HBOT AS COMPLEMENTARY TREATMENT IN PHYSIOTHERAPY

Hyperbaric Oxygenation (HBOT) is very important in the recovery of trauma, muscle, tendon or ligament injuries and accompanies with very good results the healing of wounds, ulcers or grafts, among other types of injuries. In addition, different researchs support the application of hyperbaric treatment in the rehabilitation of neurological pathologies such as stroke or Parkinson.

What do these pathologies have in common? That all of them usually require the support and work of physiotherapists to accompany the patient in the process of recovery and rehabilitation.

HBOT:

  • Collaborates in the recovery of all trauma or injury
  • Increases tissue oxygen pressure
  • Stimulates neovascularization
  • Regulates fibroblast proliferation
  • Stimulates collagen production
  • Promotes the process of osteogenesis or bone formation
  • Helps in the rehabilitation of patients with neurological diseases, because it improves blood flow to the brain

What is a Hyperbaric chamber?

The hyperbaric chamber is a medical device designed for the patient to receive oxygen in high doses, which will be transported by the blood plasma to all tissues of the body, even those that are damaged. This increased availability of oxygen in the blood is called hyperoxia and generates many positive effects in the body, which benfits and complements the tasks of specialists in Physiotherapy. Hyperoxia has anti-inflammatory effects, reduces edema and pain, accelerates the formation of new blood vessels and, therefore, the healing process; Stimulates the formation of collagen, increases the bactericidal activity of white blood cells, increases blood perfusion, which favors osteogenesis or bone formation and increases blood flow to the brain.

Several studies, including that of Dong Wu, have shown that hyperoxia stimulates the proliferation of osteoblasts and their differentiation towards the osteogenic phenotype. This relates with the clinical benefits observed when HBOT is included in the treatment of traumatic conditions.

HBOT is also widely used in the recovery of high-performance athletes because it reduces muscle fatigue and accelerates rehabilitation times. Higher oxygen uptake stimulates cellular activity, increases ATP synthesis and eliminates the perception of fatigue. In addition, it is a treatment with almost nonexistent adverse effects.

Sources:

  • Indicaciones y contraindicaciones de la Oxigenoterapia Hiperbárica. Desola, Crespo, García, Salinas, Sala, Sánchez.
  • Oxigenación hiperbárica en el tratamiento de la enfermedad de Legg-Calvé-Perthes. Morales Cudello, Junco Sánchez, Gálvez Álvarez, García Delgado, Rodríguez González y Castellanos Gutiérrez.
  • Physiology and Medicine of Hyperbaric Oxygen Therapy. Neuman, Thom
  • Middle – ear barotrauma after hyperbaric oxygen therapy. Bessereau, Taba, Genotelle, Francais, Coulange, Annane.
  • Effect of Hyperbaric Oxygen on Proliferation and Differentiation of Ostoblasts from human alveolar bone. Dong Wu, Jos Malda, Crawofford, Yin Xiao.

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