Selasa, 27 Januari 2015

Multiple sclerosis related complications

Multiple sclerosis related complications

Multiple sclerosis (MS) is a chronic, progressive, degenerative disease of the central nervous system (brain and spinal cord).  MS is demonstrated as a loss of myelin (a protective sheet of protein and lipids covering the nerve fibers) leading to improper distribution of nerve signals which can cause: tremor (shaking), extreme weakness, numbness, paralysis, in-coordination, visual impairment, bowel and bladder dysfunction.
Multiple sclerosis
Multiple Sclerosis
multiple sclerosis demyelinization

HBO in nervous system problems:

  • Reduces muscle spasticity
  • Relieves numbness (improves regeneration of peripheral nerves) and allows better sensitivity
  • Increases energy level and exercise capacity (helps in better outcome of physical therapy)
  • Reduces fatigue and tremor
  • Improves mobility and coordination

HBO in bladder and bowel problems:

  • Reduces bladder spasticity (muscle tension), urinary urgency and frequency
  • Increases bladder capacity, muscle strength and improves bladder emptying (coordination in relaxation and contraction of the muscle)
  • Increases bowel movement by strengthening and regulating rectal sphincter control
  • Prevents infection to occur by generally strengthening immune system and increasing capacity to fight infection by enhancing antibiotics activity, directly killing bacteria or indirectly helping in leukocyte killing mechanism


  1. Fischer B. Hyperbaric oxygen treatment of multiple sclerosis; A randomized , placebo-controlled , double-blind study; The New England Journal of Medicine; 308 (4): 181-6; Jan.1983
  2. Jain K.K. Hyperbaric oxygen therapy in multiple sclerosis; Textbook of Hyperbaric medicine 3rded. Ch 20, pp 373 – 381; 1999
  3. James PB  MS as diagnosis, Lancet, 359:1178, 1997
  4. Kindwall E. Treatment of multiple sclerosis with hyperbaric oxygen, Arch Neurol. 1991, 48,195-199
  5. Kleijnen J. Hyperbaric oxygen for multiple sclerosis, Acta Neurol Scand 1995, 91(5): 330-4
  6. Mc Donald  Multliple sclerosis : diagnostic optimism, Brit Med J , 1992, 304: 1259-60
  7. Oriani G. Long-term hyperbaric oxygen in multiple sclerosis, J Hyperbaric med 1990,5(4), 237-245
  8. Sukoff MH Hyperbaric oxygen for the treatment of acute cerebral edema, Neurosurgery 1982, 10:29-38
  9. Webster J. Long-term results of hyperbaric oxygen  therapy in multiple sclerosis, two years results in 128 patients Stansted: ARMS,1989

sumber :        

Tayang ulang oleh dr.erick supondha (hyperbaric and diving medicine consultant) dokter ahli hiperbarik dan kesehatan penyelaman , jakarta, indonesia, 021 99070050