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Sex and Age Ultrasound Response to Differential Jugular Vein Pressure

Sex and Age Ultrasound Response to Differential Jugular Vein Pressure

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03017937
Enrollment
155
Registered
2017-01-11
Start date
2016-11-30
Completion date
2019-06-30
Last updated
2020-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Concussion, Mild

Brief summary

Clinical trials have suggested that this device is effective in mitigating changes in brain structure and function in athlete populations. The purpose of the current study is to measure the response of the jugular vein to various pressures applied by a generic compression device across various ages and gender. The relative jugular vein response will be measured using ultrasound.

Detailed description

The Device has the promise of providing a novel mechanism for reducing or preventing the likelihood of TBI, and may be used in conjunction with other protective equipment. TBI is the leading cause of death in individuals under age 45. The cost of TBI in the U.S. is estimated at anywhere from $50 to $150 billion, annually. Concussion in female high school soccer players have been noted to occur at a rate of 4.5 concussions per 10,000 athletic exposures (Comstock, Currie et al. 2015). The investigators propose that Slosh Theory can explain these differences offering a mechanistic approach that could help shed light on further ways to alleviate the TBI burden on society. Note that Slosh Theory teaches that hydrodynamics (fluids moving within moving containers) contribute to, or are even the main etiology for, energy absorption of the cranial contents and that mitigation of SLOSH (increased compensatory reserve volume) may mitigate TBI. Significant morbidity, mortality, and related costs are caused by traumatic brain injury (TBI). A simple, effective, and lightweight device worn by athletes or war fighters in the field, designed to mitigate TBI resulting from blast trauma or concussive events, would save lives, and the huge costs currently being experienced for life-treatment of surviving victims. An externally-worn medical device (the Device) that applies mild jugular vein compression according to the principle of the Queckenstedt Maneuver, is being developed by Q30 Sports Science, LLC (Q30). Preliminary research suggests that the Device has the potential to reduce the likelihood of TBI. The currently developed collar (Smith 2009, Smith and Fisher 2011, Smith and Fisher 2011, Smith 2012) has been approved for studies in humans (IRB 2013-2240) and the results indicate safety for use during high demand and maximal exertion activities. Regarding safety, the externally worn collar is meticulously designed to mimic the body's own omohyoid muscle actions upon the jugular veins that will provide similar pressure and volume increases not to surpass that of a yawn or the mere act of just lying down. Initial safety testing and early clinical trials indicate that the collar application is both safe and efficacious to prevent brain microstructure and neurophysiological changes in response to head impacts.

Interventions

DEVICEQ-collar

capture ultrasound images at each pressure point

Sponsors

Children's Hospital Medical Center, Cincinnati
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
7 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

* Normal healthy volunteer aged 7-60 * Able to provide written consent * Able to tolerate hypercapnia for 1-2 minutes

Exclusion criteria

* Unable to provide written consent * History of neurological deficits, previous cerebral infarction, or severe head trauma as indicated through pre-season screening: * Medical contraindications to restriction of venous outflow via the internal jugular veins (known increased intracerebral pressure, metabolic acidosis or alkalosis) * Glaucoma (Narrow Angle or Normal Tension) * Hydrocephalus * Recent penetrating brain trauma (within 6 months) * Known carotid hypersensitivity * Known increased intracranial pressure * Central vein thrombosis * Any known airway obstruction * Any known seizure disorder

Design outcomes

Primary

MeasureTime frameDescription
Neck Collar Size1 hourmeasurement of the neck collar size at each pressure level

Countries

United States

Participant flow

Participants by arm

ArmCount
Q- Collar
All subjects will wear 3 sizes of the q-collar and ultrasound images of the jugular vein will be measured with each collar. Also, each subject will wear a pressure collar and ultrasound images of the jugular vein will be captured at each pressure point (0.1-0.5) Q-collar: capture ultrasound images at each pressure point
155
Total155

Baseline characteristics

CharacteristicQ- Collar
Age, Continuous28.8 years
STANDARD_DEVIATION 14.8
Average neck size13.5 inches
STANDARD_DEVIATION 2.18
Race and Ethnicity Not Collected— Participants
Region of Enrollment
United States
155 participants
Sex: Female, Male
Female
69 Participants
Sex: Female, Male
Male
86 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 155
other
Total, other adverse events
0 / 155
serious
Total, serious adverse events
0 / 155

Outcome results

Primary

Neck Collar Size

measurement of the neck collar size at each pressure level

Time frame: 1 hour

Population: analysis broken down by gender and collar size

ArmMeasureGroupValue (MEAN)Dispersion
FemalesNeck Collar SizeSize 14 1.014.133 inchesStandard Deviation 0.05
FemalesNeck Collar SizeSize 12 1.2512.25 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 14 1.2514.167 inchesStandard Deviation 0.05
FemalesNeck Collar SizeSize 11 1.011.25 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 15 0.7515.15 inchesStandard Deviation 0.053
FemalesNeck Collar SizeSize 13 0.7513.18 inchesStandard Deviation 0.1
FemalesNeck Collar SizeSize 15 1.015.2 inchesStandard Deviation 0.107
FemalesNeck Collar SizeSize 12 0.7512.25 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 16 1.016.24 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 13 1.013.18 inchesStandard Deviation 0.101
FemalesNeck Collar SizeSize 16 1.2516.23 inchesStandard Deviation 0.104
FemalesNeck Collar SizeSize 11 0.7511.15 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 17 0.7517.1 inchesStandard Deviation 0
FemalesNeck Collar SizeSize 13 1.2513.24 inchesStandard Deviation 0.051
FemalesNeck Collar SizeSize 17 1.017.2 inchesStandard Deviation 0
FemalesNeck Collar SizeSize 12 1.012.25 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 17 1.2517.3 inchesStandard Deviation 0
FemalesNeck Collar SizeSize 14 0.7514.133 inchesStandard Deviation 0.05
FemalesNeck Collar SizeSize 15 1.2515.15 inchesStandard Deviation 0.053
FemalesNeck Collar SizeSize 11 1.2511.145 inchesStandard Deviation 0.052
FemalesNeck Collar SizeSize 16 0.7516.26 inchesStandard Deviation 0.052
MalesNeck Collar SizeSize 17 1.017.15 inchesStandard Deviation 0.052
MalesNeck Collar SizeSize 15 1.015.19 inchesStandard Deviation 0.103
MalesNeck Collar SizeSize 15 1.2515.14 inchesStandard Deviation 0.051
MalesNeck Collar SizeSize 14 1.2514.133 inchesStandard Deviation 0.05
MalesNeck Collar SizeSize 18 0.7518.15 inchesStandard Deviation 0.93
MalesNeck Collar SizeSize 18 1.018.15 inchesStandard Deviation 0.093
MalesNeck Collar SizeSize 18 1.2518.13 inchesStandard Deviation 0.047
MalesNeck Collar SizeSize 11 0.7511.11 inchesStandard Deviation 0.032
MalesNeck Collar SizeSize 11 1.011.21 inchesStandard Deviation 0.032
MalesNeck Collar SizeSize 11 1.2511.11 inchesStandard Deviation 0.032
MalesNeck Collar SizeSize 12 0.7512.28 inchesStandard Deviation 0.044
MalesNeck Collar SizeSize 12 1.012.22 inchesStandard Deviation 0.044
MalesNeck Collar SizeSize 12 1.2512.22 inchesStandard Deviation 0.044
MalesNeck Collar SizeSize 13 0.7513.23 inchesStandard Deviation 0.1
MalesNeck Collar SizeSize 13 1.013.23 inchesStandard Deviation 0.1
MalesNeck Collar SizeSize 13 1.2513.27 inchesStandard Deviation 0.05
MalesNeck Collar SizeSize 14 0.7514.156 inchesStandard Deviation 0.053
MalesNeck Collar SizeSize 14 1.014.167 inchesStandard Deviation 0.05
MalesNeck Collar SizeSize 17 1.2517.19 inchesStandard Deviation 0.1
MalesNeck Collar SizeSize 15 0.7515.14 inchesStandard Deviation 0.051
MalesNeck Collar SizeSize 16 0.7516.27 inchesStandard Deviation 0.05
MalesNeck Collar SizeSize 16 1.016.23 inchesStandard Deviation 0.05
MalesNeck Collar SizeSize 16 1.2516.24 inchesStandard Deviation 0.1
MalesNeck Collar SizeSize 17 0.7517.15 inchesStandard Deviation 0.052

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026