All four studied groups of KOA regardless of the OA grading showed improvement in the degree of pain, physical function and dynamic balance. Patients with mild KOA might benefit more from early exercise program that includes both strengthening and balance training. The study was conducted on eighty patients diagnosed with primary KOA according to the 2010 (EULAR) evidence-based recommendations for the diagnosis of knee OA. Patients were divided into four groups (20 patients each) according to knee severity based on Kellgren and Lawrence (KL) grading scale of KOA.All patients underwent an exercise program; including balance and strengthening training 3 times a week for 6 weeks. Patients were assessed before and after fulfilling the exercise program by: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for Pain and physical function evaluation, timed up and go test for physical function evaluation and modified star excursion balance test (MSEBT) for dynamic balance evaluation.
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