HURLEY, M. V., H. L. MITCHELL, and N. WALSH. In osteoarthritis, the psychosocial benefits of exercise are as important as physiological improvements. Exerc. Sport Sci. Rev., Vol. 31, No. 3, pp. 138–143, 2003. Exercise has a major role in the management of osteoarthritis, effecting well-documented physiological improvements on muscle function. However, exercise also has lasting benefits on the complex psychosocial sequelae of osteoarthritis—facilitating appropriate health beliefs, behaviors, pain coping, and self-management strategies—that are as important as its physiological effects.