Measuring Cognitive Enhancement During Hyperbaric Oxygen Treatments

NCT ID: NCT04358796

Last Updated: 2020-04-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-10

Study Completion Date

2018-11-02

Brief Summary

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The aim of the current study was to examine the effect of short-term HBOT (hyperbaric oxygen treatments) on a range of cognitive abilities. The current study examined whether there is a HBOT-related short-term cognitive improvement and, if so, what specific cognitive abilities are improved by the intervention.

Participants were randomized to perform cognitive tasks in one of two chambers with two different clinical environments: (a) HBOT condition: (2 ATA (atmosphere absolute) 100% oxygen for 90 minutes). (b) Control condition: in which the chamber was not pressurized (Normobaric condition- 1 ATA for 90 minutes).

Detailed Description

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The aim of the current study was to examine the effect of short-term HBOT on a range of cognitive abilities. The current study examined whether there is a HBOT-related short-term cognitive improvement and, if so, what specific cognitive abilities are improved by the intervention.

Participants were recruited through ads on the internet and on student social groups. All participants underwent a comprehensive physical and neurological examination, and general medical conditions were ruled out. Participants were excluded if reported changes in their cognitive or behavioral functions during one month prior to the beginning of the study. Smokers (people who smoke more than seven cigarettes a week) were required to take a lung x-ray confirming there isn't a pulmonary pathology, such as pneumothorax, pulmonary bullae, emphysema, or other lung pathologies preventing them from staying in a high ATA environment. Participants with an abnormal x-ray were excluded from the study. Participants who regularly use Methylphenidate (i.e. Ritalin) or other stimulants for attention disorders (i.e. ADHD) were instructed not to take it at the day of the experiment.

Following consent, all the participants were exposed to the testing battery in a group setting. One of the experimenters went through each of the sub-tests instructions in a detailed manner prior to a practice phase in which participants trained on the tasks. Afterwards, participants were randomized to perform the tasks in one of two chambers with two different clinical environments: (a) HBOT condition: (2 ATA 100% oxygen for 90 minutes). The atmospheric pressure in this condition was set to 2 ATA. This ATA level is known to have a clinical effect, whereas higher-pressure levels may result in inhibitory brain effects or even lead to focal toxicity (Efrati and Ben-Jacob, 2014). (b) Control condition: in which the chamber was not pressurized (Normobaric condition- 1 ATA for 90 minutes) and participants breathed air (21% oxygen). In this condition, ATA was elevated for a few minutes to 1.2 ATA in order to mimic the feeling of pressure building up in the ears. The pressure was decreased soon after to 1 ATA.

The assessment began 30 min after participants wore the oxygen masks within the chamber, in order to enable appropriate brain oxygenation in the HBOT condition (Vadas et al., 2017). The battery was composed of cognitive tests adapted for high functioning subjects and adjusted to an in-chamber group administration setting.

Conditions

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Hyperbaric Oxygen Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

two groups being tested in parallel. The first group in HBOT environment. The second group in a SHAM environment.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Patients are unaware to the ATA in chamber and to oxygen levels in their mask.

Study Groups

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HBOT environment

Cognitive testing in 2ATA, 100% oxygen in breathing-masks

Group Type EXPERIMENTAL

Hyperbaric oxygent treatment

Intervention Type DEVICE

Subjects will enter the oxygen chamber. ATA will be elevated to 2 ATA. They will breath 100% oxygen while solving cognitive tests designed to assess their cognitive capacities

Control environment

Cognitive testing in 1ATA, air in breathing-masks

Group Type SHAM_COMPARATOR

Control hyperbaric oxygen treatment

Intervention Type DEVICE

Subjects will enter the oxygen chamber. ATA will be elevated to 1.2 ATA for a short while and the decreased back to 1 ATA. They will breath air while solving cognitive tests designed to assess their cognitive capacities

Interventions

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Hyperbaric oxygent treatment

Subjects will enter the oxygen chamber. ATA will be elevated to 2 ATA. They will breath 100% oxygen while solving cognitive tests designed to assess their cognitive capacities

Intervention Type DEVICE

Control hyperbaric oxygen treatment

Subjects will enter the oxygen chamber. ATA will be elevated to 1.2 ATA for a short while and the decreased back to 1 ATA. They will breath air while solving cognitive tests designed to assess their cognitive capacities

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 20-40
* intact sight / corrected sight
* Hebrew as mother tongue
* Intact comprehension

Exclusion Criteria

* Active neurologic or psychiatric diagnosis.
* If Had been treated with HBOT for any other reason prior to their inclusion;
* Chest pathology ;
* Inner ear disease;
* Claustrophobia;
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assaf-Harofeh Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Prof. Shay Efrati

Medical Director of the Sagol Center for Hyperbaric Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shay Efrati

Role: STUDY_DIRECTOR

Assaf-Harofeh Medical Center

Locations

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Assaf Harofeh Medical Center

Ẕerifin, , Israel

Site Status

Countries

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Israel

Other Identifiers

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0031-17-ASF

Identifier Type: -

Identifier Source: org_study_id

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