Knee Osteoarthritis (KOA) causes pain, stiffness, muscular weakness, and walking difficulties, leading to physical inactivity and consequently the rise in obesity as a public health concern. This study aimed to compare the effects of aquatic and Thera-band exercises on pain intensity and endurance among obese people with KOA. In a cross-sectional study, 45 obese participants (n = 45; male = 22, female = 23) with KOA (BMI ≥ 27.5 kg.m -2 ) were recruited and randomly assigned to three groups; aquatic exercise (AqG), Thera-band exercise (TBG) and control (CG) groups. For eight weeks, the AqG and TBG groups performed the exercise program twice weekly at 60 min per session. The Mixed-ANOVA statistical analysis revealed significant differences among the effects of aquatic exercise, Thera-band exercise, and CG after eight weeks in terms of pain intensity (F: 2, 42= 34.18, p < 0.001) and endurance (F: 2, 42 = 11.425, p < 0.001). Meanwhile, both intervention groups had a significant effect on pain intensity (p<0.001) and only AqG revealed a significant difference in endurance (p < 0.046) compared with the CG. In addition, there was no significant difference between AqG and TBG in the improvement of pain intensity (p = 0.896) and endurance (p = 0.072). In conclusion, progressive aquatic and Thera-band exercises are alternative suggestions to improve pain intensity and aquatic exercise can also be more advantageous to recover endurance among people with KOA.
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