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The Role Of Hyperbaric Therapy In Sports

Medical information reviewed by: ANDREI BOGDAN, MD, Orthopedics-traumatology doctor
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Discover the hyperbaric medicine center opened in our clinic. Centrokinetic has the top-performing hyperbaric chamber in Bucharest, with multiple medical and anti-aging uses. The Baroks chamber has 5 seats, and operates at a constant pressure of 2.5 atmospheres, being fully automated and having protocols for each condition, and can be used individually for each patient. 

Hyperbaric oxygen therapy - benefits

Patients who use the clinic's hyperbaric therapy services benefit from:

  • The only medically accredited hyperbaric therapy chamber in Bucharest, which operates at 2.5 atmospheres (those for aesthetic use go to 1 atmosphere and have no medical benefits).
  • A safe medical procedure, without irradiation, without pain, without other side effects. 
  • The specialized medical team consists of recovery doctors, orthopedists, rheumatologists, neurologists, and neurosurgeons, meaning a multidisciplinary team specialized in all diseases that can be treated with hyperbaric therapy. 
  • Premium conditions at a fair price. Our clinic is recognized for the conditions offered and for the care of each patient. But we do not need to pay exorbitant prices to have access to quality medical services. At Centrokinetic you can find an affordable and fair price. But note that we do not have a contract with the National Health Insurance House (we do not offer state reimbursed services)

Centrokinetic is keeping contact with prestigious clinics and universities in Belgium, the Netherlands, France, and Greece to constantly update treatments to provide patients with the best medical solutions.

Hyperbaric oxygen therapy and its role in sports medicine

In recent years, sports teams have begun to use hyperbaric oxygen therapy to treat sports injuries. From muscle contusions and ankle sprains to chronic muscle pain, hyperbaric oxygen therapy has been used to facilitate soft tissue healing. To minimize the time between injury and hyperbaric oxygen treatment, some sports teams have such centers within the club. Due to the importance of oxygen in the aerobic metabolic system, many researchers have also investigated the possible ergogenic effects of hyperbaric oxygen therapy.

Hyperbaric oxygen is used in sports medicine to reduce hypoxia and edema and is also effective in treating stroke injuries and acute traumatic peripheral ischemia. When used clinically, hyperbaric oxygen should be considered as an adjuvant therapy used as early as possible after the diagnosis of the lesions.

Hyperbaric oxygen treatment


During hyperbaric oxygen treatment, a patient breathes 95% to 100% oxygen at pressures above 1.0 absolute atmosphere (ATA). Normally, 97% of the oxygen delivered to tissues is bound to hemoglobin, while only 3% dissolves in plasma. At sea level, the barometric pressure is 1 ATA or 760 mm Hg and the partial pressure of oxygen in the arterial blood (PaO2) is about 100 mm Hg. At rest, the tissues consume about 5 ml of O2 per 100 ml of blood. During hyperbaric oxygen treatments, barometric pressures are usually limited to 3 ATA or less. 

The oxygen content in the air inspired by the chamber is usually from 95% to 100%. The combination of high pressure (3 ATA) and increased oxygen concentration (100%) dissolves enough oxygen in the plasma only to sustain life in a state of rest. Under hyperbaric conditions, the oxygen content of the plasma is increased from 0.3 to 6.6 ml per 100 ml of blood without changes in oxygen transport by hemoglobin. Oxygen therapy at 3.0 ATA increases tissue oxygen delivery from 20.0 to 26.7 ml of O2 to 100 ml of blood.

Increasing the delivery of oxygen to the tissues facilitates the lesion healing through several mechanisms.

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Vasoconstriction

High oxygen concentrations in the tissues cause vasoconstriction, which can lead to a 20% decrease in regional blood flow. In normoxic environments, tissue hypoxia may develop; however, this does not occur in hyperbaric oxygen therapy. The decrease in regional blood flow is offset by the increased plasma oxygen that reaches the tissue. The net effect is to reduce tissue inflammation without hypoxia - a mechanism by which hyperbaric oxygen therapy relieves trauma by hitting.

Neovascularization and epithelialization

High oxygen concentrations in tissues accelerate the development of new blood vessels. It can occur in both acute and chronic lesions. Regenerating epithelial cells function much more efficiently in an oxygen-rich environment. These effects are effective in treating skin lesions and skin grafts.

Stimulation of fibroblasts and osteoclasts

In a hypoxic environment, fibroblasts are unable to synthesize collagen, and osteoclasts are unable to produce new bone. Collagen deposition and the healing rate of lesions are affected by the amount of oxygen available. The ischemic areas of the lesions benefit the most from the increased oxygen delivery. Hyperbaric oxygen therapy increases the level of oxygen in the tissues, allowing fibroblasts and osteoclasts to function properly. This mechanism may play a role in the treatment of osteomyelitis and fractures.

The immune response 

When tissue oxygen pressure drops below 30 mm Hg, the host's responses to infection and ischemia are compromised. Studies have shown that the resistance of local tissue to infection is directly related to the level of oxygen present in the tissue. High concentrations of oxygen can prevent the production of certain bacterial toxins and can kill certain anaerobic organisms, such as Clostridium perfringens. More importantly, however, oxygen helps polymorphonuclear leukocytes (PMNs). Oxygen helps the migration and phagocytic function of PMN. Oxygen is converted inside PMN into toxic substrates (superoxides, peroxides, and hydroxyl radicals) that are lethal to bacteria. These effects on the immune system allow hyperbaric oxygen therapy to help cure soft tissue infections and osteomyelitis. Also, hyperbaric oxygen therapy has been found to inhibit PMN adhesion to the postcapillary venules. Although this may seem paradoxical, this effect is beneficial because it helps limit the reperfusion of the injury after the trauma by hitting.

Metabolism stimulation

When circulation to a lesion is compromised, the resulting ischemia decreases the concentration of adenosine triphosphate (ATP) and increases lactic acid levels. ATP is required for molecular transport in cell membranes and maintaining cell viability. Increased oxygen delivery to tissues through hyperbaric oxygen therapy can prevent tissue damage by lowering lactic acid levels and helping maintain ATP levels. This can help prevent tissue damage in ischemic and reperfusion injuries. Oxygen therapy is an effective treatment for head injuries and other acute traumatic peripheral ischemia because it relieves hypoxia and reduces edema. Hyperbaric oxygen therapy should be considered an adjuvant therapy performed as soon as possible after the diagnosis of the lesions.

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IN CASE YOU HAVEN'T ALREADY HEARD ABOUT US

Centrokinetic is the place where you will find clear answers and solutions for your motricity problems. The clinic is dedicated to osteoarticular diseases and is divided into the following specialized departments:

  • Orthopedics , a department composed of an extremely experienced team of orthopedic doctors, led by Dr. Andrei Ioan Bogdan, primary care physician in orthopedics-traumatology, with surgical activity at Medlife Orthopedic Hospital, specialized in sports traumatology and ankle and foot surgery. .
  • Pediatric orthopedics , where children's sports conditions are treated (ligament and meniscus injuries), spinal deformities (scoliosis, kyphosis, hyperlordosis) and those of the feet (hallux valgus, hallux rigidus, equine larynx, flat valgus, hollow foot).
  • Neurology , which has an ultra-performing department, where consultations, electroencephalograms (EEG) and electromyography (EMG) are performed. 
  • Medical recovery  for adults and  children , department specialized in the recovery of performance athletes, in spinal disorders, in the recovery of children with neurological and traumatic diseases. Our experience is extremely rich, treating over 5000 performance athletes.
  • Medical imaging , the clinic being equipped with ultrasound and MRI, high-performance devices dedicated to musculoskeletal disorders, and complemented by an experienced team of radiologists: Dr. Sorin Ghiea and Dr. Cosmin Pantu, specialized in musculoskeletal imaging.

Find the latest news by following the Facebook and YouTube accounts of the Centrokinetic clinic.  

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