An interventional study of Dual task training and Rhythmic stabilization in Knee Osteoarthritis, sponsored by University of Management and Technology Lahore. Active, not recruiting at 1 site in Pakistan. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-11-03.
Sponsored by University of Management and Technology Lahore · Not applicable, Interventional, and Treatment
Knee osteoarthritis (KOA) is a degenerative joint condition that causes pain, stiffness, reduced proprioception, impaired balance, and decreased physical function. This study aims to compare the effects of Dual Task Training and Rhythmic Stabilization Training on balance, proprioception, and physical function in patients with KOA. A randomized clinical trial will be conducted using convenient sampling, with participants randomly allocated into two groups. Both groups will receive a 15-minute hot pack followed by their respective interventions, three times per week for six weeks,12 sessions.
3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.
This study's enrollment of 26 is below the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.
Browse Osteoarthritis, Knee studies →University of Management and Technology Lahore is the lead sponsor of 39 studies on the registry; 20 are open to participants now.
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Age 40-60 years Both genders male and female Patient have diagnosed OA severity of (Kellgren Lawrence) Grade I-II knee OA. Patients able to walk independently without assistive device. Knee pain ≥ 3 months. Pain intensity score is 3-6 out of 10 on numeric rating scale. Have unilateral or bilateral knee OA.
Exclusion Criteria:
History of total knee replacement surgery. Inflammatory disorders. Severe visual or hearing impairment.(36) Severe cardiovascular disorders (such as Myocardial infarction) Neurological disorders (e.g., stroke, Parkinson's disease). History of deep vein thrombosis (DVT) and chronic kidney disease. Lower limb fracture.
Participants will receive dual-task training involving simultaneous performance of motor and cognitive tasks alongside conventional physiotherapy. The intervention will include functional activities such as walking, standing, and sit-to-stand while performing cognitive tasks, including counting backward, verbal fluency, or responding to simple questions. Task difficulty will be progressively increased according to participants' abilities and tolerance to improve balance, functional mobility, and cognitive-motor coordination.
Other: Dual task training
Participants will receive rhythmic stabilization based on proprioceptive neuromuscular facilitation (PNF) principles, targeting the knee joint in supine, sitting, and standing positions. The technique involves applying alternating manual resistance in multiple directions while participants maintain isometric contractions without allowing joint movement. Participants will be instructed to resist the therapist's forces to facilitate muscle co-contraction, improve knee stability, neuromuscular control, and balance.
Other: Rhythmic stabilization
Participants will receive dual-task training involving simultaneous performance of motor and cognitive tasks alongside conventional physiotherapy. The intervention will include functional activities such as walking, standing, and sit-to-stand while performing cognitive tasks, including counting backward, verbal fluency, or responding to simple questions. Task difficulty will be progressively increased according to participants' abilities and tolerance to improve balance, functional mobility, and cognitive-motor coordination. The intervention will be performed three times per week for six weeks.
Participants will receive rhythmic stabilization based on proprioceptive neuromuscular facilitation (PNF) principles, targeting the knee joint in supine, sitting, and standing positions. The technique involves applying alternating manual resistance in multiple directions while participants maintain isometric contractions without allowing joint movement. Participants will be instructed to resist the therapist's forces to facilitate muscle co-contraction, improve knee stability, neuromuscular control, and balance. The intervention will be performed three times per week for six weeks, alongside conventional physiotherapy.
NPRS
11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADL
Time frame: Baseline and after 6 weeks
Berg Balance Scale
The Berg Balance Scale (BBS) will be used to assess functional balance in patients with knee osteoarthritis. It is a standardized 14-item scale that evaluates balance during daily functional activities such as sitting, standing, turning, reaching, transferring, and single-leg standing. Each item is scored on a 4-point Likert scale, with a total score ranging from 0 to 56, where higher scores indicate better balance performance. Scores of 0-20 indicate high fall risk, 21-40 indicate moderate fall risk, and scores ≥41 indicate low fall risk. The BBS is a highly reliable and valid tool for assessing balance in individuals with knee OA
Time frame: Baseline and after 6 weeks
Joint position Sense Error
Joint Position Error (JPSE) will be assessed using Smartphone Inclinometer to evaluate proprioception. The participant's limb will be passively positioned at a target angle (e.g., 30° knee flexion) with eyes closed, and then returned to the starting position. The participant will then actively reproduce the same angle, and the smartphone Inclinometer will record the difference between the target and reproduced angle. This difference, measured in degrees, represents the JPSE. Smaller error values indicate better proprioceptive accuracy and joint position sense.
Time frame: Baseline and after 6 weeks
Western Ontario and McMaster Universities Osteoarthritis Index:
The WOMAC is a valid, reliable, and widely used disease-specific outcome measure for assessing pain, stiffness, and physical function in individuals with knee osteoarthritis. It comprises 24 items divided into three subscales: pain (5 items), stiffness (2 items), and physical function (17 items). Each item is rated on a 5-point Likert scale ranging from 0 (none) to 4 (extreme). The total score is calculated by summing the responses, with higher scores indicating greater pain, stiffness, and functional impairment
Time frame: Baseline and after 6 weeks
Plan to share: Yes — The results data collected , de-identified individual participant data will be shared.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: 6 months after the publication of the manuscript
Access criteria: The data can be requested from the corresponding author
Started Oct 2026 (actual). Primary completion is estimated for Dec 2026, 2 months after the start.
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 2 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.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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University of Management and Technology Lahore