Effects of Tele Rehabilitation vs Onsite Rehabilitation on Balance, Mobility, and Risk of Fall Among Geriatric Population With Knee Osteoarthritis

This randomized controlled trial aims to determine the effects of telerehabilitation versus onsite rehabilitation on balance, mobility, and risk of fall among geriatric patients with knee osteoarthritis (KOA). Knee osteoarthritis is a common musculoskeletal condition in older adults that is associated with pain, impaired balance, reduced mobility, and an increased risk of falls. Although onsite rehabilitation is effective, many elderly patients face barriers to accessing physiotherapy services because of transportation difficulties, physical limitations, and geographical distance. Telerehabilitation has emerged as an alternative approach that allows patients to receive supervised rehabilitation remotely using smartphone-based communication. In this study, eligible participants will be randomly assigned to either a telerehabilitation group or an onsite rehabilitation group. Both groups will receive the same balance and mobility exercise program for six weeks, with four sessions per week. Outcomes including balance, mobility, and risk of fall will be assessed at baseline, week 3, and week 6 to compare the effectiveness of the two rehabilitation approaches.

Inclusion Criteria: * Age ≥65 years. History of fall (within one month). Timed Up and Go (TUG) test score \>14 seconds. Older adult having a smartphone. Older adult having at least Matric education. Berg Balance Scale score between 21 and 40. Osteoarthritis affecting one or both knees (already diagnosed) Exclusion Criteria: \- Vision loss. Spinal pathology (monoplegia, hemiplegia, quadriplegia). Cognitive impairments. Neurological impairment. Physical handicap (loss of vision or loss of one limb).