International Journal of Human Movement and Sports Sciences 10(4A): 1-9, 2022 http://www.hrpub.org DOI: 10.13189/saj.2022.101301 Comparison between Aquatic and Thera-Band Exercises on Pain Intensity and Endurance among Obese Individuals with Knee Osteoarthritis Kogilavani Krishnan 1 , Fariba Hossein Abadi 1,* , Lee Ai Choo 1 , Fairus Fariza Zainudin 1 , Saeid Motevalli 2 1 Faculty of Sports Science and Coaching, Universiti Pendidikan Sultan Idris, Malaysia 2 Department of Psychology, Faculty of Social Sciences & Liberal Arts, UCSI University, Kuala Lumpur, Malaysia Received November 2, 2021; Revised December 20, 2021; Accepted January 25, 2022 Cite This Paper in the Following Citation Styles (a): [1] Kogilavani Krishnan, Fariba Hossein Abadi, Lee Ai Choo, Fairus Fariza Zainudin, Saeid Motevalli , "Comparison between Aquatic and Thera-Band Exercises on Pain Intensity and Endurance among Obese Individuals with Knee Osteoarthritis," International Journal of Human Movement and Sports Sciences, Vol. 10, No. 4A, pp. 1 - 9, 2022. DOI: 10.13189/saj.2022.101301. (b): Kogilavani Krishnan, Fariba Hossein Abadi, Lee Ai Choo, Fairus Fariza Zainudin, Saeid Motevalli (2022). Comparison between Aquatic and Thera-Band Exercises on Pain Intensity and Endurance among Obese Individuals with Knee Osteoarthritis. International Journal of Human Movement and Sports Sciences, 10(4A), 1 - 9. DOI: 10.13189/saj.2022.101301. Copyright©2022 by authors, all rights reserved. Authors agree that this article remains permanently open access under the terms of the Creative Commons Attribution License 4.0 International License Abstract 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. Keywords Aquatic Exercise, Thera-Band Exercise, Pain Intensity, Endurance, Obesity, Knee Osteoarthritis 1. Introduction Osteoarthritis (OA) is a degenerative joint condition that has become one of the world's major socioeconomic healthcare burdens [1]. People with knee osteoarthritis (KOA) experience frequent pain, greater joint discomfort, stiffness and muscular weakness that contribute to physical impairment [2, 3] and reduced physical activities [4]. Obesity increases the stress on joints and pain intensity in those living with KOA [5], leading to weight gain and weakened muscles. Therefore, the current therapeutic management of KOA emphasizes non-pharmacological treatments like therapeutic exercises, physical therapy and weight loss [6, 7]. However, recent studies suggested that water-based therapeutic exercise can improve muscle