Mild Jugular Compression Reduces White Matter Alterations in High School-Aged Males Playing Collision Sports

in International Journal of Athletic Therapy and Training
Megan Nye BS, LAT, ATC * , 1 and Paul A. Cacolice PhD, LAT, ATC, CSCS * , 1
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  • 1 Westfield State University
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Clinical question: Do mild jugular compression (MJC) devices reduce white matter alterations in high school-aged males playing collision sports? Clinical bottom line: There is moderate evidence at Strength of Recommendation B to support that MJC reduces WMAs in high school-aged males playing collision sports.

Nye is with Westfield State University, Westfield, MA, USA. Cacolice is with the Movement Science, Sport & Leisure Studies Department, Westfield State University, Westfield, MA, USA.

Nye (megan.nye@uconn.edu) is corresponding author.
  • 1.

    King D, Brughelli M, Hume P, Gissane C. Assessment, management and knowledge of sport-related concussion: systematic review. Sports Med. 2014;44(4):449471. PubMed ID: 24403125 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Yuan W, Barber Foss KD, Thomas S, et al. White matter alterations over the course of two consecutive high-school football seasons and the effect of a jugular compression collar: a preliminary longitudinal diffusion tensor imaging study: preservation of brain integrity in football. Hum Brain Mapp. 2018;39(1):491508. PubMed ID: 29080230 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Myer GD, Yuan W, Barber Foss KD, et al. 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. Br J Sports Med. 2016;50(20):12761285. PubMed ID: 27307271 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Myer GD, Yuan W, Barber Foss KD, et al. The effects of external jugular compression applied during head impact exposure on longitudinal changes in brain neuroanatomical and neurophysiological biomarkers: a preliminary investigation. Front Neurol. 2016;7:74. PubMed ID: 27375546 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Broglio SP, Cantu RC, Gioia GA, et al. National athletic trainers’ association position statement: management of sport concussion. J Athl Train. 2014;49(2):245265. PubMed ID: 24601910 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Dimou S, Lagopoulos J. Toward objective markers of concussion in sport: a review of white matter and neurometabolic changes in the brain after sports-related concussion. J Neurotrauma. 2014;31(5):413424. PubMed ID: 24266534 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Smith DW, Bailes JE, Fisher JA, Robles J, Turner RC, Mills JD. Internal jugular vein compression mitigates traumatic axonal injury in a rat model by reducing the intracranial slosh effect. Neurosurgery. 2012;70(3):740746. PubMed ID: 21904255 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Turner RC, Naser ZJ, Bailes JE, Smith DW, Fisher JA, Rosen CL. Effect of slosh mitigation on histologic markers of traumatic brain injury: laboratory investigation. J Neurosurg. 2012;117(6):11101118. PubMed ID: 22998060 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    OCEBM Levels of Evidence Working Group. The Oxford 2011 levels of evidence. 2011. http://www.cebm.net/ocebm-levels-of-evidence/. Accessed March 16, 2018.

    • Search Google Scholar
    • Export Citation
  • 10.

    PEDro. PEDro scale (English). 1999. https://www.pedro.org.au/english/downloads/pedro-scale/. Accessed March 16, 2018.

  • 11.

    Soares JM, Marques P, Alves V, Sousa N. A hitchhiker’s guide to diffusion tensor imaging. Front Neurosci. 2013;7:31. PubMed ID: 23486659 doi:

  • 12.

    Mohamed AZ, Corrigan F, Collins-Praino LE, Plummer SL, Soni N, Nasrallah FA. Evaluating spatiotemporal microstructural alterations following diffuse traumatic brain injury. Neuroimage Clin. 2020;25:102136. PubMed ID: 31865019 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Elbin RJ, Kontos AP, Kegel N, Johnson E, Burkhart S, Schatz P. Individual and combined effects of LD and ADHD on computerized neurocognitive concussion test performance: evidence for separate norms. Arch Clin Neuropsychol. 2013;28(5):476484. PubMed ID: 23608188 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Brown D, Elsass J, Miller A, Reed L, Reneker J. Differences in symptom reporting between males and females at baseline and after a sports-related concussion: a systematic review and meta-analysis. Sports Med. 2015;45(7):10271040. PubMed ID: 25971368 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Wang L, Zhang H, Fan Y. Comparative study of the mechanical properties, micro-structure, and composition of the cranial and beak bones of the great spotted woodpecker and the lark bird. Sci China Life Sci. 2011;54(11):10361041. PubMed ID: 22173310 doi:10.1007/s11427-011-4242-2

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Smoliga JM, Wang L. Woodpeckers don’t play football: implications for novel brain protection devices using mild jugular compression. Br J Sports Med. 2019;53(20):12621263. PubMed ID: 30366965 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Gibson LJ. Woodpecker pecking: how woodpeckers avoid brain injury. J Zool. 2006;270(3):462465. doi:10.1111/j.1469-7998.2006.00166.x

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