Researchers reviewed 26 adults who received hyperbaric oxygen therapy (HBOT) for persistent cognitive problems from traumatic brain injuries sustained in childhood. Each person completed at least 40 sessions of 90 minutes breathing 100% oxygen at increased pressure. After treatment, participants showed significant and large improvements in global cognition, memory, executive function, attention, and processing speed, while motor skills did not improve. Benefits were seen regardless of how long ago the injury occurred (on average ~24 years) or the original injury severity, and people with mild childhood TBIs improved similarly to those with more severe injuries. Although promising, the study was retrospective, small, and lacked a control group, so the results suggest HBOT may help long-term cognitive recovery after pediatric TBI but require confirmation in larger, controlled trials <view study> Read Less

Traumatic brain injury (TBI) is far more common than most people realize — millions of Americans live with the aftereffects of concussions and head injuries, and for a large share of them the symptoms never fully go away. These “persistent post-concussion” problems (headaches, brain fog, poor sleep, anxiety, dizziness, loss of smell) can quietly derail careers, relationships, and independence for years, and they carry an enormous societal and financial cost in lost productivity and ongoing care. What makes this study important is that it tackled these lingering symptoms head-on with a rigorous design. In a double-blind randomized trial, 47 people (40 with TBI) received either 40 real HBOT sessions at 1.5 ATA over 12 weeks or 40 sham sessions. The HBOT group improved almost three times as much on a standard neurobehavioral symptom scale (a 10.6-point gain vs. 3.6), with additional benefits for smell, anxiety, sleep, and balance. When participants were later offered a second 40-session course, they improved further at 12 months — leading the authors to suggest that 80 sessions may work even better than 40 for long-term brain-injury recovery. The takeaway for patients: meaningful improvement may be possible even long after the injury, if enough sessions are completed <view study> Read Less

Traumatic facial paralysis can be difficult to treat in children. In this case report, a 2 year old girl was hit in the head by a car and suffered right peripheral facial paralysis 12 h after the injury. She was was successfully treated with an 8 week course of hyperbaric oxygen therapy combined with electroacupuncture <view study> Read Less

Most people who have had a significant brain injury will require extensive rehabilitation. They may need to relearn basic skills, such as walking or talking. The goal is to improve their abilities to perform daily activities. In this case study, a 26-year-old male, suffered a severe traumatic brain injury (TBI) from a motor vehicle accident. He was discharged after 8 months and left with significant speech, ambulation, spasticity, and cognitive issues as well as the onset of post-traumatic epilepsy. The family decided to undergo hyperbaric oxygen therapy (HBOT) and the combination of Neurofeedback (NFB) with HBOT "improved plasticity and functionality in the areas of injury and the correlated symptoms including short-term memory, personality, language, and executive function, as well as significantly reducing the incidence of seizures". These results suggest that HBOT combined with NFB may be a viable option in treating severe brain injuries and should be investigated <view study> Read Less

Twenty firefighters with mTBI and mild emotional distress were treated with HBO at a relatively low pressure of 1.3 atmospheres absolute for 45 min a day for 20 consecutive day. The goal of the study was to evaluate the subsequent changes in the regional cerebral blood flow (rCBF) of the limbic system in these firefighters. The results showed an increase in rCBF in the hippocampal and parahippocampal regions of the brain. This may explain the recent evidence that suggests the ability for HBOT to help neural activities in the human brain and subsequently improve symptoms of psychiatric disorders <view study> Read Less