PMID- 22703610 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121017 LR - 20211021 IS - 2045-9912 (Electronic) IS - 2045-9912 (Linking) VI - 2 IP - 1 DP - 2012 Jun 15 TI - Hyperbaric oxygen treatment in autism spectrum disorders. PG - 16 LID - 10.1186/2045-9912-2-16 [doi] AB - Traditionally, hyperbaric oxygen treatment (HBOT) is indicated in several clinical disorders include decompression sickness, healing of problem wounds and arterial gas embolism. However, some investigators have used HBOT to treat individuals with autism spectrum disorders (ASD). A number of individuals with ASD possess certain physiological abnormalities that HBOT might ameliorate, including cerebral hypoperfusion, inflammation, mitochondrial dysfunction and oxidative stress. Studies of children with ASD have found positive changes in physiology and/or behavior from HBOT. For example, several studies have reported that HBOT improved cerebral perfusion, decreased markers of inflammation and did not worsen oxidative stress markers in children with ASD. Most studies of HBOT in children with ASD examined changes in behaviors and reported improvements in several behavioral domains although many of these studies were not controlled. Although the two trials employing a control group reported conflicting results, a recent systematic review noted several important distinctions between these trials. In the reviewed studies, HBOT had minimal adverse effects and was well tolerated. Studies which used a higher frequency of HBOT sessions (e.g., 10 sessions per week as opposed to 5 sessions per week) generally reported more significant improvements. Many of the studies had limitations which may have contributed to inconsistent findings across studies, including the use of many different standardized and non-standardized instruments, making it difficult to directly compare the results of studies or to know if there are specific areas of behavior in which HBOT is most effective. The variability in results between studies could also have been due to certain subgroups of children with ASD responding differently to HBOT. Most of the reviewed studies relied on changes in behavioral measurements, which may lag behind physiological changes. Additional studies enrolling children with ASD who have certain physiological abnormalities (such as inflammation, cerebral hypoperfusion, and mitochondrial dysfunction) and which measure changes in these physiological parameters would be helpful in further defining the effects of HBOT in ASD. FAU - Rossignol, Daniel A AU - Rossignol DA AD - Rossignol Medical Center, 3800 West Eau Gallie Blvd,, Melbourne, FL, 32934, USA. rossignolmd@gmail.com. FAU - Bradstreet, James J AU - Bradstreet JJ FAU - Van Dyke, Kyle AU - Van Dyke K FAU - Schneider, Cindy AU - Schneider C FAU - Freedenfeld, Stuart H AU - Freedenfeld SH FAU - O'Hara, Nancy AU - O'Hara N FAU - Cave, Stephanie AU - Cave S FAU - Buckley, Julie A AU - Buckley JA FAU - Mumper, Elizabeth A AU - Mumper EA FAU - Frye, Richard E AU - Frye RE LA - eng GR - TL1 RR024147/RR/NCRR NIH HHS/United States GR - UL1 RR024148/RR/NCRR NIH HHS/United States PT - Journal Article DEP - 20120615 PL - Australia TA - Med Gas Res JT - Medical gas research JID - 101564536 PMC - PMC3472266 EDAT- 2012/06/19 06:00 MHDA- 2012/06/19 06:01 PMCR- 2012/06/15 CRDT- 2012/06/19 06:00 PHST- 2012/03/29 00:00 [received] PHST- 2012/05/19 00:00 [accepted] PHST- 2012/06/19 06:00 [entrez] PHST- 2012/06/19 06:00 [pubmed] PHST- 2012/06/19 06:01 [medline] PHST- 2012/06/15 00:00 [pmc-release] AID - 2045-9912-2-16 [pii] AID - 10.1186/2045-9912-2-16 [doi] PST - epublish SO - Med Gas Res. 2012 Jun 15;2(1):16. doi: 10.1186/2045-9912-2-16.