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Effectiveness of a novel boswellic acids delivery form (Casperome®) in the management of grade II ankle sprains due to sport trauma - a registry study.

AbstractOBJECTIVE:
In this study, we evaluated a novel delivery form of boswellic acids (Casperome®) in the management of signs and symptoms associated with ankle sprain grade II due to sport trauma.
PATIENTS AND METHODS:
In this supplement registry study, 72 otherwise healthy subjects with grade II ankle sprain induced by sport activities were advised to either follow a standard management (SM, 37 subjects) for the condition or the SM with the additional daily intake of 1 tablet containing 250 mg Casperome® (35 subjects). Subjects were allowed to use rescue medications (ketoprofen tablets, 25 mg/tablet), and their intake was measured at the end of the management period of 7 days. Each individual was subjected to several non-invasive examinations (self-reported pain at rest and under moderate exercise, range of active and passive movement, presence of local hematomas by ultrasonography) at the following time periods: at inclusion, to evaluate the basal conditions of the subject before the beginning of the study, at day 3 and at the end of the week to evaluate the response differences between the two groups. Additionally, a blood sample from the Casperome® treated subjects (34 out of 35 subjects) was taken at day 7 and analyzed for the systemic concentration of boswellic acids.
RESULTS:
The 72 individuals recruited in this study spontaneously decided which management to follow, either SM (n=37) or SM+Casperome® (n=35). Supplementation with Casperome® 250 mg/day showed beneficial effects in the reduction of signs and symptoms of ankle sprains evaluated at day 3 and day 7, and was shown to induce measurable plasma level of boswellic acids. Moreover, the supplementary use of Casperome® was well-tolerated and devoid of side effects.
CONCLUSIONS:
Our pilot registry study showed the effectiveness of Casperome® supplementation in improving recovery after ankle sprain of mild severity (grade II), suggesting a potentially beneficial role in relieving the trauma associated with sport activities and in decreasing the use of rescue drugs.
AuthorsB Feragalli, E Ippolito, M Dugall, M Cacchio, G Belcaro, M R Cesarone, M Abdel-Tawab, A Riva, S Togni, R Eggenhoffner, L Giacomelli
JournalEuropean review for medical and pharmacological sciences (Eur Rev Med Pharmacol Sci) Vol. 21 Issue 20 Pg. 4726-4732 (Oct 2017) ISSN: 2284-0729 [Electronic] Italy
PMID29131239 (Publication Type: Journal Article)
Chemical References
  • Drug Carriers
  • Triterpenes
  • boswellic acid
  • Ketoprofen
Topics
  • Adult
  • Ankle Injuries (pathology)
  • Drug Carriers (chemistry)
  • Female
  • Hematoma (diagnostic imaging)
  • Humans
  • Ketoprofen (administration & dosage)
  • Male
  • Pain (pathology)
  • Pilot Projects
  • Registries
  • Self Report
  • Severity of Illness Index
  • Sprains and Strains (drug therapy, pathology)
  • Triterpenes (blood, therapeutic use)
  • Ultrasonography
  • Visual Analog Scale

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