Effect of self-acupressure on middle ear barotrauma associated with hyperbaric oxygen therapy: A nonrandomized clinical trial

Jen-Ming Chen, Zheng-Nan Lu, Re-Wen Wu, Kuo-Wei Bi, Chun-Ting Liu, Jen-Ming Chen, Zheng-Nan Lu, Re-Wen Wu, Kuo-Wei Bi, Chun-Ting Liu

Abstract

Background: In hyperbaric oxygen therapy (HBOT), a patient is exposed to pure oxygen in a chamber. While HBOT is a long-standing and well-established treatment for a wide variety of medical conditions, one of the main complications is middle ear barotrauma (MEB), which can lead to complaints of ear discomfort, stuffiness or fullness in the ear, and difficulties in equalizing ear pressure. The aim of this study is to evaluate the efficacy of self-acupressure in preventing and reducing the degree of MEB associated with HBOT.

Methods: This is a prospective nonrandomized controlled study. A sample of 152 participants will be assigned to 2 groups in a 1:1 ratio. The participants in the control group will receive conventional Valsalva and Toynbee maneuvers, while those in the experimental group will be given additional self-acupressure therapy. The acupoints used will be TE17 (Yifeng), TE21 (Ermen), SI19 (Tinggong), and GB2 (Tinghui). The Modified Teed Classification, symptoms of MEB, and overall ear discomfort levels will be assessed. Data will be analyzed using the Chi-Squared test or t test.

Objectives: This study aims to evaluate the efficacy of self-acupressure for preventing and reducing the degree of MEB associated with HBOT.

Trial registration: ClinicalTrials.gov Identifier: NCT04311437. Registered on 17 March, 2020.

Conflict of interest statement

The authors have no conflicts of interests to disclose.

Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

Figures

Figure 1
Figure 1
The flowchart of the trial.
Figure 2
Figure 2
Acupoints used in the self-acupressure therapy: TE17, TE21, SI19, and GB2.

References

    1. Kirby JP, Snyder J, Schuerer DJE, et al. . Essentials of hyperbaric oxygen therapy: 2019 review. Missouri Med 2019;116:176–9.
    1. Moghadam N, Hieda M, Ramey L, et al. . Hyperbaric oxygen therapy in sports musculoskeletal injuries. Med Sci Sports Exerc 2020;52:1420–6.
    1. Lam G, Fontaine R, Ross FL, et al. . Hyperbaric oxygen therapy: exploring the clinical evidence. Adv Skin Wound Care 2017;30:181–90.
    1. Memar MY, Yekani M, Alizadeh N, et al. . Hyperbaric oxygen therapy: antimicrobial mechanisms and clinical application for infections. Biomed Pharmacother 2019;109:440–7.
    1. Benedict Mitnick CD, Johnson-Arbor K. Atypical wounds; hyperbaric oxygen therapy. Clin Podiatr Med Surg 2019;36:525–33.
    1. Fischer I, Barak B. Molecular and therapeutic aspects of hyperbaric oxygen therapy in neurological conditions. Biomolecules 2020;10:1247.
    1. Hajhosseini B, Kuehlmann BA, Bonham CA, et al. . Hyperbaric oxygen therapy: descriptive review of the technology and current application in chronic wounds. Plast Reconstr Surg Glob Open 2020;8:01–8.
    1. Edinguele W, Barberon B, Poussard J, et al. . Middle-ear barotrauma after hyperbaric oxygen therapy: a five-year retrospective analysis on 2610 patients. Undersea Hyperb Med 2020;47:217–28.
    1. Camporesi EM. Side effects of hyperbaric oxygen therapy. Undersea Hyperb Med 2014;41:253–7.
    1. Nasole E, Zanon V, Marcolin P, et al. . Middle ear barotrauma during hyperbaric oxygen therapy; a review of occurrences in 5962 patients. Undersea Hyperb Med 2019;46:101–6.
    1. Hwang L, Song M, Lee Y, et al. . Methods for preventing middle ear barotrauma in computer-controlled pressurization of monoplace hyperbaric chambers. Undersea Hyperb Med 2019;46:107–16.
    1. ONeill OJ, Brett K, Frank AJ. Middle Ear Barotrauma. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright (2021, StatPearls Publishing LLC); 2021.
    1. Lima MA, Farage L, Cury MC, et al. . Middle ear barotrauma after hyperbaric oxygen therapy - the role of insuflation maneuvers. Int Tinnitus J 2012;17:180–5.
    1. Janvrin S. Middle ear pain and trauma during air travel. Clin Evid 2004;11:673–6.
    1. Beuerlein M, Nelson RN, Welling DB. Inner and middle ear hyperbaric oxygen-induced barotrauma. Laryngoscope 1997;107:1350–6.
    1. Mehta P, Dhapte V, Kadam S, et al. . Contemporary acupressure therapy: adroit cure for painless recovery of therapeutic ailments. J Tradit Complement Med 2017;7:251–63.
    1. Song HJ, Seo HJ, Lee H, et al. . Effect of self-acupressure for symptom management: a systematic review. Complement Ther Med 2015;23:68–78.
    1. Wang PM, Hsu CW, Liu CT, et al. . Effect of acupressure on constipation in patients with advanced cancer. Suppor Care Cancer 2019;27:3473–8.
    1. Chen YW, Wang HH. The effectiveness of acupressure on relieving pain: a systematic review. Pain Manag Nurs 2014;15:539–50.
    1. He Y, Guo X, May BH, et al. . Clinical evidence for association of acupuncture and acupressure with improved cancer pain: a systematic review and meta-analysis. JAMA Oncol 2020;6:271–8.
    1. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ 2010;340:c332.
    1. Meng FC, Shen CH, Chu CM, et al. . Dried salted plum consumption ameliorates hyperbaric oxygen therapy-induced otalgia severity at the first chamber session: a prospective randomized controlled study. Undersea Hyperb Med 2017;44:551–7.
    1. 2008;World Health Organization. WHO standard acupuncture point locations in the Western Pacific Region. 97:166.

Source: PubMed

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