Hyperbaric Oxygen Therapy For Acute Ankle Sprains

We conducted a randomized double-blind study of 32 subjects with acute ankle sprains to compare treatment with hyperbaric oxygen at 2 atmospheres absolute pressure (N = 16) (treatment group) with treatment with air at 1.1 atmosphere absolute pressure (N = 16) (control group) in a hyperbaric chamber....

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Veröffentlicht in:The American journal of sports medicine 1997-09, Vol.25 (5), p.619-625
Hauptverfasser: Borromeo, Charles N., Ryan, Jeffrey L., Marchetto, Paul A., Peterson, Russell, Bove, Alfred A.
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container_end_page 625
container_issue 5
container_start_page 619
container_title The American journal of sports medicine
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creator Borromeo, Charles N.
Ryan, Jeffrey L.
Marchetto, Paul A.
Peterson, Russell
Bove, Alfred A.
description We conducted a randomized double-blind study of 32 subjects with acute ankle sprains to compare treatment with hyperbaric oxygen at 2 atmospheres absolute pressure (N = 16) (treatment group) with treatment with air at 1.1 atmosphere absolute pressure (N = 16) (control group) in a hyperbaric chamber. Each group received three treatments at their respective pres sures : one for 90 minutes and two for 60 minutes each. Mean age, severity grade, and time to treatment (treat ment group, 34.3 ± 6.3 hours; control group, 32.6 ± 4.6 hours) were similar in both groups. Joint function measured by a functional index improved from 0.40 ± 0.2 to 6.3 ± 0.4 with hyperbaric oxygen and from 0.8 ± 0.3 to 5.3 ± 0.6 with air. The change from initial to final evaluation was significantly greater in the treatment group. Foot and ankle volume by water displacement decreased from 1451 ± 57 ml to 1425 ± 63 ml with hyperbaric oxygen and from 1403 ± 50 ml to 1371 ± 45 ml with air (no difference was noted between hy perbaric oxygen treatment and air treatment using a two-way analysis of variance). Subjective pain index fell from 3.3 ± 0.5 to 0.8 ± 0.3 with hyperbaric oxygen and from 2.6 ± 0.3 to 0.3 ± 0.2 with air. No differences were noted in passive or active range of motion when comparing hyperbaric oxygen treatment with air treat ment. Time to recovery was the same in both groups (treatment, 16.0 ± 6.3 days; control, 15.4 ± 2.8 days). Regression analysis to determine the influence of time to treatment, initial severity of injury, hyperbaric oxy gen, and age showed no effect of hyperbaric oxygen treatment on time to recovery.
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Each group received three treatments at their respective pres sures : one for 90 minutes and two for 60 minutes each. Mean age, severity grade, and time to treatment (treat ment group, 34.3 ± 6.3 hours; control group, 32.6 ± 4.6 hours) were similar in both groups. Joint function measured by a functional index improved from 0.40 ± 0.2 to 6.3 ± 0.4 with hyperbaric oxygen and from 0.8 ± 0.3 to 5.3 ± 0.6 with air. The change from initial to final evaluation was significantly greater in the treatment group. Foot and ankle volume by water displacement decreased from 1451 ± 57 ml to 1425 ± 63 ml with hyperbaric oxygen and from 1403 ± 50 ml to 1371 ± 45 ml with air (no difference was noted between hy perbaric oxygen treatment and air treatment using a two-way analysis of variance). Subjective pain index fell from 3.3 ± 0.5 to 0.8 ± 0.3 with hyperbaric oxygen and from 2.6 ± 0.3 to 0.3 ± 0.2 with air. 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Orthopedic treatment ; Double-Blind Method ; Edema - etiology ; Edema - prevention &amp; control ; Female ; Health aspects ; Humans ; Hyperbaric Oxygenation ; Injuries ; Male ; Medical sciences ; Middle Aged ; Oxygen ; Pain - etiology ; Pain - prevention &amp; control ; Proportional Hazards Models ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Diet therapy and various other treatments (general aspects)</topic><topic>Range of Motion, Articular</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Sprains</topic><topic>Sprains and Strains - complications</topic><topic>Sprains and Strains - physiopathology</topic><topic>Sprains and Strains - therapy</topic><topic>Time Factors</topic><topic>Trauma Severity Indices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Borromeo, Charles N.</creatorcontrib><creatorcontrib>Ryan, Jeffrey L.</creatorcontrib><creatorcontrib>Marchetto, Paul A.</creatorcontrib><creatorcontrib>Peterson, Russell</creatorcontrib><creatorcontrib>Bove, Alfred A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Borromeo, Charles N.</au><au>Ryan, Jeffrey L.</au><au>Marchetto, Paul A.</au><au>Peterson, Russell</au><au>Bove, Alfred A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyperbaric Oxygen Therapy For Acute Ankle Sprains</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1997-09-01</date><risdate>1997</risdate><volume>25</volume><issue>5</issue><spage>619</spage><epage>625</epage><pages>619-625</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>We conducted a randomized double-blind study of 32 subjects with acute ankle sprains to compare treatment with hyperbaric oxygen at 2 atmospheres absolute pressure (N = 16) (treatment group) with treatment with air at 1.1 atmosphere absolute pressure (N = 16) (control group) in a hyperbaric chamber. Each group received three treatments at their respective pres sures : one for 90 minutes and two for 60 minutes each. Mean age, severity grade, and time to treatment (treat ment group, 34.3 ± 6.3 hours; control group, 32.6 ± 4.6 hours) were similar in both groups. Joint function measured by a functional index improved from 0.40 ± 0.2 to 6.3 ± 0.4 with hyperbaric oxygen and from 0.8 ± 0.3 to 5.3 ± 0.6 with air. The change from initial to final evaluation was significantly greater in the treatment group. Foot and ankle volume by water displacement decreased from 1451 ± 57 ml to 1425 ± 63 ml with hyperbaric oxygen and from 1403 ± 50 ml to 1371 ± 45 ml with air (no difference was noted between hy perbaric oxygen treatment and air treatment using a two-way analysis of variance). Subjective pain index fell from 3.3 ± 0.5 to 0.8 ± 0.3 with hyperbaric oxygen and from 2.6 ± 0.3 to 0.3 ± 0.2 with air. No differences were noted in passive or active range of motion when comparing hyperbaric oxygen treatment with air treat ment. Time to recovery was the same in both groups (treatment, 16.0 ± 6.3 days; control, 15.4 ± 2.8 days). Regression analysis to determine the influence of time to treatment, initial severity of injury, hyperbaric oxy gen, and age showed no effect of hyperbaric oxygen treatment on time to recovery.</abstract><cop>Waltham, MA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>9302466</pmid><doi>10.1177/036354659702500506</doi><tpages>7</tpages></addata></record>
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subjects Acute Disease
Adolescent
Adult
Analysis of Variance
Ankle
Ankle injuries
Ankle Injuries - complications
Ankle Injuries - physiopathology
Ankle Injuries - therapy
Biological and medical sciences
Care and treatment
Diseases of the osteoarticular system. Orthopedic treatment
Double-Blind Method
Edema - etiology
Edema - prevention & control
Female
Health aspects
Humans
Hyperbaric Oxygenation
Injuries
Male
Medical sciences
Middle Aged
Oxygen
Pain - etiology
Pain - prevention & control
Proportional Hazards Models
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Range of Motion, Articular
Sports injuries
Sports medicine
Sprains
Sprains and Strains - complications
Sprains and Strains - physiopathology
Sprains and Strains - therapy
Time Factors
Trauma Severity Indices
title Hyperbaric Oxygen Therapy For Acute Ankle Sprains
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