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Hyperbaric Oxygen Therapy - Hyperbaric Chamber Information ...

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earlier DiSabato et al 89 study mentioned masking procedures. Both studies had complete<br />

follow-up of subjects.<br />

Table 48 Methodological quality of included studies focusing on the use of HBOT in cluster<br />

headaches.<br />

First Author and<br />

Year of Publication<br />

Study Design Randomisation Masking Losses to Follow-up<br />

DiSabato 1997 88 Comparative study None None No losses<br />

DiSabato 1996 89<br />

Patient criteria<br />

Comparative study None Single masked No losses<br />

The two studies enrolled patients with two different types of cluster headaches (table 47).<br />

In the 1997 study, DiSabato et al 88 enrolled patients with the chronic form of the<br />

condition, specifying that participants be afflicted for at least five years before being<br />

recruited into the study. A year earlier the authors studied subjects with the episodic type<br />

of cluster headaches. Similar exclusion criteria were applied.<br />

Table 49 Patient criteria of included studies focusing on the use of HBOT in cluster headaches.<br />

First Author and<br />

Year of Publication<br />

DiSabato 1997 88<br />

DiSabato 1996 89<br />

Patient Criteria<br />

Outpatients with chronic cluster headache of at least five years duration diagnosed according to<br />

the criteria of the International Headache Society.<br />

Exclusions: patients with diseases or forms of head pain other than cluster headaches or patients<br />

with organic conditions capable of causing painful syndromes of the head.<br />

Patients with episodic cluster headache diagnosed according to the criteria of the International<br />

Headache Society.<br />

Exclusions: patients suffering from other diseases or were taking prophylactic headache<br />

medication.<br />

Interventions examined<br />

In both studies, patients were managed in a multiplace HBOT chamber for 30 minutes.<br />

In the comparison groups, the patients breathed air in an unpressurised chamber. Only<br />

the comparison group of the later study was given rescue medication (Table 50).<br />

In their 1997 study, DiSabato et al 88 exposed the intervention group to a pressure of 2.5<br />

ATA every two days for 15 sessions. In their earlier study, pressures in the range of 2.0<br />

to 2.5 ATA were used and the number of sessions is not described.<br />

52 <strong>Hyperbaric</strong> oxygen therapy

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