Research library

The studies, in plain English.

12 studies across 7 conditions. Every one is linked, and we say only what the study says.

Most studiedMixedEarlyInsufficient

Condition

Diabetic foot ulcers

Most studied

The deepest evidence base. Reviews generally support HBOT as an add-on to standard wound care, with open questions about how long the benefit lasts.

Efficacy of hyperbaric oxygen therapy for diabetic foot ulcer: a systematic review and meta-analysis of controlled clinical trials

PubMed Central · Systematic review and meta-analysis

Concludes HBOT is an effective adjunct treatment for diabetic foot ulcers.

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Cochrane review of HBOT for chronic wounds (Kranke et al., 2015)

Cochrane, as cited in later reviews · 2015 · Cochrane systematic review

As cited by later authors: improved wound healing at 6 weeks, but not at 12 months, and no reduction in major amputation rate. We cite this secondhand and are adding the primary link.

Primary link being added

Hyperbaric oxygen therapy for nonischemic diabetic ulcers: a systematic review

Wound Repair and Regeneration (Lalieu et al.) · 2020 · Systematic review

Seven studies, only two of them randomized trials, so this narrower subgroup is thinly supported.

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Condition

Mild TBI and post-concussion symptoms

Mixed

Some trials report symptom and cognitive gains at 1.5 ATA. A large sham-controlled military trial did not separate treatment from sham. Pressure and dose seem to matter.

Hyperbaric oxygen therapy can improve post-concussion syndrome years after mild traumatic brain injury: a randomized prospective trial

PLOS ONE · 2013 · Randomized prospective trial

56 patients, 1 to 5 years after mild TBI with lingering post-concussion syndrome. The trial reported improvement with HBOT.

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Systematic review and dosage analysis: HBOT efficacy in mild traumatic brain injury persistent postconcussion syndrome

PubMed Central · 2022 · Systematic review

Reports that multiple randomized and controlled studies showed statistically significant symptom and cognitive improvement with HBOT at 1.5 ATA.

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A composite outcome for mild traumatic brain injury in trials of hyperbaric oxygen

Undersea & Hyperbaric Medicine, via PubMed · 2019 · Analysis of two military trials

In the HOPPS trial, scores fell in both the HBOT and sham groups and the difference was not significant. The second trial favored HBOT on its 13-week composite. A fair reminder that results are not unanimous.

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Hyperbaric oxygen therapy for traumatic brain injury: a systematic review of the evidence

Archives of Physical Medicine and Rehabilitation · 2004 · Systematic review

Found the best evidence, two fair-quality randomized trials, to be conflicting. Older and broader than the mild-TBI reviews above.

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