Vol. 9, Issue 3, Part A (2025)

Knee osteoarthritis (KOA) is a prevalent musculoskeletal disorder that significantly affects mobility, functional independence, and quality of life among adults, especially older populations. Physiotherapy-led exercise interventions remain the cornerstone of conservative management, yet the optimal mode of delivery home-based versus clinic-based continues to be debated due to factors such as accessibility, adherence, and cost-effectiveness. Home-based programs offer convenience, continuity, and self-management benefits, whereas clinic-based sessions provide supervised exercise correction, professional feedback, and structured progression. Recent evidence suggests that both modalities can improve pain, function, and joint mobility, but their comparative effectiveness in early KOA patients remains insufficiently explored. This research aims to assess whether home-based physiotherapy exercises are as effective as clinic-based programs in improving pain scores, functional performance, and patient adherence in early-stage KOA. A quasi-experimental design was adopted involving standardized exercise protocols for both groups. The findings of this research will contribute to developing cost-effective physiotherapy strategies, enhancing accessibility, and optimizing patient-centered rehabilitation for individuals with early KOA. The research hypothesizes that home-based physiotherapy, when supported with structured guidance, demonstrates comparable functional outcomes to clinic-based physiotherapy, thereby establishing a viable alternative for patients with limited clinic access.