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- W2519403358 abstract "PURPOSE: Helmets have been redesigned to reduce the incidence of concussion in sports, but research has shown that even newer helmets are ineffective at preventing concussions. We propose a novel device, worn around the neck, as a solution to reduce concussions in sport. The collar causes gentle compression of the internal jugular veins, thus restricting venous outflow and increasing venous sinus engorgement. This reduces brain movement within the cranial cavity upon impact (slosh). The purpose of this study was to measure brain neurophysiological changes after head impacts. A brain network activation analysis (BNA) evaluated the network dynamics associated with event related potentials in subjects performing a neuro-cognitive task. We hypothesized that the group wearing the collar would demonstrate fewer neurophysiological changes than the control group and that the changes in the control group would correlate with relative G force exposure during the hockey season. METHODS: Fourteen male high school ice hockey players (mean age 16.74±1.13 y) participated in a prospective, randomized clinical trial. Subjects underwent pre-season and mid-season EEG assessment; Helmet sensors were used to collect head impact and acceleration data. BNA analysis assessed the similarity of subjects’ EEG signals to a reference group and relative to accumulated head impact data. RESULTS: Subjects wearing the collar (n=7) exhibited fewer changes in their BNA scores (4.05±4.02) from pre- to mid-season, compared to those who did not wear the collar (n=7, 20.21±13.35, p=0.007). Subjects who did not wear the collar exhibited a correlation between the accumulated G forces (linear acceleration >20g) and the change in BNA score from pre- to mid-season (Spearman’s rho=0.82, p=.023). The accumulated G forces for subjects who did or did not wear the collar (6364±1902 and 4583±1304, respectively) were not statistically different. CONCLUSION: Subjects who sustained multiple head impacts while playing ice hockey exhibited changes in their EEG data, as measured by BNA analysis. Subjects who wore a jugular vein-compression collar exhibited a smaller change in BNA score than subjects who did not wear the collar. These data support the contention that mild jugular vein compression may be a protective mechanism against sport-related mTBI." @default.
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- W2519403358 date "2016-05-01" @default.
- W2519403358 modified "2023-09-26" @default.
- W2519403358 title "Accumulated G-Forces Sustained During Hockey Correlate With Changes In Brain Network Activation Score" @default.
- W2519403358 doi "https://doi.org/10.1249/01.mss.0000486887.15478.61" @default.
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