Additional Effect of Collagen/Vitamin C in Exercise Treatment for Patellar Tendinopathy (Jumper's Knee) A Randomized Controlled Trial
Led by Gelderse Vallei Hospital · Updated on 2024-09-26
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52 weeks
Total Duration
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What this Trial Is About
Patellar tendinopathy (PT) is a common overuse injury affecting the tendon in athletes, sometimes causing long breaks from sports and limiting performance and health benefits. This research evaluates whether adding oral hydrolysed collagen and vitamin C supplements to standard care, which includes education, load management, and tendon loading exercises, improves recovery in athletes with PT. The study is a randomized controlled trial designed to assess the effect of the supplement on tendon symptoms and function over time.
The trial compares two groups: one receiving a nutritional supplement containing 10g hydrolysed collagen and 40mg vitamin C daily for 24 weeks, and the other receiving a placebo supplement made of maltodextrin. Both groups follow a structured progressive tendon loading exercise program and receive education and load management advice. The exercise program spans 24 weeks and is based on pain limits, aiming to improve tendon strength and function.
Participants will complete questionnaires assessing tendon pain and function at multiple times up to one year, including the VISA-P score. Additional evaluations include functional tests, advanced imaging of the tendon, blood tests for amino acids and inflammation, dietary assessments, and weekly records of exercise and supplement adherence. These measures help researchers understand how the supplement and exercise program affect tendon health and recovery over time.
CONDITIONS
Brief Title
Effect of Collagen/Vitamin C in Jumper's Knee; a RCT
Who Can Participate
Age: 16Years - 40Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Age 16 to 40 years old
History of focal knee pain in the patellar tendon area related to training or competition
Symptoms present for at least 12 weeks
Participation in sports at least once a week for at least one year
Tenderness when pressing on the painful area of the patellar tendon
Pain during tendon loading tests such as single leg decline squat or jump squat
VISA-P score less than 80 out of 100 points
Willingness to take non-vegetarian nutritional supplements
You will not qualify if you...
Having inflammatory joint diseases like spondylarthropathy, gout, or rheumatoid arthritis, or familial hypercholesterolaemia
Daily use of drugs affecting the patellar tendon in the past year (e.g. fluoroquinolones, statins)
History of knee surgery without full rehabilitation on the affected knee
Previous patellar tendon rupture in the affected knee
Local injection therapy in the past 12 months (corticosteroids, blood products, stem cells)
Acute knee injuries including sudden patellar tendon injuries
Unable to perform the progressive tendon loading exercise program
Participation in other treatment programs at the same time
Signs or symptoms of other knee problems found on exam or imaging
Current use of collagen supplements
Blood donation within two months before any test day
Pregnancy or planning pregnancy within the next year
Abuse of hard drugs
Alcohol consumption exceeding 21 units/week for men or 14 units/week for women
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Complete this quick 3-step screening to check your eligibility
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 24 weeks
Participants take a daily nutritional supplement of hydrolysed collagen and vitamin C or a placebo, combined with education, load management advice, and a progressive tendon loading exercise program performed three times per week.
Weekly visits for up to 24 weeks for compliance and progress monitoring
Follow-up
Duration - Up to 28 weeks after treatment ends, totaling 52 weeks from start
Participants complete assessments including VISA-P scores, pain tests, imaging, stiffness measurements, blood tests, and dietary habits up to 52 weeks after starting treatment.
Visits at 6, 12, 18, 24, and 52 weeks for assessments
The JUMPFOOD study: additional effect of hydrolyzed collagen and vitamin C to exercise treatment for patellar tendinopathy (jumper's knee) in athletes-study protocol for a double-blind randomized controlled trial.