AzTrials
AzTrials

Ozone TherapyNCT07728422

Effects of Ozone Therapy on Muscle Damage

A study testing Autohemotherapy, Ozone Sauna Therapy and Ozonated Lavender Oil Massage in people with Ozone Therapy and Muscle Damage, run by Inonu University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The goal of this clinical trial is to determine the effectiveness of different ozone therapy methods in enhancing recovery after muscle-damaging exercise in healthy adults, and to evaluate their impact on biochemical markers of muscle damage and fatigue. Read more about this study

Who is it for?
Ages 18 to 30 years, men onlyHealthy volunteers can take part
Conditions the study is for
Ozone Therapy, Muscle Damage, Oxidative Stress
What is being tested?
Autohemotherapy, Ozone Sauna Therapy and Ozonated Lavender Oil Massage
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 siteTurkey (Türkiye)
Study dates
4 Oct 2024to 20 Feb 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • male football players aged 18-30 years
  • playing exclusively in the midfield position
  • active participation in regional professional football leagues (non-top-tier)
  • engagement in regular football training at least four sessions per week with a minimum duration of 90 minutes per session
  • absence of acute or chronic musculoskeletal injuries within the preceding six months
  • no use of anti-inflammatory medications or ergogenic supplements within the four weeks prior to the study

Who cannot join

  • female football players
  • diagnosed cardiovascular, metabolic, or neurological disorders
  • known hypersensitivity to ozone exposure or lavender oil
  • any surgical intervention within the past six months
  • concurrent participation in alternative recovery or therapeutic interventions during the study period
  • playing positions other than midfield

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Inonu University

    Malatya, Malatya, 44280

Other trials in Turkey (Türkiye)

About this study

Official title: Effects of Ozone Therapy Modalities on Biochemical Markers of Muscle Damage Following Eccentric Exercise

The goal of this clinical trial is to determine the effectiveness of different ozone therapy methods in enhancing recovery after muscle-damaging exercise in healthy adults, and to evaluate their impact on biochemical markers of muscle damage and fatigue.

The main questions it aims to answer are:

Read more
  • Do ozone-based interventions accelerate recovery by reducing biochemical markers of muscle damage and fatigue following eccentric exercise?
  • Which ozone therapy modality provides the greatest recovery benefit? Researchers will compare three intervention groups (autohemotherapy, ozone sauna therapy, and ozonated lavender oil massage) with a control group receiving no treatment.

Participants will:

  • Complete a standardized eccentric exercise protocol designed to induce muscle damage
  • Receive one of the assigned interventions or no treatment (control)
  • Provide blood samples at multiple time points (baseline, post-exercise, post-intervention, and 24, 48, and 72 hours follow-up) to assess recovery- related biomarkers
Read the detailed description

This randomized controlled trial was designed to investigate the effects of different ozone therapy modalities on recovery following eccentric exercise-induced muscle damage in healthy male amateur collegiate football players aged 18-30 years.

Thirty-two participants were randomly assigned to one of four groups: autohemotherapy, ozone sauna therapy, ozonated lavender oil massage, or a no-intervention control group (n = 8 per group). All participants completed a standardized eccentric exercise protocol to induce muscle damage and fatigue.

Following exercise, participants in the intervention groups received a single session of their assigned treatment, while the control group remained at rest without any recovery intervention. Autohemotherapy involved withdrawal of venous blood, exposure to an oxygen-ozone mixture, and reinfusion. Ozone sauna therapy was applied in a sealed cabin under controlled conditions with measures to prevent inhalation. Ozonated lavender oil massage was administered to the lower extremities using standardized massage techniques.

Blood samples were collected at baseline, immediately post-exercise, post-intervention, and at 24, 48, and 72 hours after intervention. Serum levels of lactate dehydrogenase (LDH), creatine kinase (CK), aspartate aminotransferase (AST), alanine aminotransferase (ALT), and uric acid (UA) were analyzed as indicators of muscle damage and metabolic stress.

Statistical analysis was performed using two-way permutational multivariate analysis of variance (PERMANOVA) to assess group, time, and group × time interaction effects.

Being tested
Autohemotherapy, Ozone Sauna Therapy, Ozonated Lavender Oil Massage
Keywords
Ozone theraphy, Eccentric exercise, Muscle damage biomarkers, Oxidative stress

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AutohemotherapyOther

    Autohemotherapy was performed by withdrawing 100 mL of venous blood, which was subsequently exposed to an oxygen-ozone gas mixture (5% ozone, 95% oxygen) for 5-10 minutes in an ozone-resistant, sterile container. The ozonated blood was then rein-fused intravenously over a 15-minute period in accordance with established clinical protocols

  • Ozone Sauna TherapyOther

    Ozone sauna therapy was administered in a sealed cabin maintained at a tempera-ture of 45°C. Participants remained seated with the head positioned outside the cabin and the neck sealed using a polyethylene collar to prevent ozone inhalation. Each session lasted 20 minutes and was conducted at an ozone concentration of 20 µg·mL-¹

  • Ozonated Lavender Oil MassageOther

    Massage with ozonated lavender oil was administered by a certified massage thera-pist and targeted the lower extremity muscle groups, including the quadriceps, ham-strings, and gluteal muscles. The intervention lasted 20 minutes in total (10 minutes per limb) and followed standardized techniques adapted from Braun and Simonson (2008).

Study groups in NCT07728422
Study groupRoleWhat they receive
AutohemotherapyExperimentalParticipants underwent major autohemotherapy involving withdrawal of venous blood, exposure to an oxygen-ozone mixture, and subsequent intravenous reinfusion in accordance with established clinical protocols
Receives: Other: Autohemotherapy
Ozone Sauna TherapyExperimentalParticipants underwent ozone sauna therapy administered in a sealed cabin system, with the head outside the chamber to avoid inhalation, under controlled temperature and ozone concentration conditions.
Receives: Other: Ozone Sauna Therapy
Ozonated Lavender Oil MassageExperimentalParticipants underwent massage therapy with ozonated lavender oil targeting lower extremity muscles, delivered by a certified therapist according to standardized procedures.
Receives: Other: Ozonated Lavender Oil Massage
ControlNo interventionParticipants remained at rest without receiving any recovery intervention, serving as the control condition for comparison.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. CK

    Serum Creatine Kinase level

    Measured: Baseline, immediately post-exercise, immediately after ozone sauna treatment, 24 hours after ozone sauna treatment, 48 hours after ozone sauna treatment and 72 hours after ozone sauna treatment.

Secondary outcomes (4)
  1. LDH

    Serum lactate dehydrogenase level

    Measured: Baseline, immediately post-exercise, immediately after ozone sauna treatment, 24 hours after ozone sauna treatment, 48 hours after ozone sauna treatment and 72 hours after ozone sauna treatment.

  2. AST

    Serum Aspartate Aminotransferase level

    Measured: Baseline, immediately post-exercise, immediately after ozone sauna treatment, 24 hours after ozone sauna treatment, 48 hours after ozone sauna treatment and 72 hours after ozone sauna treatment.

  3. UA

    Serum Uric Acid level

    Measured: Baseline, immediately post-exercise, immediately after ozone sauna treatment, 24 hours after ozone sauna treatment, 48 hours after ozone sauna treatment and 72 hours after ozone sauna treatment.

  4. ALT

    Serum Alanine Aminotransferase level

    Measured: Baseline, immediately post-exercise, immediately after ozone sauna treatment, 24 hours after ozone sauna treatment, 48 hours after ozone sauna treatment and 72 hours after ozone sauna treatment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jul 2026
  2. Study start4 Oct 2024
  3. Primary completion28 Nov 2024
  4. Study completion20 Feb 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07728422
Sponsor's protocol ID
2019/188
Status last verified
Jul 2026
First submitted
14 Jul 2026
Last updated
27 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Description of the variables, or types of data, collected for each individual

Publications

  • Dupuy O, Douzi W, Theurot D, Bosquet L, Dugue B. An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis. Front Physiol. 2018 Apr 26;9:403. doi: 10.3389/fphys.2018.00403. eCollection 2018.

    PubMed 29755363
  • Paoli A, Bianco A, Battaglia G, Bellafiore M, Grainer A, Marcolin G, Cardoso CC, Dall'aglio R, Palma A. Sports massage with ozonised oil or non-ozonised oil: Comparative effects on recovery parameters after maximal effort in cyclists. Phys Ther Sport. 2013 Nov;14(4):240-5. doi: 10.1016/j.ptsp.2012.11.004. Epub 2013 Apr 24.

    PubMed 23623301
  • Moreno-Fernandez A, Macias-Garcia L, Valverde-Moreno R, Ortiz T, Fernandez-Rodriguez A, Molini-Estrada A, De-Miguel M. Autohemotherapy with ozone as a possible effective treatment for Fibromyalgia. Acta Reumatol Port. 2019 Sep 29;44(3):244-249. Print 2019 Jul-Sep.

    PubMed 31575841
  • Lin PH, Lin YP, Chen KL, Yang SY, Shih YH, Wang PY. Effect of aromatherapy on autonomic nervous system regulation with treadmill exercise-induced stress among adolescents. PLoS One. 2021 Apr 13;16(4):e0249795. doi: 10.1371/journal.pone.0249795. eCollection 2021.

    PubMed 33848307
  • Pandur E, Balatinacz A, Micalizzi G, Mondello L, Horvath A, Sipos K, Horvath G. Anti-inflammatory effect of lavender (Lavandula angustifolia Mill.) essential oil prepared during different plant phenophases on THP-1 macrophages. BMC Complement Med Ther. 2021 Nov 24;21(1):287. doi: 10.1186/s12906-021-03461-5.

    PubMed 34819075
  • Yousefi B, Banihashemian SZ, Feyzabadi ZK, Hasanpour S, Kokhaei P, Abdolshahi A, Emadi A, Eslami M. Potential therapeutic effect of oxygen-ozone in controlling of COVID-19 disease. Med Gas Res. 2022 Apr-Jun;12(2):33-40. doi: 10.4103/2045-9912.325989.

    PubMed 34677149
  • Tartari APS, Moreira FF, Pereira MCDS, Carraro E, Cidral-Filho FJ, Salgado AI, Kerppers II. Anti-inflammatory Effect of Ozone Therapy in an Experimental Model of Rheumatoid Arthritis. Inflammation. 2020 Jun;43(3):985-993. doi: 10.1007/s10753-020-01184-2.

    PubMed 32382842
  • Fatouros IG, Jamurtas AZ. Insights into the molecular etiology of exercise-induced inflammation: opportunities for optimizing performance. J Inflamm Res. 2016 Oct 21;9:175-186. doi: 10.2147/JIR.S114635. eCollection 2016.

    PubMed 27799809
  • Hody S, Croisier JL, Bury T, Rogister B, Leprince P. Eccentric Muscle Contractions: Risks and Benefits. Front Physiol. 2019 May 3;10:536. doi: 10.3389/fphys.2019.00536. eCollection 2019.

    PubMed 31130877
  • Powers SK, Deminice R, Ozdemir M, Yoshihara T, Bomkamp MP, Hyatt H. Exercise-induced oxidative stress: Friend or foe? J Sport Health Sci. 2020 Sep;9(5):415-425. doi: 10.1016/j.jshs.2020.04.001. Epub 2020 May 4.

    PubMed 32380253
  • Davis HL, Alabed S, Chico TJA. Effect of sports massage on performance and recovery: a systematic review and meta-analysis. BMJ Open Sport Exerc Med. 2020 May 7;6(1):e000614. doi: 10.1136/bmjsem-2019-000614. eCollection 2020.

    PubMed 32426160
  • Clavo B, Rodriguez-Esparragon F, Rodriguez-Abreu D, Martinez-Sanchez G, Llontop P, Aguiar-Bujanda D, Fernandez-Perez L, Santana-Rodriguez N. Modulation of Oxidative Stress by Ozone Therapy in the Prevention and Treatment of Chemotherapy-Induced Toxicity: Review and Prospects. Antioxidants (Basel). 2019 Nov 26;8(12):588. doi: 10.3390/antiox8120588.

    PubMed 31779159
  • Hidalgo-Tallon FJ, Pinto-Bonilla R, Baeza-Noci J, Menendez-Cepero S, Cabizosu A. Medical ozone on hamstring injury in a professional athlete assessed by thermography: a clinical case report. BJR Case Rep. 2023 Jun 13;9(4):20220078. doi: 10.1259/bjrcr.20220078. eCollection 2023 Aug.

    PubMed 37576006
  • Scassellati C, Galoforo AC, Bonvicini C, Esposito C, Ricevuti G. Ozone: a natural bioactive molecule with antioxidant property as potential new strategy in aging and in neurodegenerative disorders. Ageing Res Rev. 2020 Nov;63:101138. doi: 10.1016/j.arr.2020.101138. Epub 2020 Aug 15.

    PubMed 32810649
  • Bocci VA. Scientific and medical aspects of ozone therapy. State of the art. Arch Med Res. 2006 May;37(4):425-35. doi: 10.1016/j.arcmed.2005.08.006.

    PubMed 16624639

Questions about this trial

What is this clinical trial studying?

A study testing Autohemotherapy, Ozone Sauna Therapy and Ozonated Lavender Oil Massage in people with Ozone Therapy and Muscle Damage, run by Inonu University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CK (time frame: Baseline, immediately post-exercise, immediately after ozone sauna treatment, 24 hours after ozone sauna treatment, 48 hours after ozone sauna treatment and 72 hours after ozone sauna treatment.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07728422, which also lists 29 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jul 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in