Comparison between exercise therapy and non-hydrolyzed collagen (UC-II) in functionality and quality of life in women with knee osteoarthritis : A randomized controlled clinical trial

Wien Klin Wochenschr. 2023 Jun;135(11-12):291-300. doi: 10.1007/s00508-022-02037-8. Epub 2022 May 25.

Abstract

Background: Knee osteoarthritis (OA) is characterized by a progressive degeneration of cartilage and menisci, leading to pain and locomotor disability. Here, we aimed to assess the effect of an exercise protocol and the oral use of non-hydrolyzed collagen (UC-II) on the functionality and quality of life of women with knee OA.

Material and methods: Individuals were divided into three groups (CG [control group]; MG [medication group]; EG [exercise group]). In the CG there was no intervention, while MG received an oral dose (1 capsule/day) of UC-II and the EG held 12 sessions of an exercise protocol.

Results: In the functionality tests (6-min walk test, 6MWT and timed up and go test [TUG]) the EG (p < 0.001/p = 0.020) and MG (p = 0.010/p = 0.010) revealed a significant improvement when compared to the CG. In the analysis of quality of life by WOMAC, a significant improvement was found only in the EG (p = 0.030) when compared to the CG; the same happened in the stiffness domain (EG, p = 0.010), despite in the pain domain, both the EG (p < 0.001) and the MG (p = 0.060) were better than the CG.

Conclusion: Data obtained here reveal that an exercise protocol and UC-II have similar effects for functionality, despite exercise being superior in promoting the quality of life score.

Keywords: Cartilage; Chronic pain; Loss of flexibility; Pain; Risk factors; Tenderness.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Collagen
  • Exercise Therapy / methods
  • Female
  • Humans
  • Osteoarthritis, Knee* / diagnosis
  • Osteoarthritis, Knee* / therapy
  • Pain
  • Postural Balance
  • Quality of Life
  • Time and Motion Studies
  • Treatment Outcome

Substances

  • Collagen