GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Healing / Recovery · Chronic wound / diabetic ulcer

Hyperbaric oxygen evidence for Chronic wound / diabetic ulcer

B 57.9 / 100 Supported 194 RCT/meta · 130 clinical/observational · 523 case · 1760 total
Good evidence · positive conclusion

There is a relatively good level of clinical evidence, and a majority of papers support its effectiveness.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2016 Last 5 years 25% Positive results 35% Negative results 91 Korea/Asia 23

Known in Korea as

고압산소

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Non-pharmacologic therapies for sleep disturbances after traumatic brain injury: a systematic review and meta-analysis. Brain impairment : a multidisciplinary journal of the Australian Society for the Study of Brain Impairment · 2026 · PMID 42086508

Abstract summary (English) BACKGROUND: Sleep disturbances are common after traumatic brain injury (TBI), yet there are no guidelines specific to non-pharmacologic management in this population. OBJECTIVE: To evaluate whether adults with post-TBI sleep disturbances benefit from commonly described non-pharmacologic therapies - cognitive behavioural therapy (CBT) (including for insomnia, CBT-I), hyperbaric oxygen (HBO2), blue-wavelength light...

Journal Article, Systematic Review, Meta-Analysis

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tier1 Hyperbaric Oxygen Therapy in Burn Care: A Systematic Review of Current Evidence. Journal of burn care & research : official publication of the American Burn Association · 2026 · PMID 41700783

Abstract summary (English) Hyperbaric oxygen therapy (HBOT) involves inhaling 100% oxygen at pressures exceeding one atmosphere within a chamber. It is used across several specialties and has been proposed as an adjunct in burn management to enhance healing and improve outcomes. Despite increasing interest, evidence supporting its efficacy in burn care remains inconsistent, with no clear consensus in practice.

Journal Article, Systematic Review

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tier1 Outcomes in the treatment of inner ear decompression sickness with hyperbaric oxygen therapy, a systematic review. Diving and hyperbaric medicine · 2026 · PMID 41875444

Abstract summary (English) INTRODUCTION: The primary objective of this review was to evaluate the effectiveness of hyperbaric oxygen therapy (HBOT) in the treatment of inner ear decompression sickness (IEDCS). Secondary objectives were to summarise the diver characteristics, HBOT parameters and outcome measures. METHODS: All descriptive observational study designs including case series and individual case reports involving divers suffering...

Journal Article, Systematic Review, Review

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tier1 Between hope and uncertainty: the elusive evidence on hyperbaric oxygen therapy and radiotherapy. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026 · PMID 41627499

Abstract summary (English) BACKGROUND: Radiotherapy (RT) is a cornerstone in cancer management, but late radiation tissue injury (LRTI) remains a relevant clinical issue, affecting approximately 5% of patients and significantly impacting quality of life. Hyperbaric oxygen therapy (HBOT), by enhancing tissue oxygenation and promoting neovascularization, has been proposed both as a treatment for RT-induced toxicities and as a potential...

Journal Article, Systematic Review, Review

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tier1 Comparative Evidence on Negative Pressure Therapy and Hyperbaric Oxygen Therapy for Diabetic Foot Ulcers: A Systematic Review of Independent Effectiveness and Clinical Applicability. Medicina (Kaunas, Lithuania) · 2026 · PMID 41597395

Abstract summary (English) Background and Objectives: To evaluate and synthesize evidence on the independent clinical effectiveness, safety, and applicability of Negative Pressure Wound Therapy (NPWT) and Hyperbaric Oxygen Therapy (HBOT) in diabetic foot ulcers (DFUs), and to determine whether current evidence allows for a direct comparison between both interventions: NPWT and HBOT are widely advanced therapies for DFUs. Although both...

Journal Article, Systematic Review

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tier1 Effects of Hyperbaric Oxygen Therapy on Exercise-Induced Muscle Injury and Soreness: A Systematic Review and Meta-analysis. Archives of physical medicine and rehabilitation · 2025 · PMID 40784513

Abstract summary (English) OBJECTIVE: To assess the efficacy of hyperbaric oxygen therapy (HBOT) in facilitating recovery from exercise-induced muscle injury and soreness. DATA SOURCES: China Knowledge Network, Embase, Web of Science, Cochrane Library, PubMed, and Scopus database inception until September 28, 2024. STUDY SELECTION: A randomized controlled trial to assess the effects on patients with exercise-induced muscle damage and soreness.

Journal Article, Systematic Review, Meta-Analysis, Review

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tier1 Current non-pharmacological therapies and new directions for cognitive dysfunction following traumatic brain injury. Behavioural brain research · 2025 · PMID 40780458

Abstract summary (English) Traumatic brain injury (TBI) is a series of pathophysiological disorders of the brain resulting from direct or indirect impact on the head. The cognitive impairments associated with TBI significantly affect the quality of life and pose public health challenges. However, effective treatment options remain limited, and existing therapies often involve prolonged treatment durations and restricted efficacy.

Journal Article, Systematic Review, Research Support, Non-U.S. Gov't

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tier1 Hyperbaric oxygen therapy for late radiation tissue toxicity injury after head and neck cancer: a systematic review of the literature. Radiation oncology (London, England) · 2025 · PMID 41044659

Abstract summary (English) BACKGROUND: Head and neck cancer (HNC), most of which are squamous cell carcinomas, is the seventh most common cancer worldwide. Radiotherapy is a standard treatment for HNC but may lead to late complications and severe complications like osteoradionecrosis (ORN) and impaired wound healing due to tissue hypoxia. Hyperbaric oxygen therapy (HBOT) has shown promise in ameliorating these late radiation effects.

Journal Article, Systematic Review

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tier1 Systematic Review of Otologic Adverse Events in Hyperbaric Oxygen Therapy. Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc · 2025 · PMID 41429031

Abstract summary (English) OBJECTIVES: Hyperbaric Oxygen (HBO₂) Therapy has been associated with some risks and adverse events. Previous studies examining otologic complications from HBO₂ therapy vary in their reported incidence of adverse events. This study aims to systematically review the otologic complications associated with HBO₂ therapy and investigate contributing risk and protective factors.

Systematic Review, Journal Article

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tier1 Comparison of the efficacy of 12 interventions in the treatment of diabetic foot ulcers: a network meta-analysis. PeerJ · 2025 · PMID 40821981

Abstract summary (English) OBJECTIVE: This study aimed to comprehensively compare the efficacy of 12 interventions for diabetic foot ulcer (DFU) using a network meta-analysis (NMA). METHODS: The NMA was conducted by PRISMA guidelines, and the protocol was registered in PROSPERO (CRD42023461811). PubMed, Web of Science, Cochrane Library, and Embase databases were systematically searched from inception to September 2023.

Comparative Study, Journal Article, Network Meta-Analysis, Systematic Review

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