As a patient asked me about the treatment of Hyperbaric oxygen for children with cerebral palsy I looked this up and was”disappointed” to find this. [below] As these treatments are sometimes done privately and are expensive I would advise patients to spare their money and look for other ways.
Hyperbaric oxygen for children with cerebral palsy: A randomized multicentre trial. HBO-CP Research Group |
The use of hyperbaric oxygen for children with cerebral palsy has spread worldwide, despite little scientific evidence of efficacy. We did a randomized trial to assess the efficacy and side effects of this form of therapy in children with cerebral palsy. 111 children with cerebral palsy aged 3-12 years were randomly assigned hyperbaric oxygen (n=57) or slightly pressurized room air (n=54). All children received 40 treatments over 2 months. Hyperbaric oxygen treatment was 1 h in 100% oxygen at 1.75 atmospheres absolute (ATA); children on slightly
pressurized air received air at 1.3 ATA (the lowest pressure at which pressure can be felt, thereby ensuring the maintenance of masking). The main outcome measure was gross motor function. Secondary outcomes included performance in activities of daily living, attention, working memory, and speech. For all outcomes, both groups improved over the course of the
study, but without any difference between the two treatments. The score on the global gross motor function measure increased by 3.0% in the children on slightly pressurized air and 2.9% in those on hyperbaric oxygen. The mean difference between treatments was -0.40(95% CI -1.69 to 0.90, p=0.544). Other changes were seen in speech, attention, memory, and functional skills. Ear problems occurred in 27 children treated by hyperbaric oxygen and in 15
treated with hyperbaric air (p=0.004). In this study, hyperbaric oxygen did not improve the condition of children with cerebral palsy compared with slightly pressurized air. The improvement seen in both groups for all dimensions tested deserves further consideration.