关键词:

高压氧, 康复治疗, 作业治疗, 针刺, 高压氧舱内康复治疗, 进展

Abstract:

This paper aimed to summarize the clinical application research progress, feasibility analysis, and mechanism research contents of hyperbaric oxygen chamber therapy synchronous rehabilitation therapy, discuss the existing research results, analyze the feasibility, and determine the next research direction. Literatures on rehabilitation in hyperbaric oxygen chamber was retrieved from CNKI and PubMed databases from January 2006 to December 2022, and the included literatures were analyzed from the aspects of research contents and research methods (experimental design, rehabilitation therapy techniques, research mechanisms, and evaluation methods). According to the research contents of the included literatures, they were roughly divided into 5 different directions according to the function: sports rehabilitation, cognitive rehabilitation, respiratory rehabilitation, musculoskeletal rehabilitation, and rehabilitation nursing. The hyperbaric oxygen in-cabin rehabilitation techniques involved in this study included comprehensive rehabilitation exercise training, motor ideation therapy, occupational cognitive therapy, neuromuscular electrical stimulation, bionic electrical stimulation, right median nerve electrical stimulation, acupuncture, artificial nose, and traction therapy, among which in-cabin physical therapy, occupational therapy, and traditional rehabilitation were the most common. In recent 10 years, the number of such studies had been increasing, and the experimental designs were diverse, including randomized controlled trials and paired trials. The subjects of the studies were mainly common patients in the rehabilitation department, and the curative effect evaluation methods were mainly various rehabilitation evaluation scales. The main mechanisms involved were: ① significantly improving the hemorheological indicators; ② promoting the repair of neurovascular units; ③ enhancing the central nerve plasticity; ④ activating related protease enzymes, growth factors, and triphosadenine (ATP). At present, the quantity and quality of clinical application researches of hyperbaric oxygen chamber rehabilitation therapy need to be improved, the clinical research contents are relatively simple, and the research methods are still in the exploratory stage. Most of the results of these studies focus on the clinical efficacy of dysfunction in the early post-traumatic brain injury and sequelae stage, and it is urgent to reveal the exact mechanism of action of hyperbaric chamber rehabilitation therapy through these studies. The effect of rehabilitation therapy in hyperbaric oxygen chamber still needs to be verified by further clinical mechanism research.

Key words:

Hyperbaric oxygen, Rehabilitation therapy, Occupational therapy, Acupuncture, Rehabilitation in hyperbaric oxygen chamber,  , Progress