“…Generally, exercise is considered beneficial and cost-effective in improving pain and function in OA, although there has been widespread concern that some exercise modalities may accelerate degeneration, and thus low-impact exercise, like walking, is promoted over high-impact exercise, such as running 1,2 . Exercise may support joint tissue health by mechanical stimulation 3 and release of anti-inflammatory molecules 4 . On the contrary, OA leads to structural changes of joint tissue, which might increase the susceptibility to damage under loading and shear stress.…”