Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evidence-Based Physical Therapy Management for Chronic Ankle Instability in Young Females: A Systematic Review.

Cureus·2026
Same author

Drug Utilization Pattern of Antihypertensive Agents in a Tertiary Care Hospital.

Cureus·2026
Same author

Evidence-Based Conservative Treatment Strategies for Lumbar Radiculopathy: A Systematic Review.

Cureus·2026
Same author

Optimizing Functional Performance in Sprengel's Shoulder: A Case Report.

Cureus·2026
Same author

Analysis of Postoperative Knee Dysfunction Following a Distal Femur Fracture Managed by Different Surgical Methods.

Cureus·2026
Same author

Effect of Dynamic Neuromuscular Stabilization Along With Aquatic Exercises on Pain, Functional Mobility, and Muscle Performance in Bilateral Medial Compartment Knee Osteoarthritis.

Cureus·2026

Related Experiment Video

Updated: Jul 8, 2026

Movement Retraining using Real-time Feedback of Performance
08:16

Movement Retraining using Real-time Feedback of Performance

Published on: January 17, 2013

Physical Therapy-Based Realignment Strategies for Knee Osteoarthritis: A Systematic Review.

Omkar A Somade1, Sandeep Shinde1, Vandana M Thorat2

  • 1Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed To Be University), Karad, IND.

Cureus
|July 3, 2026
PubMed
Summary

Physical therapy realignment strategies effectively reduce knee osteoarthritis pain and improve function. A kinetic-chain approach focusing on hip and core strength is superior to isolated knee exercises for better outcomes.

Keywords:
knee osteoarthritislumbopelvic stabilitymanual therapyphysical therapyrealignment strategies

More Related Videos

The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation
09:10

The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation

Published on: July 22, 2019

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
07:19

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Published on: March 24, 2023

Related Experiment Videos

Last Updated: Jul 8, 2026

Movement Retraining using Real-time Feedback of Performance
08:16

Movement Retraining using Real-time Feedback of Performance

Published on: January 17, 2013

The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation
09:10

The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation

Published on: July 22, 2019

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
07:19

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Published on: March 24, 2023

Area of Science:

  • Orthopedics and Rehabilitation Science
  • Biomechanical Engineering
  • Evidence-Based Practice

Background:

  • Knee osteoarthritis (KOA) involves cartilage degeneration, pain, and functional loss, often linked to musculoskeletal weakness and increased knee stress.
  • Traditional KOA management focused on symptom relief, but current research highlights kinetic chain alignment, lumbopelvic stability, and muscle performance.

Purpose of the Study:

  • To systematically review evidence on physical therapy-based realignment strategies for knee osteoarthritis (KOA) management.
  • Evaluate the effectiveness of kinetic chain alignment and proximal strengthening in KOA patients.

Main Methods:

  • Systematic review following PRISMA guidelines, searching PubMed, MEDLINE, and Google Scholar (2016-2026).
  • Included 18 randomized controlled trials (RCTs) on conditioning exercises, manual therapy, and realignment strategies.
  • Assessed methodological quality using the Cochrane Risk of Bias 2 (RoB 2) tool.

Main Results:

  • Physical therapy realignment strategies significantly reduce KOA pain and improve function.
  • A multifaceted kinetic-chain approach, particularly proximal hip and core strengthening, proved superior or equal to isolated knee protocols.
  • Trunk stabilization exercises (TSE) combined with knee strengthening enhanced lumbopelvic stability and reduced pain more effectively.

Conclusions:

  • Physical therapy realignment strategies offer effective conservative management for KOA.
  • A kinetic-chain approach optimizes biomechanical load distribution and neutralizes joint reaction forces, potentially delaying or avoiding surgery.
  • Progressive high-impact realignment strategies may be safe for mild KOA, enhancing bone strength without cartilage damage.