn, return to the chair, and sit down. The time required to complete the task will be recorded in seconds; longer times indicate poorer functional mobility and greater fall risk.

    Time frame: 12 weeks

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2026; primary completion for Nov 2026, 3 months later.

Of 1,111 non-industry interventional studies with no phase under Osteoarthritis, Knee, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 36. This study's planned 3 months is below that.

Counting every sponsor, half of 1,251 studies reached it within 18 months; a quarter within 8 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2026
First posted
Aug 19, 2026
StartEst.
Aug 21, 2026
Primary completionEst.
Nov 21, 2026
CompletionEst.
Nov 30, 2026
Last update
Aug 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07774195
Lead sponsor
Cairo University
Responsible party
Marina Hosny Raghep (Principal Investigator, Cairo University) — Principal investigator
First posted
Aug 19, 2026
Start date
Aug 21, 2026 (estimated)
Primary completion
Nov 21, 2026 (estimated)
Completion
Nov 30, 2026 (estimated)
Last update
Aug 19, 2026

Study contacts

Marina Hosny Raghep, B.Sc
Contact
Marinahosny2895@gmail.com
+20 12 71739917
Rania Reda Mohamed, PhD
Contact
Mohsen El Sayyed, PhD
study chair · Professor, Cairo University
Rania Reda Mohamed, PhD
study director · Assistant Professor, Cairo University
Ali Al- Zawahri, PhD
study director · Professor, Cairo University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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