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We would like to see if Hyperbaric Oxygen can help improve the symptoms that result from Post Concussive Syndrome.
Purpose:
The purpose of this study is to examine the role of Hyperbaric Oxygen Therapy (HBOT) in decreasing symptoms in patients with a diagnosis of chronic post concussive syndrome (PCS).
Hypothesis:
The study hypothesis is that HBOT will decrease symptoms measured by standard measurement tools when provided to patients who have a diagnosis of PCS and are 6 months to 36 months post injury.
Study Overview:
Hyperbaric oxygen therapy (HBOT) involves the administration of inhaled 100% oxygen at increased ambient pressure inside a closed vessel. HBOT produces greatly elevated arterial and tissue oxygen tensions, producing a wide variety of physiological effects at the cellular and sub cellular level.
Participants will be selected from the post-concussive syndrome population based on an expectation that they would experience a clinically significant improvement. Eligible subjects will be experiencing post concussive symptoms related to an injury within the last 6 to 36 months. The study will be enrolling 150 participants and will be randomized to two different treatment arms: experimental group and a waitlist group.
Each participant will receive a series of forty 2 hour treatments, delivered once a day, 5 days a week, within the hyperbaric oxygen chamber.There will be assessments completed before treatment series begins, at the end of treatment, 8 months and 14 months after treatment begins. The primary outcome will be administered at these times as well as every two weeks once treatment begins until the end of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immediate Treatment | Experimental | This arm will receive hyperbaric oxygen therapy once consented. |
|
| Waitlist - to be treated | Experimental | This arm will receive a hyperbaric oxygen therapy after waiting two months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hyperbaric Oxygen Therapy | Other | 100% oxygen delivered by hood at 2 ATA for 90 minutes with 5 minute air breaks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Rivermead Post Concussion Syndrome Questionnaire | 15 questions regarding a participant's Post Concussive symptoms | Baseline, after 10, 20, 30 hyperbaric treatments, 2, 2.5, 3, 3.5, 4,4.5, 5, 5.5 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13, 13.5 and 14 months post baseline, |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the NIH Tool Box | Cognitive Assessment Cluster | Baseline, 2 months post baseline, 8 months post baseline, 14 months post baseline |
| Change in the Patient Health Questionnaire (PHQ-9) | Depression Assessment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David W Harrison, MD,CCFP(EM),FRCPC | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vancouver General Hospital - Hyperbaric Unit | Vancouver | British Columbia | V5Z 1M9 | Canada |
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| ID | Term |
|---|---|
| D038223 | Post-Concussion Syndrome |
| D001924 | Brain Concussion |
| ID | Term |
|---|---|
| D016489 | Head Injuries, Closed |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D006931 | Hyperbaric Oxygenation |
| ID | Term |
|---|---|
| D010102 | Oxygen Inhalation Therapy |
| D012138 | Respiratory Therapy |
| D013812 | Therapeutics |
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| Waitlist Hyperbaric Oxygen Therapy | Other | 100% oxygen delivered by hood at 2 ATA for 90 minutes with 5 minute air breaks |
|
| Baseline, 2 months post baseline, 8 months post baseline, 14 months post baseline |
| Change in the Short Form Health Survey (SF-36) | Quality of Life Assessment | Baseline, 2 months post baseline, 8 months post baseline, 14 months post baseline |
| Change in the Quality of Life After Brain Injury (QOLIBRI) | Quality of Life Assessment | Baseline, 2 months post baseline, 8 months post baseline, 14 months post baseline |
| Change in the WHO Disability Assessment Schedule (WHODAS 2.0) | Daily Functioning Assessment | Baseline, 2 months post baseline, 8 months post baseline, 14 months post baseline |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |