Effects of Collagen and Exercise on Tendon Properties and Pain: A Critically Appraised Topic.

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2023-09-27 Print Date: 2023-11-01 DOI:10.1123/jsr.2023-0115
Kylie S Boldt, Bernadette L Olson, Ryan M Thiele
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引用次数: 0

Abstract

Clinical scenario: Achilles tendon ruptures are prevalent and devastating injuries that require the need for extensive rehabilitation. The methods for preventing these injuries vary between different exercise methods and nutritional supplementation. Although proven effective for decreasing pain and increasing tendon properties, the influence of these 2 methods in combination has not yet been evaluated.

Clinical question: Does exercise combined with collagen supplementation improve Achilles tendon structural and mechanical properties and diminish subsequent patient-reported pain compared with exercise alone in adults?

Summary of key findings: Exercise training, including eccentric training protocols and concentric resistance training protocols, combined with collagen supplementation influence Achilles tendon properties and subsequent patient-reported pain compared with exercise alone.

Clinical bottom line: Evidence supports that collagen along with exercise training has a significant influence on pain mitigation, augmented cross-sectional area, and tendon thickness, but may have little to no influence on tendon stiffness and microvascularity compared with exercise alone. Further research is needed to determine the effects of combined methods on various populations.

Strength of recommendation: Collectively, the body of evidence included to answer the clinical question aligns with the strength of recommendation of A.

胶原蛋白和运动对肌腱特性和疼痛的影响:一个重要的评估主题。
临床情况:跟腱断裂是一种常见的破坏性损伤,需要进行广泛的康复。预防这些损伤的方法因不同的运动方法和营养补充而异。尽管已被证明对减轻疼痛和提高肌腱性能有效,但这两种方法结合使用的影响尚未得到评估。临床问题:与成人单独运动相比,运动与补充胶原蛋白相结合是否能改善跟腱的结构和力学性能,并减轻患者随后报告的疼痛?关键发现总结:与单独运动相比,运动训练,包括偏心训练方案和同心阻力训练方案,结合胶原蛋白补充,会影响跟腱特性和随后患者报告的疼痛。临床底线:有证据表明,胶原蛋白和运动训练对疼痛缓解、横截面积增加和肌腱厚度有显著影响,但与单独运动相比,可能对肌腱硬度和微血管性几乎没有影响。需要进一步的研究来确定联合方法对不同人群的影响。推荐强度:总的来说,回答临床问题的证据与A的推荐强度一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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