First and Last Name/s of Presenters

Kirsten CunhaFollow

Mentor/s

Professor Stephanie Clines

Participation Type

Poster

Abstract

Mild traumatic brain injury (mTBI) is defined as brain damage, secondary to impact or rapid acceleration/deceleration which produces a violent, mechanical, neural shearing on the cranial tissue, resulting in an altered neuronal state. While most symptoms are transient, there is potential for the structural and functional integrity of the brain to experience long-term repercussions. Symptoms persisting for more than 4 months post-injury, are characterized as post-concussion symptoms (PCS). Recurrent symptomatology can limit a patient's capacity to live a full life long after he/she is cleared to return to activities of daily living. Hyperbaric Oxygen Therapy (HBOT) is a modality designed to induce the patient in an environment where 100% medical grade oxygen is delivered at 1.5x-3.0x that of normal atmospheric pressure. While systematic reviews have analyzed the significant physiological effects of HBOT on PCS, a consensus has not been reached on the clinical significance of the patient-perceived effects of the treatment. Therefore, the purpose of this critically appraised topic is to identify the clinical significance of HBOT on the improvement of perceived quality of life in patients with PCS secondary to mTBI.

• In addition to identifying strong, valid, and replicable evidence regarding the physiological implications of HBOT, it is vital to address the clinical relevance and subjective experience of the patient in order to identify if HBOT is the most appropriate treatment measure for patients with PCS. While it is important to explore the potential of a placebo effect for HBOT, if the findings support successful patient outcomes and positive attitudes associated with the treatment, then the modality may still serve its purpose, as evidence-based medicine includes the consideration of evidence, clinical outcomes, and patient-reported outcomes. Long-term complications and potential adverse effects of HBOT have not been documented, and the costly nature and inaccessibility of the modality may indicate that other cognitive behavioral therapy and psychosocial interventions are more practical. Therefore, further research should involve the implementation of long-term cohort studies, in order to effectively identify the methodology standards on the administration of HBOT, the appropriate outcome measures for this treatment protocol, as well as any adverse effects of long term hyperoxia.

College and Major available

Athletic Training

Course Name and Number, Professor Name

AT322: Clinical Practicum V, Stephanie Clines

Location

Digital Commons

Start Day/Time

4-24-2020 2:00 PM

End Day/Time

4-24-2020 4:00 PM

Students' Information

Kirsten Cunha, Athletic Training, Class of 2020.

Third Place, Campus Choice 2020 award. Honorable Mention, Dean's Prize: College of Health Professions.

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Apr 24th, 2:00 PM Apr 24th, 4:00 PM

The Effect Hyperbaric Oxygen Therapy on Perceived Quality of Life in Patients with Post-Concussion Syndrome: A Critically Appraised Topic

Digital Commons

Mild traumatic brain injury (mTBI) is defined as brain damage, secondary to impact or rapid acceleration/deceleration which produces a violent, mechanical, neural shearing on the cranial tissue, resulting in an altered neuronal state. While most symptoms are transient, there is potential for the structural and functional integrity of the brain to experience long-term repercussions. Symptoms persisting for more than 4 months post-injury, are characterized as post-concussion symptoms (PCS). Recurrent symptomatology can limit a patient's capacity to live a full life long after he/she is cleared to return to activities of daily living. Hyperbaric Oxygen Therapy (HBOT) is a modality designed to induce the patient in an environment where 100% medical grade oxygen is delivered at 1.5x-3.0x that of normal atmospheric pressure. While systematic reviews have analyzed the significant physiological effects of HBOT on PCS, a consensus has not been reached on the clinical significance of the patient-perceived effects of the treatment. Therefore, the purpose of this critically appraised topic is to identify the clinical significance of HBOT on the improvement of perceived quality of life in patients with PCS secondary to mTBI.

• In addition to identifying strong, valid, and replicable evidence regarding the physiological implications of HBOT, it is vital to address the clinical relevance and subjective experience of the patient in order to identify if HBOT is the most appropriate treatment measure for patients with PCS. While it is important to explore the potential of a placebo effect for HBOT, if the findings support successful patient outcomes and positive attitudes associated with the treatment, then the modality may still serve its purpose, as evidence-based medicine includes the consideration of evidence, clinical outcomes, and patient-reported outcomes. Long-term complications and potential adverse effects of HBOT have not been documented, and the costly nature and inaccessibility of the modality may indicate that other cognitive behavioral therapy and psychosocial interventions are more practical. Therefore, further research should involve the implementation of long-term cohort studies, in order to effectively identify the methodology standards on the administration of HBOT, the appropriate outcome measures for this treatment protocol, as well as any adverse effects of long term hyperoxia.