Clinical trial Recruiting at 1 site Interventional Ages 45 to 95

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.

More Knee Osteoarthristis trials

Quick facts

Study typeInterventional
Ages45 Years to 95 Years
SexAll
Enrollment160 (estimated)
SponsorSingapore General Hospital
Academic / other
Locations1 site (Singapore)
StatusRecruiting
StartedJune 18, 2026
Main results expectedMarch 31, 2027
Study endsMarch 31, 2027
Registry record updatedOctober 26, 2026
Trial IDNCT07767409 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

  • Singapore General Hospital
    Singapore, Singapore
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.