4. Discussion
muscle weakness, functional disability, pain, reduced pain, trauma
DISEASE PROGRESSION, MUSCLE WEAKNESS, EVENTS
The objective of this study was to determine the efficacy, superiority, and relative benefits of three different paradigms of treatment, i.e., exercise therapy, collagen supplementation, and a combination of collage supplementation with exercise therapy, in alleviating pain, and improving muscle strength, range of motion, and functional scores in athletes diagnosed with EOA.VAS on activity (In our study, athletes diagnosed with EOA were managed conservatively using either exercise therapy (routine exercises + proprioceptive exercises), oral collagen supplements, or both. The implications for exercise and pain reduction in an arthritic joint include Interleukin 1 beta [The findings of our study are in line with another 12-week study of participants with knee OA, which concluded that strengthening and coordination exercises conducted three times a week reduced pain in 63% of sessions [In the present study, it was also observed that the collagen group did not demonstrate a statistically significant difference in pain relief when compared to the other groups (Differences in joint mobility were measured using the ROM method and isometric muscle strength was quantified with a hand-held dynamometer. We observed a moderate to strong improvement in the ROM and knee muscle strength in individuals with EOA in the Ex-group. The ROM of the arthritic knee joint is thought to be a crucial determinant in the development of muscle weakness during isokinetic activity [In the present study, active knee flexion ROM increased significantly in the Ex-group as compared to the other groups (In our present study, the KOOS scores showed a statistically significant difference for the ColEx and the Ex-group at the end of 12 weeks (EOA is a constellation of anatomical abnormalities that cause functional disability and pain. There are various risk factors associated with disease progression; however, it appears that early joint damage or trauma during sporting events is a more common cause in the athletic population. The assessment and effective management of EOA in an athlete is frequently difficult due to his or her increased exercise demands and requirement for an accelerated return to sport. Athletes who participate in sports that require quick acceleration and instant deceleration, who engage in continuous training with an impact on joints, or who compete at an elite level for extended periods are at a higher risk of developing EOA [EOA management should always include a variety of therapeutic options targeted at alleviating pain and improving function. The recommended management framework should prioritize nonpharmacological techniques, followed by nutritional supplements and analgesics. In the present study, the ColEx group displayed significant changes in all the investigated parameters; however, exercise therapy is a standalone treatment.Considerably significant changes were seen in the results when compared to individuals treated with collagen supplementation alone. Therefore, the authors highly recommend using oral collagen supplementation along with exercise as the treatment of choice in EOA.We accept that our study had several limitations. As subject randomization was achieved through allocation and not concealment, a possible selection bias could have occurred. Second, because this study was conducted on recreational athletes, the capacity to extend these findings to a larger population is limited, and lastly, the sample size within the included groups is relatively small.