Joint pain is the most common complaint among those who seek medical care for OA and as a result of OA pain 80% of individuals with have some degree of movement limitation, 25% cannot perform major activities of daily living and 11% of adults with KOA need help with personal care. Consequentially, OA can lead to negative effects on quality of life, mood, fatigue and sleep. Interestingly, poor sleep occurs in ~70% of older individuals with OA and is linked with fatigue, which in turn is associated with a greater fall risk in the elderly and identifies fatigue as a further concern, in addition to joint instability, of fall-related complications.