Does hyperbaric oxygen therapy facilitate peripheral nerve recovery in upper extremity injuries? A prospective study of 74 patients

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dc.contributor.authorInce, Bilsev
dc.contributor.authorIsmayilzada, Majid
dc.contributor.authorArslan, Abdullah
dc.contributor.authorDadaci, Mehmet
dc.date.accessioned2024-02-23T13:43:29Z
dc.date.available2024-02-23T13:43:29Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractPurpose Several experimental studies have investigated the effects of hyperbaric oxygen therapy (HBOT) on peripheral nerve regeneration. However, to the best of our knowledge, clinical studies to evaluate the effects of HBOT on peripheral nerve recovery are seldom performed. The aim of our study was to investigate the efficacy of HBOT following primary nerve repair in patients with upper extremity nerve injuries. Methods Patients admitted to our hospital between 2015 and 2019 with ulnar and median nerve injuries were included in the study. Patients were randomized based on their application dates and divided into two different groups. Patients who received HBOT following standard epineural nerve repair were included in group 1, while patients who only underwent epineural nerve repair were included in group 2. All patients were followed up at 3, 6, and 12 months post-treatment and evaluated through electroneuromyography analysis of the traumatized nerve, injured nerve-related muscle strength, and two-point discrimination test. Results Impulse transmission of injured nerves to the end organ was faster in group 1. Further, ENMG parameters demonstrated that injured nerves of patients in group 1 recovered faster. Patients in group 1 also reached higher power score and had significantly more rapid motor recovery than patients in group 2. Conclusion This prospective study of upper extremity injuries demonstrated the favorable effects of HBOT on nerve recovery both clinically and electrophysiologically following nerve repair. One HBOT session each day for 5 days after surgical treatment can decrease morbidity and facilitate recovery.en_US
dc.identifier.doi10.1007/s00068-022-01920-3
dc.identifier.endpage4003en_US
dc.identifier.issn1863-9933
dc.identifier.issn1863-9941
dc.identifier.issue5en_US
dc.identifier.pmid35226113en_US
dc.identifier.scopus2-s2.0-85125403149en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage3997en_US
dc.identifier.urihttps://doi.org/10.1007/s00068-022-01920-3
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10826
dc.identifier.volume48en_US
dc.identifier.wosWOS:000762162200002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofEuropean Journal Of Trauma And Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHyperbaric Oxygen Therapyen_US
dc.subjectNerve Injuryen_US
dc.subjectNerve Repairen_US
dc.subjectNerve Recoveryen_US
dc.titleDoes hyperbaric oxygen therapy facilitate peripheral nerve recovery in upper extremity injuries? A prospective study of 74 patientsen_US
dc.typeArticleen_US

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