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Aged ≥50 years
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Lateral joint space narrowing ≥ medial joint space narrowing on x-ray
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Report knee pain on most days of the past month
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Knee surgery/joint injection in past 6 months or planned surgery in the next 9 months
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Suffered knee pain for 3 months or more
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Current or past (4 weeks) oral corticosteroids
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Report a minimum average overall pain score of 4 on an 11-point numeric rating scale over the previous week
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Systemic arthritic conditions
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Demonstrate tibiofemoral osteophytes on x-ray
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Past knee fracture or malignancy
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Obesity (BMI = 30 kg/m2 and over)
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Past hip/knee joint replacement/tibial osteotomy
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Have a mobile phone that has text messaging functionality and be happy to receive text message reminders if required during the study
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Other condition currently affecting lower limb function
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Participation in knee strengthening or neuromuscular/functional exercise in past 6 months or planning to start exercise in next 9 months
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Unable to walk unaided
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Unable to commit to study requirements
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