ArticleTrials2026
EEG as a diagnostic tool and therapeutic monitor in traumatic brain injury: a sub-study methodology from the hyperbaric oxygen treatment for veterans with traumatic brain injury randomized controlled trial.
Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06581003 (Hyperbaric Oxygen Treatment for Veterans With Traumatic Brain Injury), which is not on this map. Not yet cited in PubMed.
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Hyperbaric Oxygen Treatment for Veterans With Traumatic Brain Injury
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0 citing papers in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraumatic brain injury (TBI), particularly mild forms resulting from blast exposure, remains a diagnostic challenge among veterans due to delayed symptom onset and overlapping psychological conditions such as posttraumatic stress disorder. Current diagnostic methods rely heavily on subjective assessments, contributing to underdiagnosis and inconsistent care. Electroencephalography (EEG) offers a non-invasive, real-time measure of cortical activity with high temporal resolution, making it a promising tool for objective TBI assessment. This sub-study, nested within a randomized controlled trial evaluating hyperbaric oxygen therapy (HBOT) for veterans with TBI, investigates EEG as both a diagnostic modality and a therapeutic monitor.
methodsThis sub-study adopts the same triple-blinded, randomized, parallel-group design as the parent trial. Participants are veterans with mild to moderate TBI, randomized to receive either HBOT or a sham treatment. EEG data are collected at three time points: baseline (pre-treatment), midpoint (18-21 dives), and post-treatment (2 weeks after completion). EEG recordings are performed during standardized cognitive and motor tasks using a 32-channel wireless headset. Primary outcomes include event-related potential amplitudes and alpha-band spectral power, analyzed for longitudinal changes and group differences. Secondary outcomes include latency measures, spectral power across additional frequency bands, and functional connectivity metrics. Data are modeled using repeated measures analysis to assess treatment effects and individual trajectories. DISCUSSION: This sub-study aims to validate EEG as a scalable and objective tool for diagnosing and monitoring TBI in clinical settings. By identifying electrophysiological signatures associated with injury severity and treatment response, EEG may enhance diagnostic precision and support personalized care strategies. The integration of EEG within a larger therapeutic trial framework allows for comprehensive evaluation of its clinical utility. Findings may inform future protocols for TBI assessment and contribute to the development of neurophysiological biomarkers that complement existing symptom-based approaches.
trial registrationClinicalTrials.gov NCT06581003 . Registered on 30 August 2024.
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