The Distraction of Knee Joint to Alleviate osteoArthritic Pain (DiKAP) Trial

Inclusion Criteria: * ≥40 years of age; * having knee pain; * having at least three of the following additional symptoms: a-morning stiffness ≤ 30 minutes, b-crepitation, c-bone margin tenderness, d-bony enlargement or e-no palpable warmth; * willing to provide informed consent Exclusion Criteria: * rheumatoid arthritis; * serious pathological conditions (inflammatory arthritis and malignancy); total or partial arthroplasty of the affected knee joint, or on waiting list for joint replacement surgery; * recent surgical procedure of the lower extremities in the previous 6 months; * uncontrolled hypertension and unstable cardiovascular problems that could subject the participant to increased risk with exercise and physical exertion; * physical incapability to safely perform exercises, walking or stationary cycling, as in: debilitating visual defects, neurological problems, exaggerated low back pain, advanced osteoporosis, and inability to walk 10 meters without an assistive device; * use of prescribed analgesics, corticosteroid or analgesic injection intervention for knee pain within the previous 30 days; * lack of clear comprehension of study procedures or inability to comply with instructions; * stated inability to attend or complete the proposed course of intervention and follow-up schedule.