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Knee OsteoarthritisyesNCT07892144

Effects of Low-Load Blood Flow Restriction Resistance Training With and Without Hip Abductor Strengthening in Patients With Knee Osteoarthritis.(BFR)

A study testing Hip Abductor Strength Training followed by Low-Load BFR Resistance Training and Low-Load Blood Flow Restriction (BFR) Resistance Training in people with Knee Osteoarthritis, run by University of Management and Technology Lahore at 1 site in Pakistan.

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Trial summary

This study aims to compare the effects of low-load Blood Flow Restriction (BFR) resistance training with and without hip abductor strengthening in patients with knee osteoarthritis. Read more about this study

Who is it for?
Ages 40 to 60 years
Conditions the study is for
Knee Osteoarthritis
What is being tested?
Hip Abductor Strength Training followed by Low-Load BFR Resistance Training and Low-Load Blood Flow Restriction (BFR) Resistance Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 sitePakistan
Study dates
20 Oct 2026to 31 Dec 2026
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Both genders. Age 40-60 years. BMI (kg/m 2 ) < 30 Have unilateral or bilateral knee OA. Have radiographic OA severity of Kellgren-Lawrence Grade I-II. Knee pain ≥3 months. Report pain intensity of ≥4-6/1 0 on Numeric Pain rating scale. Be able to walk independently without assistive devices

Who cannot join

  • Total Knee replacement Deep venous thrombosis. Severe Cardiovascular disorders.(such as Acute myocardial infarction, peripheral arterial disease) Uncontrolled hypertension and diabetes. Acute knee injury within the last 6 months. Significant ligament tears (ACL, PCL, MCL, LCL). Knee surgery within the last 6-1 2 months. Lower limb Fractures

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Pakistan1 site
  • University of Management & Technology

    Lahore, Punjab Province, 54000

Other trials in Pakistan

About this study

Official title: Effects of Low-Load Blood Flow Restriction Resistance With and Without Hip Abductor Strength Training on Pain, Range of Motion, Strength and Function in Patients With Knee Osteoarthritis.

This study aims to compare the effects of low-load Blood Flow Restriction (BFR) resistance training with and without hip abductor strengthening in patients with knee osteoarthritis. It will evaluate the effectiveness of both treatment approaches in reducing knee pain, improving range of motion, increasing muscle strength, and enhancing functional ability. The study will determine which intervention provides better clinical outcomes in patients with knee osteoarthritis.

Being tested
Hip Abductor Strength Training followed by Low-Load BFR Resistance Training, Low-Load Blood Flow Restriction (BFR) Resistance Training
Keywords
Blood Flow Restriction Training, Hip Abductor Strength Training, Low-Load Resistance, Pain, Strength
Medical subject headings
Osteoarthritis, Knee, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Hip Abductor Strength Training followed by Low-Load BFR Resistance TrainingOther

    Participants will receive hip abductor strengthening for Weeks 2-4, followed by BFR resistance training during Weeks 5-6, under physiotherapist supervision.

    Exercises include side-lying hip abduction, clamshells, standing resisted hip abduction, and lateral band walks (3 sets of 10-15 repetitions or 10 lateral steps per direction), with 60-second rest intervals.

    Training will begin with bodyweight exercises, progressing to TheraBand resistance from Week 2, without BFR cuff application during hip exercises.

    Weeks 5-6: Participants will receive BFR training (knee extensions and leg presses) at 20-30% of 1RM, 70% arterial occlusion pressure (AOP), and 4 sets of 30-15-15-15 repetitions.

  • Low-Load Blood Flow Restriction (BFR) Resistance TrainingOther

    Participants will receive supervised low-load BFR training targeting quadriceps and hamstrings through seated knee extensions, leg presses (bilateral/unilateral), and progressive mini squats at 20-30% of 1RM.Each exercise includes 4 sets (30-15-15-15 repetitions), with 30-60 seconds of rest between sets while the cuff remains inflated, followed by immediate deflation after the final set.

Study groups in NCT07892144
Study groupRoleWhat they receive
Low-Load Blood Flow Restriction Resistance TrainingActive comparatorNot described
Receives: Other: Low-Load Blood Flow Restriction (BFR) Resistance Training
Hip abductor strength training followed by low-load BFR resistance trainingExperimentalNot described
Receives: Other: Hip Abductor Strength Training followed by Low-Load BFR Resistance Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numeric Pain Rating Scale NRPS

    11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain

    Measured: Baseline and post treatment after 6 weeks

  2. Western Ontario And McMasters Universities Osteoarthritis Index (WOMAC)

    The WOMAC is a disease-specific questionnaire designed to assess symptoms and functional limitations in individuals with knee and hip osteoarthritis. It consists of 24 items divided into three domains: Pain (5 items), Stiffness (2 items), and Physical.Function (1 7 items). The WOMAC is widely used to evaluate the impact of osteoarthritis on daily activities and quality of life.Higher WOMAC scores indicate greater pain, stiffness, and functional disability, whereas lower scores represent betterfunctional status and symptom improvement.

    Measured: Baseline and post treatment after 6 weeks

  3. Goniometer

    A goniometer is a reliable clinical tool used to measure knee flexion and extension ROM in patients with knee osteoarthritis, assess joint mobility, monitor disease progression, and evaluate rehabilitation outcomes. Normal knee flexion is approximately 135°-140° and extension is 0°. Reduced ROM indicates stiffness, pain, or functional limitations.

    Measured: Baseline and post treatment after 6 weeks

  4. Handheld Dynamometer

    A handheld dynamometer (HHD) is a portable, objective tool used to measure isometric muscle strength at a fixed joint position. It records maximum muscle force in Newtons (N) or kilograms-force (kgf), with higher values indicating greater muscle strength.

    Measured: Baseline and post treatment after 6 weeks

Secondary outcomes (1)
  1. SF-1 2 (Short form -1 2 Health Survey)

    The SF-12 is a validated, reliable, and shorter version of the SF-36 that assesses physical (PCS) and mental (MCS) components of quality of life in knee osteoarthritis patients. Lower baseline scores indicate physical impairment or emotional burden, while increased post-intervention scores reflect improved physical and mental health. A change of approximately 3-5 points may be considered clinically meaningful, depending on the population and scoring method.

    Measured: Baseline and post treatment after 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2026
  2. Study start20 Oct 2026 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study aims to compare the effects of low-load Blood Flow Restriction (BFR) resistance training with and without hip abductor strengthening in patients with knee osteoarthritis. It will evaluate the effectiveness of both treatment approaches in reducing knee pain, improving range of motion, increasing muscle strength, and enhancing functional ability. The study will determine which intervention provides better clinical outcomes in patients with knee osteoarthritis.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
44 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07892144
Sponsor's protocol ID
RE-169-2026
Acronym
yes
Status last verified
Oct 2026
First submitted
17 Oct 2026
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

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