Osteoarthritis (OA) is progressive joint disease characterized by joint inflammation and a reparative bone response and is one of the top five most disabling conditions that affects more than one-third of persons > 65 years of age, with an average estimation of about 30 million Americans currently affected by this disease. Global estimates reveal more than 100 million people are affected by OA. The financial expenditures for the care of persons with OA are estimated at a total annual national cost estimate of $15.5-$28.6 billion per year. As the number of people >65 years increases, so does the prevalence of OA and the need for cost-effective treatment and care. Developing a treatment strategy which encompasses the underlying physiology of degenerative joint disease is crucial, but it should be considerate to the different age ranges and different population needs. This paper focuses on different exercise and treatment protocols (pharmacological and non-pharmacological), the outcomes of a rehabilitation center, clinician-directed program versus an at home directed individual program to view what parameters are best at reducing pain, increasing functional independence, and reducing cost for persons diagnosed with knee OA.

Different muscle groups function in a synchronized and coordinated manner to perform a given task, wherein the activity of one muscle group affects that of another (1, 3). Osteoarthritis (OA) is a common, chronic joint disease characterized by pain, disability and progressive loss of function. It is the most common musculoskeletal complaint worldwide and is associated with significant health and welfare costs (2, 7). The knee is the most frequently affected joint of the lower limb and prevalence of knee OA increases with age (6). Several studies have shown that muscle recruitment patterns and neuromuscular efficiency are different for patients with OA compared to normal controls during simple closed chain activities (4). However, no studies have investigated frontal plane control or the modulation of control due to, for example, a change in time or distance in OA (5).