Chronic Post Traumatic Stress Disorder, Post Concussion Syndrome, Post Traumatic Stress Disorder, TBI (Traumatic Brain Injury)
Conditions
Keywords
Chronic traumatic brain injury, Post concussion syndrome, Post traumatic stress disorder, Chronic post traumatic stress disorder
Brief summary
This is a pilot trial to see if one or two 40 treatment courses of low pressure hyperbaric oxygen therapy can improve cognition and brain imaging in subjects with either chronic mild-moderate traumatic brain injury (TBI), also known as post-concussion syndrome (PCS) or chronic PCS with post-traumatic stress disorder (PTSD) secondary to blast injury.
Interventions
HBOT at 1.5 ATA/60 minutes twice/day, five days/week for 40 or 80 treatments
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults, 18-65 years old * One or more mild-moderate TBI's characterized by loss of consciousness due to blast injury that is a minimum of one year old and occurred after 9/11/2001 * Absence of acute cardiac arrest or hemorrhagic shock at time of TBI. * Absence of intracranial neurosurgery post-TBI * Disability Rating Scale of 0-3 * Negative Michigan Alcohol Screening Test (MAST) * Negative Drug Abuse Screening Test (DAST) * Negative urine toxicology screen for drugs of abuse * Negative pregnancy test in females * Otherwise good health * Less than 90% on the Percent Back to Normal Rating Scale
Exclusion criteria
* Pulmonary disease that precludes HBOT * Unstable medical conditions that are contraindicated in HBOT * Severe confinement anxiety * Pregnancy * Other pre-TBI neurological diagnoses * Pre or post TBI history of substance abuse * Pre or post TBI history of alcoholism. * Participation in another experimental trial with active intervention. * High probability of inability to complete the experimental protocol. * Previous HBOT * History of hospitalization for past TBI, stroke, nonfebrile seizures, or any seizure history other than seizure at the time of TBI * Past or current history of mental retardation (baseline FSIQ \< 71. * Pre/post-TBI history of systemic illness with impact on CNS (P.I.'s decision)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Psychometric testing | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| SPECT brain imaging | 30 days |
| Quality of life measurements | 30 days |
| Return to school or work | 6 months |
Countries
United States