They are almost the same meaning ,to assist ,aid or give a hand,however 'to help out' is associated specificallly with helping by sharing the burden with another person.
2011年3月24日
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There is no big difference if you say either one. Help out is common as a phrasal verb for daily use.
Ex: why didn´t you tell me you had problems with Math? I could have helped you.
Or Why didn´t you tell me you had problems with Math? I could have helped you out.
Help out: expression "give you a hand" = Help :)