Analgesic Effect of Hyperbaric Oxygen Therapy
Authors:
J. Čelko 1; M. Malay 2; J. Kresánek 2
Authors place of work:
Fakulta zdravotníctva, Trenčianska univerzita Alexandra Dubčeka v Trenčíne
1; Fakulta ošetrovateľstva a zdravotníckych odborných štúdií Slovenskej zdravotníckej univerzity v Bratislave
2
Published in the journal:
Rehabil. fyz. Lék., 24, 2017, No. 2, pp. 76-82.
Category:
Original Papers
Summary
Background:
Chronic painful condition insufficiently responding to traditional analgesic treatment significantly worsens the patients´ quality of life.
Objectives:
This study aimed to determine whether the hyperbaric oxygen therapy (HBOT) can influence pain and other symptoms in severe algic conditions with insufficient effect of pharmacotherapy.
Methods:
In the paper, we present findings from studies published in electronic databases and journals up to May 2015, aimed at the effect of HBOT on neuropathic pain, fibromyalgia and complex regional pain syndrome.
Results:
In animal experiments, neuropathic pain has been demonstrated by deployment of ligatures on nervus ischadicus. Repeated application of HBOT leads to a long-term antinociceptive phase, to inhibition of astrocytes activation as well as inflammation alleviation. Patients with trigeminal neuralgia got a quick and long-lasting analgesic effect after HBOT. In patients with fibromyalgia, brain function modification has increased pain threshold, decreased the number of tender points and reduced the use of analgesics. In addition, it improved sleep, cognitive functions and increased the energy for daily tasks. In the complex regional painful syndrome, the higher oxygen concentration of HBOT influenced the local hypoxia resulting in reduced pain and edema and increased the range of motion.
Conclusion:
In the above mentioned serious diagnoses, HBOT had a significant analgesic effect and additionally it also influenced other symptoms that negatively affect the quality of life.
Keywords:
hyperbaric oxygen therapy, analgesic effect, neuropathic pain, fibromyalgia, complex regional pain syndrome.
Zdroje
1. ABLIN, J., FITZCHARLES, M., BUSKILA, D. et al.: Treatment of fibromyalgia syndrome: recommendations of recent evidence-based interdisciplinasry guidelines with special emphasis on complementary and alternative therapies. Evid. Based Complement Alternat. Med., 2013, s. 485272.
2. BAŇÁROVÁ, P., MALAY, M., KOTYRA, J., ČERNICKÝ, M.: Potenciál využitia hyperbarickej oxygenoterapie pri funkčných poruchách pohybového systému. Zdravotnícke listy, roč. 2, 2014, č. 3, s. 23-27.
3. BAŇÁROVÁ, P., PETRÍKOVÁ ROSINOVÁ, I., DURCOVÁ, A.: Ako motivovať ľudí k pravidelnému cvičeniu v rámci primárnej prevencie vertebrogénnych porúch funkčného pôvodu. Rehabilitácia, roč. 52, 2015, č. 4, s. 25-34.
4. BIDONDE, J., BUSCH, A. J., WEBBER, S. C. et al.: Aquatic exercise training for fibromyalgia. Cochrane Database Syst. Rev., roč. 10, 2014, CDO11336.
5. BOUSSI-GROSS, R., GOLAN, H., FISHLEV, G.: Hyperbaric oxygen therapy can improve post concussion syndrome years after mild traumatic brain injury – randomized prospective trial. PLos One., roč. 8, 2013, č. 11, s. e79995.
6. CANADIAN GUIDELENES FOR THE DIAGNOSIS AND MANAGEMENT OF FIBROMYALGIA SYNDROME: EXECUTIVE SUMMARY. Pain Res. Manag., roč. 18, 2013, č. 3, s. 119-126.
7. CORDERO, M. D., DE MIGUEL, M., FERNANDEZ, A. M., et al.: Mitochondrial dysfunction and mitophagy activation in blood mononuclear cells of fibromyalgia patients: implications in thepathogenesis of the disease. Arthritis Res. Ther., roč. 14, 2010, s. R17.
8. EFRATI, S., FISHLEV, G., BECHOR, Y. et al.: Hyperbaric oxygen induces late neuroplasticity in post stroke patients – randomized, prospective trial. PLoS One., roč. 8, 2013, č. 1, s. e53716.
9. EFRATI, S., HAIM, G., BECHOR, Y.: Hyprebaric oxygen therapy Can diminish fibromyalgia syndrome. Prospective Clinical Trial. PLoS One., roč. 10, 2015, č. 5, s. e0127012.
10. GERLICHOVÁ, K., MATIŠÁKOVÁ, I. et al.: The role of nurse in hyperbaric oxygentherapy. University Review, roč. 8, 2014, č. 1-2, s. 14-20.
11. GIBBON, C. R., LIU, S., YANGMIAO, Z. et al.: Involvement of brain opioid receptrors in the anti-allodynic effect of hyperbaric oxygen in rats with sciastic nerve crushinduced neuropathic pain. Brain Res., roč. 1537, 2013, s. 111-116.
12. GU, N., NIU, J. Y., SUN, Y. Y. et al.: Hyperbaric oxygen therapy attenuates neuropathic hyperalgesia in rats and idiopathic trigeminal neuralgia in patients. Eur. J. Pain., roč. 16, 2012, č. 8, s. 1094-2105.
13. GUIDELLI, G. M., TENTI, S., DE NOBILI, E. et al.: Fibromyalgia syndrome and spas therapy: myth or reality? Clin. Med. Insights Arthritis. Musculoskelet. Disord., roč. 5, 2012, s. 19-26.
14. HANG, G., MENG, L. X.: Effects of hyperbaric oxygen on painrelated behaviors and nitric oxide synthase in a rat model of neuropathic pain. Pain Res. Manag., roč. 18, 2013, č. 3, s. 137-141.
15. HARRIS, R. E., CLAUW, D. J.: How do we know that the pain in fibromyalgia is „real“? Curr. Pain Headache Rep., roč. 10, 2006, č. 6, s. 403-407.
16. HASSAN, O.: Vplyv hydrokinezioterapie v rámci kúpeľnej liečby u pacientov po totálnej endoprotéze kolenného kĺbu. Rehabilitácia, roč. 52, 2015, č. 2, s. 92-101.
17. HEEMAN, J. H., ZHANG, Y., SHIRACHI, D. Y. et al.: Involvement of spinal cord opioid mechanisms in the acute antinociceptive effect of hyperbaric oxygen in mice. Brain Res., roč. 1540, 2013, s. 42-47.
18. HU, Q., FANG, L., LI, F. et al.: Hyperbaric oxygenation treatment alleviates CCI-induced neuropathic pain and decreases spinal apoptosis. Eur. J. Pain, roč. 19, 2014, č. 7, s. 920-928.
19. CHUNG, E., ZELINSKI, L. M., OHGAMI, Y. et al.: Hyperbaric oxygen treatment induces a 2-phase anitnociceptive response of unusually long duration in mice. J. Pain, roč. 11, 2010, č. 9, s. 847-853.
20. KIRALP, M. Z., YILDIZ, S., VURAL, D. et al.: Effetivenes of hyperbaric oxygen therapy in the treatment of complex regional pains yndrome. J. Int. Med. Res., roč. 32, 2004, č. 3, s. 258-262.
21. KNOTEK, P., KOLÁŘ, P.: Fibromyalgický syndrom. In: Kolář, P. et al., Rehabilitace v klinické praxi. Praha, Galén, 2009, s.590-597.
22. KRAJČOVIČOVÁ, Z., MELUŠ, V.: Proposed mechanisms of action of selected antioxidant defences induced by hyperbaric oxygentherapy. University Review, roč. 8, 2014, č. 1-2, s. 2-8.
23. LI, F., FANG, L., HUANG, S., et al.: Hyperbaric oxygenation therapy alleviates chronic constrictive injury - induced neuropathic pain and reduces tumor necrosis factor-alpha production. Anesth. Analg., roč. 113, 2011, č. 3, s. 626-633.
24. LIU, S., SHIRACHI, D. Y., QUOCK, R. M.: The acute antinociceptive effect of hyperbaric oxygen is not accompanied by an increase in markers of oxidative stress. LifeSci., roč. 98, 2014, č. 1, s. 44-48.
25. LOGAN, D. E., WILLAMS, S. E., CARULLO, V. P.: Children and adolescents with complex regional pain syndrome: More psychologically distressed than other children in pain? Pain Res. Manag., roč. 18, 2013, č. 2, s. 87-93.
26. McIVER, K. L., EVANS, C., KRAUS, R. M.: NO-mediated alterations in skeletal muscle nutritive blood flow and lactate metabolism in fibromyalgia. Pain, roč. 14, 2006, s. 161-169.
27. MATTHEY, A., CEDRASCHI, C., PIGUET, V. et al.: Dual reuptake inhibitor milnacipran and spinal pain pathways in fibromyalgia patients: a randomized, dobleblind, placebocontrolled trial. Pain Physician., roč. 16, 2013, č. 5, s. 553-562.
28. MORF, S., AMANNVESTI, B., FORSTER, A.: Mikrocirculation abnormallities in patients with fibromyalgia – measured by capillary microscopy and laser fluxmetry. Arthritis Res. Ther., roč. 14, 2005, s. R209-R216.
29. MUKHERJEE, A., RAISON, M., SAHNI, T. et al.: Intensive rehabilitation combined with hyperbaric treatment in children with cerebral palsy: A controlled longitudinal study. Undersea Hyperb. Med., roč. 41, 2014, č. 2, s. 77-85.
30. ORENČÁK, R., JANIČKO, M., MACEJKOVÁ, Ž.: Terapeutické možnosti pri osteoartrotickom postihnutí kolenného kĺbu. Rehabilitácia, roč. 52, 2015, č. 2, s. 80-91.
31. SHANG, Y., GURLEY, K., SYMONS, B. et al.: Noninvasive optical characterization of muscle blood flow, oxygenation, and metabolism in wome with fibromyalgia. Arthritis Res. Ther., roč. 14, 2012, č. 6, s. R236.
32. SCHMIDT-WILCKE, T., CLAUW, D. J.: Fibromyalgia: from pathophysiology to therapy. Nat. Rev. Rheumatol., roč. 7, 2001, č. 9, s. 518-527.
33. SUEIRO BLANCO, F., ESTÉVEZ SCHWARZ, I., AYÁN, C.: Potential benefits of nonoharmacological therapies in fibromyalgia. Open Rheumatol. J., roč. 2, 2008, s. 1-6.
34. VALKEINEN, H., ALEN, M., HAKKINEN, A. et al.: Effects of concurrent strenght and endurance training on physical fitnes and symptoms in postmenopausal women withf ibromyalgia: A randomized controlle trial. Arch. Phys. Med. Rehabil., roč. 14, 2008, s. 1660-1666.
35. WOOD, P. B., LEDBETTER, C. R., GLABUS, M. F.: Hyppocampal metabolite abnormalities in fibromyalgia: correaltion with clinical features. J. Pain, roč. 10, 2009, č. 1, s. 47-52.
36. ZELINSKI, L. M., OHGAMI, Y., CHUNG, E. et al.: A prolonged nitric oxidedependent, opioidmediated antinociceptive effect of hyperbaric oxygen in mice. J. Pain, roč. 10, 2009, č. 2, s. 167-172.
37. ZHANG, Y., STOLZ, P. A., SHIRACHI, D. Y. et al.: Reduced antinociceptive responsiveness to hyperbaric oxygen in opioidtolerant mice. Eur. J. Pain., roč. 18, 2014, č.7, s. 1032-1039.
38. ZHAO, B. S., MENG, L. X., DING, Y. Y. et al.: Hyperbaric oxygen treatment produces an antinociceptive response phase and inhibits astrocytea ctivation and inflammatory response in a rat model of neuropathic pain. J. Mol. Neurosci., roč. 53, 2014, č. 2, s. 251-261.
39. YILDIZ, S., KIRALP, M. Z., AKIN, A. et al.: A new treatment modalilty for fibromyalgia syndrome: hyperbaric oxygen therapy. J. Int. Med. Res., 32, 2004, č. 3, s. 263-267.
Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
2017 Číslo 2
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
- Deep stimulation of the globus pallidus improved clinical symptoms in a patient with refractory parkinsonism and genetic mutation
Najčítanejšie v tomto čísle
- Carpal Instability
- Influencing Brain Vascular event by Proprioceptive Neuromuscular Facilitation on Stroke Disease
- Comparison of Selected Methods for Strengthening Stabilization Muscles of Lumbar Spine in Vertebrogenic Patients
- Analgesic Effect of Hyperbaric Oxygen Therapy