NCT07661407

Brief Summary

This randomized placebo-controlled trial aims to evaluate the effectiveness of High-Intensity Laser Therapy (HILT) as an adjunct to standard outpatient physiotherapy in patients with knee osteoarthritis. Seventy-two participants will be randomly assigned to receive either conventional physiotherapy combined with active HILT or conventional physiotherapy combined with sham HILT. Outcomes related to pain, knee function, physical performance, muscle strength, range of motion, psychosocial factors, quality of life and body composition will be assessed at baseline, after the intervention, and at 8-week follow-up.

Trial Health

65
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
20mo left

Started Jul 2026

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress5%
Jul 2026Mar 2028

First Submitted

Initial submission to the registry

June 16, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 22, 2026

Completed
11 days until next milestone

Study Start

First participant enrolled

July 3, 2026

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2027

Expected
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2028

Last Updated

June 29, 2026

Status Verified

June 1, 2026

Enrollment Period

8 months

First QC Date

June 16, 2026

Last Update Submit

June 24, 2026

Conditions

Keywords

High-Intensity Laser TherapyHILTKnee OsteoarthritisGonarthrosisPhysiotherapyPainKOOSRandomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

  • Change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain Subscale Score

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain subscale assesses knee pain using 9 items. Scores are transformed to a 0-100 scale, where 0 represents extreme knee pain and 100 represents no knee pain. Therefore, higher scores indicate a better outcome (less pain). The primary endpoint is the change in KOOS Pain subscale score from baseline.

    Baseline, immediately after the 2-week intervention, and 8 weeks after completion of treatment.

Study Arms (2)

Conventional Physiotherapy + HILT

EXPERIMENTAL
Behavioral: Conventional PhysiotherapyDevice: High-Intensity Laser Therapy (HILT)

Conventional Physiotherapy + Sham HILT

SHAM COMPARATOR
Behavioral: Conventional PhysiotherapyDevice: Sham High-Intensity Laser Therapy

Interventions

Participants will receive a standardized outpatient physiotherapy programme delivered five times per week for two consecutive weeks. Each session will include aerobic exercise on a stationary bicycle, strengthening exercises, balance and proprioceptive training, functional exercises, stretching exercises, postural exercises, and gait training. The physiotherapy programme will be identical in both study groups.

Conventional Physiotherapy + HILTConventional Physiotherapy + Sham HILT

Participants will receive High-Intensity Laser Therapy using the ASA Laser HIRO 3.0 device (3 kW). Treatment will be administered three times per week for two consecutive weeks, resulting in six treatment sessions. Laser irradiation will be delivered in pulsed mode at a frequency of 20 Hz with a total energy dose of 3000 J per session. The laser will be applied using a dynamic scanning technique over the anterior, medial, and lateral aspects of the affected knee joint and selected periarticular trigger points. All procedures will be performed according to a standardized treatment protocol.

Also known as: ASA Laser HIRO 3.0, HILT
Conventional Physiotherapy + HILT

o Participants will undergo a sham High-Intensity Laser Therapy procedure using the same ASA Laser HIRO 3.0 device and treatment schedule as the active intervention group. The handpiece will be positioned and moved over the treatment area in the same manner as during active treatment; however, no therapeutic laser energy will be delivered. The device will not emit laser radiation, light signals, or audible treatment sounds. Session frequency, duration, therapist-patient interaction, and treatment environment will be identical to those of the active HILT group.

Also known as: Sham HILT, Placebo HILT
Conventional Physiotherapy + Sham HILT

Eligibility Criteria

Age40 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Radiographically confirmed knee osteoarthritis
  • Mild-to-moderate disease severity
  • Pain ≥4 on VAS for at least 3 months
  • Ability to participate in physiotherapy
  • Informed consent

You may not qualify if:

  • Advanced OA requiring surgery
  • Previous knee arthroplasty
  • Knee instability
  • Acute inflammation
  • Neurological disorders affecting gait
  • Neuropathies or myopathies
  • Active inflammatory arthritis
  • Recent lower-limb injury (\<6 months)
  • Intra-articular injections within 3 months
  • Cancer, pregnancy, epilepsy
  • Electronic implants or pacemaker
  • Active local infection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Osteoarthritis, KneePain

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Paweł Nalborczyk, MSc PT

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 16, 2026

First Posted

June 22, 2026

Study Start

July 3, 2026

Primary Completion (Estimated)

February 28, 2027

Study Completion (Estimated)

March 31, 2028

Last Updated

June 29, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will not share