Oh, come on. Do some research that is feasible and within the price range of most patients. Did you account for the participants using the Hawthorne effect to please the researchers since they would know which group they were in? Yes there are 5 within 90 minutes of me, I have never considered going to one.
What is the typical cost of the treatment? Hard HBOT in a hyperbaric clinic typically costs $250 per session, or $10,000 for 40 sessions. Thus, the standard HBOT protocol costs $20,000 for 80 sessions. Since many people go on to do hundreds of sessions over a period of years, the costs can be very high.
Hyperbaric Oxygen and Focused Rehabilitation Program: A Feasibility Study in Improving Upper Limb Motor Function After Stroke
Published on the web 23 June 2020.
Received February 23, 2020.
Applied Physiology, Nutrition, and Metabolism, https://doi.org/10.1139/apnm-2020-0124
Abstract
Neuroplasticity
and recovery after stroke can be enhanced by a rehabilitation program
pertinent to upper limb motor function exercise and mental imagery (EMI)
as well as hyperbaric oxygen therapy (HBOT). We assessed the
feasibility and safety of the combined approach utilizing both HBOT and
EMI, and derived preliminary estimates of its efficacy.
In this
randomized controlled trial, twenty-seven patients with upper extremity
hemiparesis 3-48 months after stroke were randomized to receive either a
complementary rehabilitation program HBOT-EMI (intervention group), or
EMI alone (control group). Feasibility and safety were assessed as total
session attendance, duration of sessions, attrition rates, missing
data, and intervention-related adverse events. Secondary clinical
outcomes were assessed with both objective tools and self-reported
measures at baseline, 8 weeks (end of treatment), and 12-weeks
follow-up.
Session attendance, duration and attrition rate did not
differ between the groups; there were no serious adverse events.
Compared to baseline, there were significant sustained improvements of
objective and subjective outcomes’ measures in the intervention group,
and a single improvement in an objective measure in the control group.
Between-group outcome comparisons were not statistically significant.
This study demonstrated that the combination HBOT-EMI was a safe and
feasible approach in patients recovering from chronic stroke. There were
also trends for improved motor function of the affected upper limb
after the treatments. Registration-URL:https://www.clinicaltrials.com
NCT02666469.
NOVELTY:
- HBOT combined with an upper limb exercise
and mental imagery rehabilitation program is feasible and safe in
chronic stroke patients.
- This combined approach showed trends for
improved functional recovery.
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