M.bennett at 23:22, 19 January 2020

2020-01-19T23:22:15Z

M.bennett: Created page with " '''Breathing hyperbaric oxygen improved cognitive, motor..."

2020-01-19T23:11:52Z

Created page with " '''Breathing hyperbaric oxygen improved cognitive, motor..."

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'''Breathing hyperbaric oxygen improved cognitive, motor and dual task performance compared to air breathing'''

{| class="Table" style="width:453.2pt; border:undefined" width="0"
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| style="width:450.2pt" width="604" |
'''1. Cognitive performance improved under hyperbaric oxygen conditions 2. Motor performance improved under hyperbaric oxygen conditions 3. Improvements both as sole tasks and when undertaken simultaneously''''

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'''Citation/s:''' 1. Vadas D, Kalichman L, Hadanny A, Efrati S. Hyperbaric oxygen environment can enhance brain activity and multitasking performance. Frontiers in Integrative Neuroscience. 2017 Sep 27;11:25. '''Lead author's name and fax: '''Dor Vadas: dorvadas@gmail.com

'''Three-part Clinical Question:'''For the human brain, does breathing hyperbaric oxygen, compared to air breathing, enhance the performance of cognitive task and motor tasks? '''Search Terms:''' Dual tasking, brain activity, oxygen limitation

'''The Study:''' Double-blinded randomised controlled trial with intention-to-treat. '''The Study Patients:''' Healthy adult volunteers '''Control group''' (N = 24; 22 analysed): Air breathing at 1 ATA in a hyperbaric chamber for 45 minutes to simulate true hyperbaric exposure. '''Experimental group''' (N = 24; 22 analysed): As above but breathing 100% oxygen at 2ATA

'''The Evidence:'''

{| class="Table" style="border:undefined"
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| rowspan="2" style="width:181.55pt" width="245" | '''Measure'''
| colspan="2" style="width:69.45pt" width="95" | '''Sham Group'''
| colspan="2" style="width:69.4pt" width="95" | '''HBO Group'''
| rowspan="2" style="width:48.1pt" width="66" | '''Difference'''
| rowspan="2" style="width:73.0pt" width="100" | '''95% CI'''
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| style="width:34.0pt" width="47" |
'''Mean'''

| style="width:33.95pt" width="47" |
'''SD'''

| style="width:33.95pt" width="47" |
'''Mean'''

| style="width:33.95pt" width="47" |
'''SD'''

|-
| style="width:181.55pt" width="245" |
'''Symbol Digit Mobility Test (correct - incorrect answers)'''

| style="width:34.0pt" width="47" | 40.2
| style="width:33.95pt" width="47" | 9.8
| style="width:33.95pt" width="47" | 43.9
| style="width:33.95pt" width="47" | 11.6
| style="width:48.1pt" width="66" | 3.7
| style="width:73.0pt" width="100" | -73.9 to 66.5
|-
| style="width:181.55pt" width="245" |
'''Bean Transfer Test (number in 30 seconds)'''

| style="width:34.0pt" width="47" | 83.8
| style="width:33.95pt" width="47" | 9.3
| style="width:33.95pt" width="47" | 89.3
| style="width:33.95pt" width="47" | 11.5
| style="width:48.1pt" width="66" | 5.5
| style="width:73.0pt" width="100" | -72.1 to 61.0
|-
| style="width:181.55pt" width="245" |
'''SDMT as dual task'''

| style="width:34.0pt" width="47" | 35.2
| style="width:33.95pt" width="47" | 10.8
| style="width:33.95pt" width="47" | 38.7
| style="width:33.95pt" width="47" | 11.7
| style="width:48.1pt" width="66" | 3.5
| style="width:73.0pt" width="100" | -80.6 to 73.6
|-
| style="width:181.55pt" width="245" |
'''BTT as dual task'''

| style="width:34.0pt" width="47" | 51.4
| style="width:33.95pt" width="47" | 14.7
| style="width:33.95pt" width="47" | 56
| style="width:33.95pt" width="47" | 14.2
| style="width:48.1pt" width="66" | 4.6
| style="width:73.0pt" width="100" | -131.7 to 122.5
|}

'''Comments:''' 1. Crossover study with sham procedure 2. The authors did not test the success of the sham procedure and the results may depend on that success 3. The authors conclude the performance of these tasks is limited by the availability of oxygen to the brain.                                                                          4. The practical significance of the differences measured is not clear, nor is any dose-response relationship.                                                                        5. The figures here are obtained using a t-test. The authors appropriately used paired t-test and found all these differences to statistically significant.

'''Appraised by:'''Mike Bennett POWH m.bennett@unsw.edu.au; Monday, 20 January 2020 '''Kill or Update By:''' January 2024

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	<span style="line-height:normal">'''<span style="font-family:"><span style="color:black">Appraised by:</span></span>'''<span style="font-family:"><span style="color:black">Mike Bennett POWH m.bennett@unsw.edu.au; Monday, 20 January 2020<br/> '''Kill or Update By:''' January 2024</span></span></span>		<span style="line-height:normal">'''<span style="font-family:"><span style="color:black">Appraised by:</span></span>'''<span style="font-family:"><span style="color:black">Mike Bennett POWH m.bennett@unsw.edu.au; Monday, 20 January 2020<br/> '''Kill or Update By:''' January 2024</span></span></span>
		+	<p style="text-align: center;"> </p> <p style="text-align: center;">[[File:Sumhorsa.gif\|center\|Sumhorsa.gif]]</p> <p style="text-align: center;"><span style="font-size:x-large;">[[Neuro_-_miscellaneous\|BACK]]</span></p>

Vadas - Revision history

M.bennett at 23:22, 19 January 2020

M.bennett: Created page with " '''Breathing hyperbaric oxygen improved cognitive, motor..."