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Related Experiment Video

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Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Hyperbaric oxygen and focused rehabilitation program: a feasibility study in improving upper limb motor function

S Schiavo1, D Richardson2, D Santa Mina3,4,5

  • 1Hyperbaric Medicine Unit, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Toronto, ON M5G 2C4, Canada.

Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition Et Metabolisme
|June 24, 2020
PubMed
Summary

Combining hyperbaric oxygen therapy (HBOT) with upper limb exercise and mental imagery (EMI) is a safe and feasible stroke rehabilitation approach. This combined therapy showed promising trends for improving motor function in chronic stroke survivors.

Keywords:
AVCGRASPexercise therapyfonction motricehyperbaric oxygen therapymotor functionoxygénothérapie hyperbarerehabilitationréadaptationréadaptation post-AVCstrokestroke rehabilitationthérapie par l’exercice

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Hyperbaric Medicine

Background:

  • Stroke recovery can be enhanced by rehabilitation programs incorporating upper limb exercise, mental imagery (EMI), and hyperbaric oxygen therapy (HBOT).
  • The efficacy and safety of combining HBOT with EMI for chronic stroke patients remain under investigation.

Purpose of the Study:

  • To assess the feasibility and safety of a combined HBOT and EMI rehabilitation program.
  • To derive preliminary estimates of the efficacy of HBOT-EMI compared to EMI alone in chronic stroke patients with upper extremity hemiparesis.

Main Methods:

  • A randomized controlled trial involving 27 patients with chronic stroke (3-48 months post-stroke) and upper extremity hemiparesis.
  • Intervention group received HBOT combined with EMI; control group received EMI alone.
  • Feasibility and safety were evaluated through attendance, duration, attrition, and adverse events. Clinical outcomes were assessed at baseline, 8 weeks, and 12 weeks.

Main Results:

  • The HBOT-EMI combination was found to be safe and feasible, with no significant differences in attendance, duration, or attrition rates between groups.
  • No serious adverse events were reported.
  • The intervention group showed significant sustained improvements in both objective and subjective outcomes compared to baseline, while the control group showed a single objective improvement. Between-group comparisons were not statistically significant, but trends favored the HBOT-EMI group for motor function recovery.

Conclusions:

  • The combined HBOT-EMI approach is a safe and feasible rehabilitation strategy for patients recovering from chronic stroke.
  • This combined therapy demonstrated trends towards improved motor function and functional recovery in the affected upper limb.