This study aims to evaluate the effects of integrating trunk stabilization exercises with conventional rehabilitation in patients with knee-spine syndrome. It further examines whether improving trunk stability can reduce knee pain and enhance functional outcomes in knee osteoarthritis
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
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