Combined Effects of Feldenkrais Exercises and Active Release Exercises in Patients With Knee Osteoarthritis.

March 16, 2026 updated by: Riphah International University

Combined Effects of Feldenkrais Exercises and Active Release Exercises on Pain, Range of Motion and Functional Disability in Patients With Knee Osteoarthritis

Knee osteoarthritis is similarly to the arthritis of the hip which is due to the degeneration of the cartilagre due to wear and tear forces on the knee joint. The aim of the study is to investigate the combined effects of active release and feldenkrais exercises on pain, range of motion and functional disability of patients with knee osteoarthritis.

Study Overview

Detailed Description

The study will be randomized control trial and will be conducted in associated hospitals of Riphah International University and physiotherapy department of Naseer Hospital. Non-probability consecutive sampling technique will be used. Sample size of age group 40 to 65 will be selected. Patients will be assigned into two group named experimental group and control group respectively. Experimental group will receive active release technique and feldenkrais exercises along with standard physical therapy protocol including mulligan mobilization. On the other hand, control group will receive standard physical therapy protocol including mulligan mobilization alone. Outcomes of pain will be measured by using Numeric Pain Rating Scale (NPRS), Range of Motion will be measured by using Universal Goniometer (UG) and Functional disability will be measured by using Western Ontario and McMaster Universities of Arthritis (WOMAC) Osteoarthritis Index. Informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be randomly divide into two groups experimental and control group respectively. Data analysis will be done by using SPSS version 28.

Study Type

Interventional

Enrollment (Actual)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 56700
        • Naseer Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Both genders with age between 40-60 with knee osteoarthritis.
  • BMI 25-29.9
  • Knee pain 3-7 on NPRS
  • 10-degree decrease in knee flexion range

Exclusion Criteria:

  • Patient who used any corticosteroid injection during last six months.
  • Patients who had any joint infection.
  • Previous knee surgery.
  • Grade 4/ advanced knee osteoarthritis

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Active release and feldenkrais exercises along with standard physical therapy.

Patients will receive active release and feldenkrais exercises along with standard physical therapy treatment.

Standardized Physiotherapy treatment:

  • Hot pack for 10 minutes and
  • TENS for 10 minutes
  • Hamstring stretching
  • Quadriceps strengthening
  • Squat release exercises
Patients will receive active release and feldenkrais exercises for 3 sessions per week for the total of 6 weeks each exercise 10 repetitions and 2 sets.
Other: Active release exercises and standard physical therapy treatment.

Patients will receive active release exercises and standard physical therapy treatment.

Standardized Physiotherapy treatment:

  • Hot pack for 10 minutes and
  • TENS for 10 minutes
  • Hamstring stretching
  • Quadriceps strengthening
  • Squat release exercises
Patients will receive active release and feldenkrais exercises for 3 sessions per week for the total of 6 weeks each exercise 10 repetitions and 2 sets.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numerical Pain Rating Scale (NPRS)
Time Frame: 8 weeks
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain". NPRS have shown high test-retest reliability (r = 0.96 and 0.95, respectively).
8 weeks
Universal Goniometer (UG)
Time Frame: 8 weeks
The range of motion will be measured using universal goniometer that has an inter-rater reliability (ICC2, 2 = 0.79 to 0.92) for knee osteoarthritis.
8 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Faiza Taufiq, Riphah International University
  • Principal Investigator: Faiza Taufiq, MSPT, Riphah International University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 15, 2025

Primary Completion (Estimated)

March 15, 2026

Study Completion (Estimated)

March 15, 2026

Study Registration Dates

First Submitted

February 23, 2026

First Submitted That Met QC Criteria

March 16, 2026

First Posted (Actual)

March 19, 2026

Study Record Updates

Last Update Posted (Actual)

March 19, 2026

Last Update Submitted That Met QC Criteria

March 16, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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