Evidence map›Paper›PMID 27307271›Full record

Trial reportBritish journal of sports medicine2016

Analysis of head impact exposure and brain microstructure response in a season-long application of a jugular vein compression collar: a prospective, neuroimaging investigation in American football.

Gregory D Myer, Weihong Yuan, Kim D Barber Foss, Staci Thomas, David Smith, James Leach, Adam W Kiefer, Chris Dicesare, Janet Adams, Paul J Gubanich and 5 more

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02696200 nacompletednot on this map

Novel Protection Against Potential Brain Injury During Competitive Football Head Impacts

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2015 to 2017Enrolled62ConditionsConcussionArmsQ Collar
NCT06129565 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

The Use of Q-Collar to Increase CSF Drainage in Low-pressure Hydrocephalus Patients

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2024 to 2025Enrolled0ConditionsLow Pressure HydrocephalusArmsQ-collar
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Gregory D MyerDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA Department of Orthopaedics, University of Pennsylvania, Philadelphia, Pennsylvania, USA The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, Ohio, USA.
Weihong YuanPediatric Neuroimaging Research Consortium, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Kim D Barber FossDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Health Sciences, Department of Athletic Training, Mount St. Joseph University, Cincinnati, Ohio, USA Rocky Mountain University of Health Professions, Provo, Utah, USA.
Staci ThomasDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
David SmithDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
James LeachDivision of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Adam W KieferDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA Department of Psychology, Center for Cognition, Action and Perception, University of Cincinnati, Cincinnati, Ohio, USA.
Chris DicesareDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Janet AdamsDivision of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Paul J GubanichDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA.
Katie KitchenDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Daniel K SchneiderDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Daniel BraswellDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Division of Sports Medicine, The SPORT Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Darcy KruegerDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Mekibib AltayeDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHistorical approaches to protect the brain from outside the skull (eg, helmets and mouthpieces) have been ineffective in reducing internal injury to the brain that arises from energy absorption during sports-related collisions. We aimed to evaluate the effects of a neck collar, which applies gentle bilateral jugular vein compression, resulting in cerebral venous engorgement to reduce head impact energy absorption during collision. Specifically, we investigated the effect of collar wearing during head impact exposure on brain microstructure integrity following a competitive high school American football season.

methodsA prospective longitudinal controlled trial was employed to evaluate the effects of collar wearing (n=32) relative to controls (CTRL; n=30) during one competitive football season (age: 17.04±0.67 years). Impact exposure was collected using helmet sensors and white matter (WM) integrity was quantified based on diffusion tensor imaging (DTI) serving as the primary outcome.

resultsWith similar overall g-forces and total head impact exposure experienced in the two study groups during the season (p>0.05), significant preseason to postseason changes in mean diffusivity, axial diffusivity and radial diffusivity in the WM integrity were noted in the CTRL group (corrected p<0.05) but not in the collar group (p>0.05). The CTRL group demonstrated significantly larger preseason to postseason DTI change in multiple WM regions compared with the collar group (corrected p<0.05). DISCUSSION: Reduced WM diffusivity alteration was noted in participants wearing a neck collar after a season of competitive football. Collar wearing may have provided a protective effect against brain microstructural changes after repetitive head impacts. TRIAL REGISTRATION NUMBER: NCT02696200.

Indexed as

Jugular VeinsProtective DevicesAccelerometryAdolescentAthletic InjuriesBrainCraniocerebral TraumaDiffusion Tensor ImagingFootballHeadHumansLongitudinal StudiesMagnetic Resonance ImagingMaleNeckNeuroimagingBloodBrainConcussionInjury preventionMRI

Identifiers

PMID27307271
PMCPMC5099231
OpenAlexW2435973856

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.