Perturbation Based Balance Training Versus Progressive Neuromuscular Training as an Adjunct to Conventional Physiotherapy for Pain Reduction and Functional Improvement in Knee Osteoarthritis

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07653841

Enrollment

Registered

2026-06-17

Start date

2026-05-18

Completion date

2026-09-20

Last updated

2026-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee Arthritis Osteoarthritis, Knee Arthritis, Osteoarthritis

Brief summary

This is an RCT aims to explore Perturbation-Based Balance Training versus Progressive Neuromuscular Training as an Adjunct to Conventional Physiotherapy for Pain Reduction and Functional Improvement in Knee Osteoarthritis.

Interventions

OTHERPerturbation-Based Balance Training

3 sessions/week 20-25 min (2 sets × 30 sec/activity) Starts with Low-Moderate (slow, predictable external perturbations) progress to Moderate-High (fast, unpredictable perturbations) 30-35 min (3 sets × 45-60 sec)

OTHERProgressive Neuromuscular Training

3 sessions/week 20-25 min (2 sets × 10-12 reps) starts with Low-Moderate (RPE 9-11) then proceeds to Moderate (RPE 11-13)

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Subject)

Intervention model description

Two-arm parallel group randomized controlled trial

Eligibility

Sex/Gender

ALL

Age

40 Years to 70 Years

Healthy volunteers

Inclusion criteria

Male and female, aged between 40-70 years Diagnosed with knee osteoarthritis Grades I-III based on the Kellgren-Lawrence classification Chronic knee pain for ≥3 months Ability to walk independently

Exclusion criteria

Grade IV osteoarthritis Previous knee surgery or joint replacement Rheumatoid arthritis or inflammatory joint disease Recent intra-articular injection (\<6 months) Severe systemic illness, Neurological disorders and Vestibular disorders

Design outcomes

Primary

Measure	Time frame	Description
Pain & Functional Ability	Baseline to Week 6	Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

Secondary

Measure	Time frame	Description
Functional Mobility	Baseline to Week 6	Functional Mobility will be measured using Time Up \& Go test
Muscle strength	Baseline to week 6	Handheld Dynamometer
Balance	Baseline to week 6	Functional Reach Test

Countries

Pakistan

Contacts

CONTACTRashid Nawaz, DPT, MSPT MSK

nawazrashid158@gmail.com+923160534195

CONTACTSidra Hanif, DPT, MSNMPT, PhD PT

sidra.hanif@uipt.iiui.edu.pk+923335985631

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 18, 2026