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Comparative Effectiveness of Otago and Neuromuscular Exercise Programs in Knee Osteoarthritis
Sponsor: Riphah International University
Summary
This randomized controlled trial aims to compare the effects of the Otago Exercise Program (OEP) and neuromuscular exercises on pain, functional status, postural control, and balance in patients with knee osteoarthritis (KOA). A total of 58 participants with X-ray confirmed Grade 2-3 KOA will be enrolled from clinical centers in Lahore, Pakistan. Eligible participants will be randomly assigned to either the OEP group or the neuromuscular exercise group. Both groups will receive standardized physiotherapy alongside their respective interventions twice weekly for six weeks. Outcomes including pain (NPRS), functional status (WOMAC), dynamic mobility (TUG), and postural control (mCTSIB) will be measured at baseline, week 3, and week 6. Data will be analyzed to determine which intervention provides greater improvements in pain reduction, functional capacity, mobility, and balance. This study is expected to inform clinical practice by identifying a more effective exercise approach for managing KOA symptoms and enhancing patients' quality of life.
Official title: Comparison of the Effectiveness of the Otago Exercise Program (Oep) and Neuromuscular Exercises on Pain, Functional Status, Postural Control, and Balance in Patients With Knee Osteoarthritis
Key Details
Gender
All
Age Range
45 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
58
Start Date
2025-07-15
Completion Date
2025-11-30
Last Updated
2025-07-22
Healthy Volunteers
No
Conditions
Interventions
Otago Exercise Program
The Otago Exercise Program is a structured, progressive exercise regimen focusing on lower limb strengthening and balance retraining. It is performed twice weekly for six weeks under physiotherapist supervision, complementing standard physiotherapy care.
Neuromuscular Exercise
The neuromuscular exercise intervention involves functional, proprioceptive, and balance exercises delivered twice weekly for six weeks under supervision, in addition to standard physiotherapy care.
Locations (1)
Kulsoom Sultan Medical centre
Lahore, Punjab Province, Pakistan