CONCLUSION strength training , Tai Chi and aerobics exercises  improved balance and falls risk in older individuals with knee OA , while water-based exercises and light treatment did not significantly improve balance outcomes .
Strength training , Tai Chi and aerobics exercises can therefore be recommended as falls prevention strategies for individuals with OA .
INTRODUCTION osteoarthritis ( OA ) of knee has been reported as a risk factor for falls and reduced  balance in the elderly .
This systematic review evaluated the effectiveness of physical therapies in improving balance and reducing falls risk among patients with knee OA .
Effectiveness of a home-based exercise therapy and walking program on osteoarthritis of the knee
Abstract . Osteoarthritis ( OA ) of the knee is a very common rheumatological disease , and there are various treatment modalities for it . The aim of this study was to investigate the effects of home-based exercise and walking programs in the treatment of OA . A total of 90 patients with knee osteoarthritis were included . Their ages ranged between 48 and 71 years . The patients were separated into three groups . None of them had practice d a daily simple exercise program during the previous year . Group 1 ( n=30 ) was given a home-based exercise program . Group 2 ( n=30 ) had regular a walking program three times per week , starting with 10-min duration . Group 3 ( n=30 ) was accepted as the control group . Patients were assessed according to pain , functional capacity , and quality of life parameters . Pain was evaluated by the Western Ontario McMaster osteoarthritis index ( WOMAC ) of pain score and visual analogue scale ( VAS ) . Functional capacity was measured by WOMAC physical function index . Quality of life was assessed by the Nottingham Health Profile question naire ( NHP ) . All groups continued the program for 3 months . At the end of the therapy , the patients were called and 81 were accepted to come to the hospital . Although WOMAC pain and physical functional scores and VAS scores were statistically lower in both groups than in the control group ( P<0.001 ) , the difference between groups 1 and 2 was not statistically significant ( P>0.05 ) . But the result of the NHP showed a statistically significant improvement in the walking group when compared to the home-based exercise and control groups ( P<0.001 ) . As a result , we conclude that a simple home-based exercise therapy and a regular walking program are effective in treating the symptoms of OA
CONCLUSION strength training , Tai Chi and aerobics exercises  improved balance and falls risk in older individuals with knee OA , while water-based exercises and light treatment did not significantly improve balance outcomes .
Strength training , Tai Chi and aerobics exercises can therefore be recommended as falls prevention strategies for individuals with OA .
INTRODUCTION osteoarthritis ( OA ) of knee has been reported as a risk factor for falls and reduced  balance in the elderly .
This systematic review evaluated the effectiveness of physical therapies in improving balance and reducing falls risk among patients with knee OA .