Hyperbaric oxygen for children with cerebral palsy: a randomised multicentre trial

Collet, Jean‐Paul; Vanasse, Michel; Marois, P; Amar, Maxime; Goldberg, Joanne; Lambert, Jean; Lassonde, Maryse; Hardy, Pierre; Fortin, Josée; Tremblay, Stéphane D; Montgomery, David; Lacroix, Jacques; Robinson, Ann; Majnemer, Annette

doi:10.1016/s0140-6736(00)04054-x

Cited by 141 publications

(148 citation statements)

References 9 publications

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“…108 In fact, pressures in this range have been used in studies as a sham therapy in control groups. 109 The same studies also demonstrated very high rates of improvement in the control groups at 1.3 ATA, which was attributed to the participation effect or Hawthorn effect. 108,109 The UHMS position statement concludes with the statement, "At this time, the UHMS cannot recommend the routine treatment of ASD with HBO 2 T outside appropriate comparative research protocols."…”

Section: Biologically Based Practicesmentioning

confidence: 83%

“…109 The same studies also demonstrated very high rates of improvement in the control groups at 1.3 ATA, which was attributed to the participation effect or Hawthorn effect. 108,109 The UHMS position statement concludes with the statement, "At this time, the UHMS cannot recommend the routine treatment of ASD with HBO 2 T outside appropriate comparative research protocols." 108 The temerity of the authors of the HBO 2 T study 107 presents a new dilemma for clinicians and families, in the form of disguising a group of physicians' preferred treatments as legitimate science.…”

Section: Biologically Based Practicesmentioning

confidence: 83%

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Complementary and Alternative Medicine in Autism: An Evidence-Based Approach to Negotiating Safe and Efficacious Interventions with Families

2010

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Summary: This review focuses on helping clinicians identify resources and develop strategies they may use to effectively negotiate safe and effective use of complementary and alternative medicine (CAM) treatments with families of children with autism spectrum disorders (ASD), as well as other neurodevelopmental disorders. Since new types of CAM continue to be introduced into the autism community, emphasis is placed on providing clinicians with tools to help families negotiate the myriad of available treatments and make decisions based on current safety and efficacy data, while remaining mindful of the reasons families may be considering these treatments.We familiarize readers with high-quality, evidence-based resources that providers and families may use to ascertain current information about specific types of CAM, verify the content of biologically-based treatments, identify ongoing CAM research and obtain toolkits designed to help healthcare providers raise the topic of CAM usage and facilitate disclosure and discussion of CAM use with patients and their families. Key Words: Complementary and alternative medicine, autism, integrative medicine, gluten-free casein-free diet, melatonin, chelation, hyperbaric oxygen treatment, evidence-based medicine.

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Section: Biologically Based Practicesmentioning

confidence: 83%

Section: Biologically Based Practicesmentioning

confidence: 83%

Complementary and Alternative Medicine in Autism: An Evidence-Based Approach to Negotiating Safe and Efficacious Interventions with Families

2010

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“…40 On the other hand, hyperbaric oxygen therapy, advocated as a method of reviving injured brain tissue, has far more cost and risk in the face of no evidence of improvement in function. 41 Nutritional supplements have been promoted for many developmental disabilities including Down syndrome, autism, and cerebral palsy, but beyond what is needed to maintain normal nutrition, there is no scientific evidence of benefit. Variations on methods of motor treatment associated with the "patterning" technique continue to be offered to families with no evidence of usefulness despite a high cost and time commitment for families.…”

Section: Associated Care Issuesmentioning

confidence: 99%

Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy

Cooley¹

2004

Pediatrics

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ABSTRACT. Children and youth with cerebral palsy present pediatricians with complex diagnostic and therapeutic challenges. In most instances, care also requires communication and comanagement with pediatric subspecialists and pediatric surgical specialists, therapists, and community developmental and educational teams. The importance of family resilience to the patient's wellbeing broadens the ecologic scope of care, which highlights the value of a primary care medical home from which care is initiated, coordinated, and monitored and with which families can form a reliable alliance for information, support, and advocacy from the time of diagnosis through the transition to adulthood. This report reviews the aspects of care specific to cerebral palsy that a medical home should provide beyond the routine health maintenance, preventive care, and anticipatory guidance needed by all children. Pediatrics 2004;114:1106-1113; cerebral palsy, developmental disability, medical home, chronic illness, spasticity.

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“…8 Improvement in the HBO group was not greater Annotation than that in the placebo group. Ear pain was experienced by 47% of the children in the HBO group and 28% of those in the placebo group.…”

Section: Does Hbo Treatment Improve Function In Cp?mentioning

confidence: 86%

Hyperbaric oxygen and cerebral palsy: no proven benefit and potentially harmful

Essex¹

2003

Develop Med Child Neuro

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Any good paediatrician will point out to the parents of a child with cerebral palsy (CP) that their child's brain damage is fixed and cannot be altered. This is not being over pessimistic but simply honest. The paediatrician then suggests a variety of treatments/therapies aimed at maximizing the child's potential. However, it is understandable if parents still go on to seek treatments which they hope can alter their child's condition. Such treatments include conductive education, cranial osteopathy, and hyperbaric oxygen (HBO) -to name a few. This article seeks to review available information on the use of HBO in the treatment of children with CP.A review of 64 conditions treated with HBO concluded that evidence supported use of HBO in only 12 of them (Table I). These are: very specific 'blood-gas' conditions (such as decompression sickness), healing, and certain infections. 1 They did not include neurological conditions such as multiple sclerosis (MS), stroke (either acute or chronic), nor CP.HBO treatment is available in settings of variable quality. The best, safest, and highest quality HBO centres are usually associated with universities, hospitals, or naval bases. The treatment is administered in multiplace or monoplace chambers. Multiplace chambers have airlocks (which allow staff to enter in an emergency without decompressing the chamber) and cost around £300000. The chamber is pressurized with air and the patients breathe HBO through properly fitting face masks. This reduces the amount of oxygen in the chamber and lessens the risk of explosion or fire. Monoplace chambers allow treatment of one patient at a time; the patient is monitored and observed from outside. At the other end of the spectrum are monoplace chambers or head boxes that are run by local MS support groups, or even bought privately and installed in individuals' homes. 2

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Hyperbaric oxygen for children with cerebral palsy: a randomised multicentre trial

Cited by 141 publications

References 9 publications

Complementary and Alternative Medicine in Autism: An Evidence-Based Approach to Negotiating Safe and Efficacious Interventions with Families

Complementary and Alternative Medicine in Autism: An Evidence-Based Approach to Negotiating Safe and Efficacious Interventions with Families

Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy

Hyperbaric oxygen and cerebral palsy: no proven benefit and potentially harmful

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