Integrated Trunk Stabilization With Osteoarthritis Rehabilitation in Knee-Spine Syndrome

This study aims to evaluate the effects of integrating trunk stabilization exercises with conventional rehabilitation protocols for patients with knee-spine syndrome. It seeks to determine whether improving trunk stability can positively influence knee joint mechanics, leading to a reduction in knee pain and improvements in physical function, mobility, and overall functional performance in individuals with knee osteoarthritis. The findings may support a more comprehensive rehabilitation approach addressing both spinal and knee involvement in osteoarthritis management.

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