Excessive College Sports activities-related Concussion and the Impact of a Jugular Vein Compression Collar: A Potential Longitudinal Investigation of Neuroimaging and Neurofunctional Outcomes
Yuan W, Diekfuss JA, Barber Foss KD, Dudley J, Leach J, Narad ME, DiCesare CA, Bonnette S, Epstein J, Logan Okay, Altaye M, Myer GD. J Neurotrauma. 2021 Aug 10. doi:10.1089/neu.2021.0141.
https://pubmed.ncbi.nlm.nih.gov/34375130/
Take-Residence Message
Highschool soccer and soccer athletes that wore the jugular vein compression collar had smaller adjustments of their mind’s white matter microstructure than these and not using a collar.
Background
Sport-related concussions could cause long-term penalties resembling adjustments within the mind’s white matter microstructure. A remedy or prevention technique to cut back these adjustments stays elusive as a result of the underlying development of those adjustments from pre- to post-injury is unknown. Exterior prevention methods, resembling helmets, restrict exterior accidents (e.g., fractures). Due to this fact, it appears possible to attempt a tool that would offer inner safety. A jugular compression neck collar mitigates mind “slosh” by inducing a small Queckenstedt’s maneuver that causes the veins to replenish and take up extra quantity within the skull.
Research Objective
The authors carried out a cohort research to find out whether or not carrying a jugular compression neck collar would mitigate the preseason to post-concussion alteration in neuroimaging, habits, and cognitive outcomes.
Strategies
The authors adopted 488 highschool athletes (soccer and feminine soccer). All athletes have been allotted on the crew stage to non-collar (8 groups; 237 athletes) or collar groups (8 groups; 251 athletes). Athletes within the collar group wore the jugular compression neck collar for each sport and follow. At preseason, the athletes accomplished the King-Devick Take a look at, the close to level of convergence check, the trail-making check, and the flanker check. The authors evaluated preseason to post-concussion adjustments microstructural adjustments in white matter primarily based on Diffuse tensor imaging. The identical medical exams have been assessed post-concussion. Researchers attended every sport and follow for each teams and recorded an athlete’s attendance and collar compliance.
Outcomes
Out of the 488 highschool athletes, 46 of those athletes suffered a concussion in the course of the season. Six athletes have been unable to endure neuroimaging due to their braces; subsequently, the authors evaluated 40 athletes (20 in every group). The authors discovered smaller white matter microstructure adjustments over time within the collar group than within the non-collar group. Nevertheless, over time carrying a collar had a minimal-to-no relationship to any medical exams.
Viewpoints
The authors demonstrated that athletes carrying the collars skilled smaller adjustments in white matter microstructure than these and not using a collar. These findings assist the authors’ idea that jugular compression might create an inner cushion that reduces sloshing and thus stopping structural adjustments. Nevertheless, it’s unclear if the variations in microstructural adjustments are clinically significant since not one of the medical exams confirmed variations between teams over time. Moreover, it is going to be vital to see if these findings will be confirmed in a double-blinded, randomized, sham-controlled medical trial that’s not funded by an organization producing the collars. It’s going to even be useful in future trials to have a greater sense of how nicely the athletes adjust to carrying the collars.
Medical Implications
This research suggests {that a} easy, low-risk gadget that gives a slight compression to maintain blood within the cerebral veins could scale back microstructural adjustments to the mind after a concussion. Medical professionals ought to concentrate on merchandise like these in the marketplace and be ready to debate the professionals (e.g., low threat, potential impact on microstructural mind adjustments) and cons (e.g., lack of high-quality proof) of utilizing these units.
Questions for Dialogue
Have you ever had your athletes put on jugular vein compression collars? If not, would you attempt them out? Why or why not?
Associated Posts
- Are Early Markers For Neurodegeneration In Sight utilizing Multimodal Imaging
- Can Superior Imaging Present Us the Pathophysiology Following a Concussion?
- Diffuse Tensor Imaging of Sports activities-Associated Concussion
- Exhausting to Make Connections after a Concussion?….Blame it on the Default-Mode Community
- Assessing Concussions with Practical MR Imaging
Written by: Jane McDevitt
Reviewed by: Jeffrey Driban
