Outpatient physiotherapy vs. mHealth exercise and self-management for knee osteoarthritis
Official title: Cost and Outcomes of Hospital-based Physiotherapy Versus mHealth-based Self-directed Rehabilitation in Patients With Knee Osteoarthritis: A Randomized, Controlled, Non-inferiority Trial
Run by Singapore General Hospital · NCT07767409 · Data updated 2026-11-12
This study tests whether a mobile app–guided, self-managed knee OA exercise program is as good as traditional hospital-based therapy for improving walking speed in adults with knee OA.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 45 Years to 95 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Singapore General Hospital Academic / other |
| Locations | 1 site (Singapore) |
| Status | Recruiting |
| Started | June 18, 2026 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07767409 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 45 years and older with knee OA who own a smartphone, meet clinical criteria, and are willing to be randomized to either program.
✕Probably not a fit
Patients who do not benefit may be those unable to use or access a smartphone app or who have conditions limiting their ability to perform home exercises.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In Singapore, knee osteoarthritis affects a large and aging population. The trial compares MOKneeTOR, a smartphone-guided exercise and self-management program, with standard hospital outpatient physiotherapy, using a non-inferiority design. Participants are adults 45 and older with knee pain who are referred for conservative care, randomized after baseline assessment and followed for 6 months. Outcomes include physical function (e.g., fast gait speed) and OA-related costs, with assessor blinding and adherence to CONSORT-eHealth principles.
Why it matters
Potential benefit: If successful, MOKneeTOR could provide a cost-effective, accessible alternative to in-person rehabilitation.
How similar studies have gone: Previous eHealth and mHealth rehabilitation trials have shown mixed results; some indicate non-inferiority or cost savings, while others require traditional care for best outcomes.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All patients who meet the knee OA clinical criteria (aged ≥45 years, activity-related knee pain, and ≤30 min knee joint stiffness in the morning) will be included, * an owner of a smartphone, * an education level of at least 8 years, * a willingness to be randomized to either MOKneeTOR program or outpatient rehabilitation program, * an ability to complete baseline assessment. Exclusion Criteria: * lower limb joint replacement surgery anticipated within the next 6 months, * rheumatoid arthritis and other systemic arthritis, * a previous history of stroke and other major neurological conditions, * significant back or other non-knee pain, * pregnant women
Where it's running
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Singapore General Hospital
Singapore, Singapore Recruiting
Study contacts
- Study coordinator: Yong Hao Pua, PhD
- Email: pua.yong.hao@sgh.com.sg
- Phone: 90575437
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.