Performance Clinical Trial
Official title:
Effect of Aloe Vera Ointment Application on Muscle Damage and Performance Recovery Kinetics Following an Intense Eccentric Exercise Protocol: A Pilot Study.
Aloe vera, sometimes described as pharmaceutical aloe, is a flowering succulent plant with
many therapeutic properties such as wound and burn wound healing, treatment of diabetes and
reduction of blood lipid profile. These benefits have been primary attributed to its high
content in polysaccharides, anthraquinones and lectins. However, aloe vera includes more than
200 ingredients and nutrients (i.e. vitamins, saponins, amino acids, anthraquinones, minerals
and trace-elements, salicylic acid, saccharides, lignin, enzymes, sterols) the combination of
which offers more powerful effects and health-related benefits compared to each one of them
separately. Thus, based on the ingredients and nutrients included, it has been proposed that
aloe vera may also offer anti-inflammatory, antioxidative, analgesic and anabolic benefits.
Exercise training, especially when it is unaccustomed or characterized by increased
intensity, results in skeletal muscle microtrauma accompanied by elevated plasma levels of
Creatine Kinase (CK), increased sensation of muscle soreness (DOMS), reduced force generating
capacity and marked declines in speed and agility. Both anti-inflammatory and antioxidative
mechanisms in skeletal muscle are crucial for the termination of inflammatory response and
muscle healing process following exercise-induced aseptic muscle injury and inflammation.
Although, it has been proposed that ale vera may elicit anti-inflammatory and antioxidative
activity, its effectiveness in alleviating exercise-induced skeletal muscle injury and its
symptoms, has not been investigated yet. Therefore, the aim of the present pilot study is to
examine the effect of transdermal aloe veral delivery on skeletal muscle damage symptoms
following an intense eccentric exercise protocol.
For the purpose of study, ten male participants will be included in a pilot clinical trial.
Initially, participants will undergo a baseline testing including assessment of body height,
body mass and body composition, isokinetic evaluation of isometric, concentric and eccentric
muscle strength of quadriceps, determination of VO2max, evaluation of DOMS level and resting
blood sampling for the measurement of CK. Participants will be also provided with 7-day diet
recalls and will be taught by a trained dietitian on how to adjust food/liquid portions and
sizes and how to complete diet recalls (1 recall/day over a 7-day period).
After baseline testing, subjects will participate in two trials, in a randomized,
double-blind repeated measures design. In the first trial they will execute a bilateral
eccentric exercise protocol. Immediately after the exercise protocol and daily for 7
consecutive days, will be applied transdermal treatment with placebo (Control) in one leg and
with natural aloe vera (Experimental, aloe vera peel and leaf) in the other. Following a
7-day wash-out period the second trial will be conducted. Participants will execute the same
eccentric exercise protocol, but they will be treated with either placebo (Control) or aloe
vera soup (Experimental). The selection of the treatment for each leg will be randomly
selected. In both trials, assessment of DOMS and strength (isometric, concentric and
eccentric) in both legs and blood sampling (for the measurement of CK) will be performed at
1h and 6h post-exercise as well as daily for 7 consecutive days.
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