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NCT Number: NCT07405281

the Efficacy of Hyperbaric Oxygen on Acute Ankle Sprain

Investigators recruited 208 patients with acute ankle sprain who were from the Rehabilitation Department of the Second Affiliated Hospital of Zhejiang University, School of Medicine from January 2026 to November 2028. Perform the improvement in AOFAS scores and Baird-Jackson ankle scores study and Rehabilitation assessments followed up after 3 years.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

In baseline, 208 patients with i acute ankle sprain were recruited from the Rehabilitation Department of the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2026 to December 2028, and were followed up after 3 years.

Perform the improvement in AOFAS scores and Baird-Jackson ankle scores study and Rehabilitation assessments followed up after 3 years. The Hyperbaric oxygen group treatment was administered at an atmospheric pressure of 2 ATA, with 100% oxygen inhalation. Oxygen was inhaled for 40 minutes (20 minutes of oxygen inhalation, 5-minute rest, 20 minutes of oxygen inhalation, decompression), once daily for 14 consecutive days. The control group treatment at an atmospheric pressure of 1.4 ATA, inhaling 21% oxygen by volume. Oxygen inhalation schedule: 40 minutes (inhale oxygen for 20 minutes, rest for 5 minutes, inhale oxygen for 20 minutes, decompression), once a day for 14 consecutive days.

Two person analyzed the above data, and record abnormal results.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Unilateral ankle sprain;
  • Swelling, bruising, and pain at the site of the sprain;
  • Injury occurring within 72 hours;
  • MRI examination clearly shows ligament damage.

Exclusion criteria

  • X-ray shows ankle fracture;
  • Ankle has skin lesions or skin diseases;
  • History of lower limb and pelvic surgery;
  • Obvious neurological or psychiatric disorders that may interfere with assessment;
  • Severe ligament injuries or joint instability requiring surgical treatment;
  • Previous ankle injuries, persistent pain or functional limitations;
  • Pneumothorax, severe emphysema, active bleeding, or other diseases with contraindications for hyperbaric oxygen therapy.

Treatment and study plan

Hyperbaric Oxygen Therapy

Other

The treatment is administered at an atmospheric pressure of 2 ATA, with 100% oxygen inhalation. Oxygen inhalation time: 40 minutes (inhaling oxygen for 20 minutes, resting for 5 minutes, inhaling oxygen for 20 minutes, decompression), once daily, for 14 consecutive days. (Commenced immediately after randomisation)

non Hyperbaric Oxygen Therapy

Other

The treatment is administered at an atmospheric pressure of 1.4 ATA with an inhaled oxygen fraction of 21%, oxygen inhalation time: 40 minutes (20 minutes of oxygen inhalation, 5 minutes rest, 20 minutes of oxygen inhalation, decompression), once daily, for 14 consecutive days. (Commences immediately after randomisation)

Primary outcomes

  1. AOFAS score

    Time frame: 3 years

    Improvement of American Orthopaedic Foot & Ankle Society Score (AOFAS scores)in acute ankle sprains with early HBO treatment. Usually scored from 0 to 100, higher scores mean a better outcome.

  2. Baird-Jackson ankle score

    Time frame: 3 years

    Improvement of Baird-Jackson Ankle Evaluation Score(Baird-Jackson ankle scores) in acute ankle sprains with early HBO treatment. Usually scored from 0 to 100., higher scores mean a better outcome.

Secondary outcomes

  1. pain scores

    Time frame: 3 years

    The effects of hyperbaric oxygen on improvements in pain scores Visual Analog Scale (VAS) (resting VAS and walking VAS) in patients with acute ankle sprain. Usually scored from 0 to 10. higher scores mean a worth outcome.

  2. ankle swelling

    Time frame: 3 years

    Measure the ankle joint circumference at the level of the medial malleolus tip, in millimeters, on both the affected and healthy sides, and calculate the degree of swelling. The more swollen the joints, the worth the outcome.

  3. high-frequency ultrasound findings

    Time frame: 3 years

    Observe the damage and healing of ligaments and surrounding tissues. The better the continuity of the ligaments and surrounding tissues, the better the outcome.

  4. Ankle MRI

    Time frame: 3 years

    Observe the damage and healing of ligaments and surrounding tissues. The higher the MRI signal, the worse the outcome.

  5. patient's overall evaluation of treatment (PGIC)

    Time frame: 3 years

    The doctor asks the patient about their overall feeling regarding the treatment: 'Has there been any improvement?' Choose one as your answer:

    Number 1 indicates significant improvement; Number 2 indicates slight improvement; Number 3 indicates no change; Number 4 indicates worsening due to the treatment. higher scores mean a worth outcome.

  6. HAMA scale score

    Time frame: 3 years

    the effects of hyperbaric oxygen on change in Hamilton Anxiety Scale(HAMA scale score)in patients with acute ankle sprain. Each item is rated on a five-point scale from 0 to 4. The total score reflects the overall severity of anxiety and can be used to assess treatment effects and changes in the condition.

    Total score ≥29: Possible severe anxiety. Total score ≥21: Definitely significant anxiety. Total score ≥14: Definitely anxiety. Total score ≥7: Possible anxiety. Total score <7: No anxiety symptoms. higher scores mean a worse outcome.

Study contacts

Contact information is provided by the study sponsor or research team.

Bing Xiong, MD

CONTACT

[email protected]

86-13516803156

Sponsors and collaborators

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University

Other

Registry information

Official study title

A Multicenter, Prospective Clinical Randomized Controlled Study of the Efficacy of Hyperbaric Oxygen on Acute Ankle Sprain

Important dates

Study start
2026
Primary completion
2029
Study completion
2029
First posted
Feb 12, 2026
Registry last updated
Feb 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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