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CompletedNCT06954389Updated May 1, 2025

Hyperbaric Oxygen Therapy as a Neuroprotective Modality in Pediatric Acquired Brain Injury With Motor Disability

An interventional study of Hyperbaric oxygen therapy and Conventional rehabilitation in Hyperbaric Oxygen Therapy, Neuroprotective and Pediatric, sponsored by Kafrelsheikh University. Completed at 1 site in Egypt. Open to participants aged 4 Years to 12 Years. Per ClinicalTrials.gov, last updated 2025-05-01.

Sponsored by Kafrelsheikh University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Mar 2024, registered Apr 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
4 Years to 12 Years
Sex
All
01

Study summary

This study aimed to assess the efficacy of hyperbaric oxygen therapy as a neuroprotective intervention in children with acquired brain injury.

Read the detailed description

Pediatric acquired brain injury (ABI) represents a significant challenge in modern medicine, necessitating innovative therapeutic approaches to enhance recovery and minimize long-term neurological deficits.

Hyperbaric oxygen therapy (HBOT), which delivers oxygen at pressures exceeding atmospheric levels, has emerged as a promising neuroprotective intervention for various forms of pediatric brain injury, including traumatic brain injury (TBI), anoxic-ischaemic encephalopathy (AIE), and stroke.

02

Conditions studied

  • Hyperbaric Oxygen Therapy
  • Neuroprotective
  • Pediatric
  • Acquired Brain Injury
  • Motor Disability
03

In context

Brain Injuries

2,114 studies on the registry are indexed under Brain Injuries; 386 are open to participants now.

This study's enrollment of 120 is above the median of 48 across 1,332 interventional studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

Kafrelsheikh University is the lead sponsor of 285 studies on the registry; 110 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 4-12 years.
  • Diagnosed with pediatric acquired brain injury confirmed by neurological examination and magnetic resonance imaging.
  • Presence of neurological sequelae (e.g., cardiac arrest, intracranial hemorrhage, central nervous system infection, stroke, tumor, hypoxia).

Exclusion criteria

Exclusion Criteria:

  • Positive family history of degenerative brain insults.
  • Behavioral problems.
  • Contraindications to hyperbaric oxygen therapy :

    • Active epilepsy.
    • Respiratory insufficiency.
    • Uncontrolled heart failure.
    • Eustachian tube dysfunction.
    • Tympanic membrane rupture.
    • Mechanical ventilation dependency.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Hyperbaric oxygen therapy group

    Patients received hyperbaric oxygen therapy using a monochamber hyperbaric chamber in addition to conventional rehabilitation.

    Other: Hyperbaric oxygen therapy

  • Active comparator
    Control group

    Patients received conventional rehabilitation alone.

    Other: Conventional rehabilitation

Interventions

  • OtherHyperbaric oxygen therapy

    Patients received hyperbaric oxygen therapy using a monochamber hyperbaric chamber in addition to conventional rehabilitation.

  • OtherConventional rehabilitation

    Patients received conventional rehabilitation alone.

06

What researchers measure

Primary outcomes

  1. Spasticity assessment

    Spasticity assessment was conducted utilizing the Modified Ashworth Scale (MAS), which quantified resistance during passive soft tissue stretching. * Grade 0: No increase in muscle tone. * Grade 1: Slight increase in tone, minimal resistance. * Grade 2: More marked increase, resistance through most ROM. * Grade 3: Considerable increase, passive movement difficult. * Grade 4: Rigidity in flexion/extension. * Grade 5: Rigidity preventing passive movement.

    Time frame: Eight months post-intervention

Secondary outcomes

  1. Evaluate changes in gross motor function temporally

    The Gross Motor Function Measure (GMFM) was utilized to evaluate changes in gross motor function temporally. This standardized assessment specifically quantified task completion capability rather than qualitative performance metrics. * Level I: Independent ambulation without limitations. * Level II: Walks without assistance but with limitations (e.g., uses handrails). * Level III: Walks with assistive devices (e.g., walker). * Level IV: Non-ambulatory but can move independently on hands and knees. * Level V: Complete dependence on a manual wheelchair for mobility.

    Time frame: Eight months post-intervention

  2. Upper limb function assessment

    Upper limb function assessment (ULFA) was evaluated utilizing the Gordon and Duff Scale, which employed a six-point classification system (Types 0-5). * Type 0: No active upper extremity function. * Type 1: Minimal active movement, no functional use. * Type 2: Partial grasp and release, limited thumb opposition. * Type 3: Functional grasp but impaired precision tasks. * Type 4: Normal function with slight limitations (e.g., reduced speed). * Type 5: Normal or near-normal function with entire thumb opposition.

    Time frame: Eight months post-intervention

  3. Assessment the fine motor function progression

    The Manual Ability Classification System (MACS) was implemented to assess fine motor function progression. * Level I: Handles objects easily and successfully. * Level II: Handles most objects with minor adaptations. * Level III: Handles objects with difficulty and requires assistance. * Level IV: Handles very few objects, highly dependent. * Level V: Does not handle objects and requires full support.

    Time frame: Eight months post-intervention

  4. Evaluate feeding capabilities

    The Eating and Drinking Ability Classification System (EDACS) was employed to evaluate feeding capabilities. * Level I: Safe and efficient oral intake without assistance. * Level II: Minor dietary restrictions or compensatory strategies. * Level III: Moderate dietary restrictions and assistance. * Level IV: Requires alternative feeding methods (e.g., gastrostomy). * Level V: Complete dependence on non-oral feeding.

    Time frame: Eight months post-intervention

07

Study locations

1 site
  • Kafrelsheikh University
    Kafr Ash Shaykh, Kafrelsheikh 33516, Egypt
08

References and documents

Individual participant data

Plan to share: Yes — The data will be available upon a reasonable request from the corresponding author after the end of study for one year.

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06954389
Lead sponsor
Kafrelsheikh University
Responsible party
Eman Mohammed Abdel Hamid Gaml (Assistant Lecturer of Pediatrics, Faculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, Egypt., Kafrelsheikh University) — Principal investigator
First posted
May 1, 2025
Start date
Mar 1, 2024
Primary completion
Oct 1, 2024
Completion
Oct 1, 2024
Last update
May 1, 2025

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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