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CTRI Number  CTRI/2025/12/098322 [Registered on: 02/12/2025] Trial Registered Prospectively
Last Modified On: 02/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to see how Tai Chi helps reduce knee pain and improve daily movement in people with knee osteoarthritis 
Scientific Title of Study   EFFICACY OF TAI CHI ON PAIN AND PHYSICAL FUNCTION IN INDIVIDUALS WITH KNEE OSTEOARTHRITIS 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sanjib Kumar Das  
Designation  Associate Professor  
Affiliation  Amity University, Noida  
Address  Amity University, Sector 125, Noida, Uttar Pradesh 201313

Gautam Buddha Nagar
UTTAR PRADESH
201313
India 
Phone  8879485847  
Fax    
Email  skdas@amity.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjib Kumar Das  
Designation  Associate Professor  
Affiliation  Amity University, Noida  
Address  Amity University, Sector 125, Noida, Uttar Pradesh 201313

Gautam Buddha Nagar
UTTAR PRADESH
201313
India 
Phone  8879485847  
Fax    
Email  skdas@amity.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Sanjib Kumar Das  
Designation  Associate Professor  
Affiliation  Amity University, Noida  
Address  Amity University, Sector 125, Noida, Uttar Pradesh 201313

Gautam Buddha Nagar
UTTAR PRADESH
201313
India 
Phone  8879485847  
Fax    
Email  skdas@amity.edu  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Amity University Noida Amity Institute of Physiotherapy  
Address  Amity University, Sector 125, Noida, Uttar Pradesh 201313 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sanjib Kumar Das  Amity Institute of Physiotherapy   Department of Physiotherapy, Amity Institute of Physiotherapy, Block - F, Amity University, Sector 125, Noida, Uttar Pradesh 201313
Gautam Buddha Nagar
UTTAR PRADESH 
8879485847

skdas@amity.edu  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional NTCC Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  24 - Form Tai Chi Program  Participants in the 24-Form Tai Chi group will receive supervised Tai Chi sessions lasting 60 minutes, consisting of 10 minutes of warm up, 45 minutes of Tai Chi practice, and 5 minutes of cool down. Sessions will be conducted 2 days per week for 12 weeks. 
Intervention  8 - form Tai Chi Program   Participants in the 8-Form Tai Chi group will receive supervised Tai Chi sessions lasting 60 minutes, consisting of 10 minutes of warm up, 45 minutes of Tai Chi practice, and 5 minutes of cool down. Sessions will be conducted 2 days per week for 12 weeks. 
Comparator Agent  Conventional Physiotherapy Protocol  The control group will receive only the standardized Conventional Physiotherapy protocol. The protocol includes hot fomentation for 10 minutes, open and closed kinetic chain exercises (10 repetitions × 1 set), calf and hamstring stretches (3 repetitions with 30-second hold), and ultrasound therapy (continuous mode, 1.5 W/cm², 7 minutes). Sessions will be conducted 2 days per week for 12 weeks. 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Age range: 45–60 years
Clinical diagnosis of primary osteoarthritis of the knee
Radiographic evidence Mild to moderate osteoarthritis (Kellgren–Lawrence Grade I–III) confirmed by X-ray
Able to understand and follow exercise instructions
Provides written informed consent to participate
At least Grade 3/5 muscle strength in key lower limb muscles (quadriceps and hamstrings) based on the Oxford Scale for Manual Muscle Testing 
 
ExclusionCriteria 
Details  Knee pain caused by other conditions (example rheumatoid arthritis, inflammatory arthritis, post-traumatic arthritis)
History of total knee replacement on the affected knee, or planned knee surgery during the study period Intra-articular steroid injection in the knee within the past 3 months Significant knee instability or severe deformity
Neurological or musculoskeletal disorder affecting lower limb function
Participation in any formal exercise program for the knee in the last 6 months
Any unstable medical condition where exercise is not advised Inability to follow instructions due to cognitive impairment 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
KOOS Score ( Pain, Function, Quality of Life )
NPRS (Numeric Pain Rating Scale)  
Baseline, 4 weeks, 8 weeks, 12 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
Timed Up & Go
TUG TEST  
Baseline, 4 weeks, 8 weeks, 12 weeks  
 
Target Sample Size   Total Sample Size="183"
Sample Size from India="183" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study aims to evaluate the efficacy of Tai Chi on pain and physical function in individuals with primary knee osteoarthritis. A randomized controlled trial design will be used. Participants aged 45 to 60 years with clinically diagnosed mild to moderate primary knee osteoarthritis will be randomly allocated into three groups: an 8 form Tai Chi group, a 24 form Tai Chi group, and a control group receiving conventional physiotherapy only. The intervention will be conducted for 12 weeks with supervised sessions twice a week. Primary outcomes will include pain and knee specific function measured using KOOS and NPRS. Secondary outcomes will include functional mobility and dynamic balance assessed using the Timed Up and Go Test. The study aims to determine whether Tai Chi can provide additional benefits when combined with conventional physiotherapy. 
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