Clinical trial Recruiting at 1 site Interventional Ages 40 to 60

Integrated trunk stabilization with knee-spine rehabilitation for knee osteoarthritis

Official title: Integrating Trunk Stabilization Exercises With Conventional Rehabilitation Protocol for Osteoarthritis in Patients With Knee-Spine Syndrome

Run by Riphah International University · NCT07484594 · Data updated 2026-11-12

This study tests whether adding trunk stabilization exercises to standard knee rehab helps reduce knee pain and improve function in people with knee-spine syndrome and knee osteoarthritis.

Quick facts

Study typeInterventional
Ages40 Years to 60 Years
SexAll
Enrollment70 (estimated)
SponsorRiphah International University
Academic / other
Locations2 sites (Islamabad, AL and 1 other locations)
StatusRecruiting
StartedMay 11, 2026
Main results expectedSeptember 15, 2026
Study endsOctober 15, 2026
Registry record updatedJuly 20, 2026
Trial IDNCT07484594 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 40–60 with bilateral knee osteoarthritis (Kellgren-Lawrence grades 2–3) and chronic back pain, able to walk independently.

Probably not a fit

Those with Kellgren-Lawrence grade 4 OA, recent intra-articular injections, prior significant lower limb or lumbar surgery, or BMI above 30 may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study investigates whether incorporating trunk stabilization exercises into conventional knee rehabilitation improves outcomes for adults with knee-spine syndrome and knee osteoarthritis. Participants receive trunk-focused exercises alongside usual rehabilitation, with the aim of enhancing trunk stability to positively affect knee joint mechanics. The study focuses on adults aged 40–60 with bilateral knee OA (Kellgren-Lawrence grades 2–3) and a history of back pain, evaluating pain, mobility and functional performance. It analyzes whether addressing spinal stability can produce meaningful improvements in knee pain and overall function. Findings could support a more integrated rehabilitation approach for knee and spine involvement in OA.

Why it matters

Potential benefit: If successful, patients may experience reduced knee pain and better function through a combined trunk and knee rehabilitation approach.

How similar studies have gone: Prior work suggests that trunk stability can influence knee mechanics and pain, but the integration with conventional rehab for knee–spine OA is less established and somewhat novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 40-60 years
* Both Genders
* Bilateral Knee osteoarthritis diagnosed according to the American College of Rheumatology Clinical Classification system
* Kellgren \& Lawrence grade 2 and 3 with complaint of pain, crepitations, stiffness and bony enlargement
* History of backpain for the past 3 months with no complaint of radiating pain
* Able to walk independently/unaided

Exclusion Criteria:

* Kellgren \& Lawrence grade 4
* Intra-articular corticosteroid injections in the last 3 months or hyaluronic knee injection in the previous 6 months.
* History of lower limb or lumbar trauma/surgery, presence of fracture or deformity, or planned surgery within the study period
* Lumbar pathologies, for example, spondylolisthesis, ankylosing spondylitis, or any diagnosed severe cardiovascular, pulmonary, neurological, or psychological disease or impairment except lumbar spondylosis
* BMI\>30
* Presence of infection, cauda equina syndrome, or meningitis

Where it's running

  • Bahria Active Hospital
    Islamabad, Al, Pakistan
    Recruiting
  • Bahria Active
    Rawalpindi, Pakistan
    Not yet recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.