Participants meeting will be randomized into one of two study groups using opaque sealed envelopes in blocks of 6. Each envelope contains a description of the intervention of assignment. For group A, the intervention consists of a conventional physiotherapist supervised exercise program for 32 weeks in combination with RIT on weeks 0, 4, 8, and 12. Intervention for group B includes the supervised exercise program for 32 weeks in combination with RIT on weeks 20, 24, 28 and 32 of follow-up. For all study participants, the exercise program consists of 4 strengthening exercises for which participants will be asked to perform 3 sets of 10 repetitions daily.