is HDOT medically useful?
in atmospheric pressure are responsible for the weather and the
concentration of the oxygen in the atmosphere. Atmospheric pressure
determines the amount of oxygen dissolved in our blood plasma.
A low pressure weather front can reduce the oxygen concentration
in the air we breathe by as much as 10% in a day. This could
be critically important to a patient in an intensive care unit
but without a pressure chamber cannot be avoided.
pressure falls as altitude rises. This means that an aircraft
flying above 10,000 feet must be pressurised to prevent serious
oxygen deficiency. Lack of oxygen is important in a wide variety
of diseases and the latest research has shown that blood flow
and platelet stickiness are both controlled by the oxygen concentration
in the blood. It has been common practice for many years to use
positive pressure in surgical operating theatres and infectious
disease units are now constructed to use negative pressure for
the containment of dangerous micro organisms.
is the history of HDOT in the UK?
chambers for high dose oxygen therapy (HDOT) have been in use
in the community in the UK and Ireland for over 20 years. They
were set up after consultations with the UK Department of Health
by multiple sclerosis self help groups following the publication
of trials indicating symptomatic improvements in patients with
long standing diseases. In 1994 Linda Scotson commenced investigations
into the use of hyperbaric oxygen for children with cerebral
palsy and other neurological injuries. After a successful pilot
study she set up the Charity “The Hyperbaric Oxygen Trust” which
encouraged the use of HDOT for children with cerebral palsy all
over the world. In 2005 the Advance Centre’s HDOT facility
was registered with the Government Healthcare Commission.
have shown that children with chronic cerebral palsy receive
clearly evidenced benefit from HDOT. The UK HDOT facilities have
a unique safety record with over 1.6 million sessions completed
without a significant incident.
does HDOT help children with brain injuries?
also assists children with cerebral palsy on The Scotson Technique
(TST) physical programme to help improve oxygenation of cerebral
tissue and to help improve their ability to develop a more flexible
and responsive breathing pattern. Normal breathing changes in
response to changes in atmospheric pressure and variations in
the content of the air breathed.
can be experienced on low pressure days even sometimes aches,
pain and other discomforts that seem to appear for no apparent
reason. Fatigue is also felt as a result of a stuffy atmosphere.
In both cases less atmospheric oxygen is available and compensatory
changes in breathing pattern are required.
child with cerebral palsy has underdeveloped respiratory muscles
which reduce the flexible response to atmospheric changes.
is central to life and it has long been known that breathing
changes in response to varying metabolic demands. If the demand
for oxygen is too great activity has to be reduced. A tired person
sits down and rests, he does not stop breathing! So it is with
children with cerebral palsy. Their poor respiratory flexibility
is not obviously evident because they continue to breathe. However,
their ability to do other things as well as breathe becomes limited.
Extra height and weight increase respiratory load and so respiratory
demand and so increase the problem.
The Scotson Technique (TST) physical programme strengthens weak
underdeveloped respiratory muscles, creates new core strength in
the connective tissues between the bones, improves the nervous connection
between the muscular skeletal system and the brain and improves
understanding and intellectual development.
Scotson Technique HDOT programme supports this approach by helping
to improve the cerebral metabolism and encourage a more flexible
and responsive use of the respiratory muscles.
references available on request