Hyperbaric Oxygen Therapy – From Mechanisms to Cognitive Enhancement

Hyperbaric Oxygen Therapy – From Mechanisms to Cognitive Enhancement

Authors: J.E. Wilkens et al.
Type: Scientific Review Article
Publication: Bundesgesundheitsblatt, 2023
Focus: Mechanisms of HBOT and its clinical application to enhance cognition and brain function

🔍What was observed?

This study provides a detailed analysis of how HBOT affects the human body – and explains why it shows particular potential in neurological disorders and cognitive decline.

🔬 Both molecular mechanisms and clinical trial results are discussed. Particularly exciting:


  • HBOT activates regenerative processes in the brain

  • Promotes neuroplasticity, i.e., the formation of new neuronal connections

  • Improves cerebral blood flow

  • Inhibits inflammatory processes and oxidative stress

  • Stimulates stem cell activity and DNA repair


➡️ This combination makes HBOT particularly promising for use in cognitive impairments, long COVID, stroke, and brain aging processes

✨ Highlights & Callouts

"HBOT acts as a stimulus that initiates healing processes in the central nervous system—comparable to targeted training."

✅ Activates HIF-1α, VEGF, BDNF – key proteins for vascular growth & brain performance
✅ Increased neurogenesis in the hippocampus (memory center)
✅ Improved energy supply through mitochondrial optimization
✅ Reduction of neuroinflammatory processes

📌 Good to know

  • The concept of the hyperoxic-hypoxic paradox explains why alternating oxygen states trigger repair mechanisms – without real oxygen deficiency

  • The role of HBOT in neurodegenerative diseases such as Alzheimer’s is also discussed

  • The work makes it clear that HBOT is not merely a symptomatic therapy, but can have regenerative and preventive effects

"HBOT represents an evidence-based procedure with high therapeutic potential, particularly in cases of post-infectious and neurodegenerative conditions."

📈 Conclusion

This work is among the most comprehensive German publications on HBOT that connect science, medicine, and clinical practice. A must-read for anyone who wants to understand why HBOT works – and not just if.

What was observed?

Highlights and Points of Interest

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