CC-BY-NC-ND 4.0 · Curr Res Concussion 2017; 04(01): e23-e31
DOI: 10.1055/s-0037-1606580
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Effects of External Jugular Compression Applied during High Intensity Power, Strength and Postural Control Tasks

Christopher A. DiCesare1, Kim D. Barber Foss1, 2, Staci Thomas1, Daniel K. Schneider1, 3, Nicholas M. Edwards4, Gregory D. Myer1, 3, 5, 6, 7
  • 1The SPORT Center and Human Performance Laboratory, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • 2Rocky Mountain University of Health Professions, Provo, Utah
  • 3College of Medicine, University of Cincinnati, Cincinnati, Ohio
  • 4Department of Orthopaedics, University of Minnesota, Minneapolis, Minnesota
  • 5Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio
  • 6Department of Orthopaedics, University of Pennsylvania, Philadelphia, Pennsylvania
  • 7The Micheli Center for Sports Injury Prevention, Boston's Children's Hospital, Waltham, Massachusetts
Further Information

Publication History

07 December 2016

31 July 2017

Publication Date:
21 September 2017 (online)


Introduction Current strategies focused on mitigating concussion in sport have demonstrated limited effectiveness. There is a paucity of research on the optimization of intracranial brain dynamics to mitigate concussion; in the present study, we investigate a novel device that provides mild jugular vein compression and may provide adjunctive protection to protect the brain internally from concussive and sub-concussive impacts. The purpose of this study was to assess the tolerance and acceptance of this device in a population of normal, healthy adults undergoing exertion similar to that is experienced while participating in sports-related competition, while monitoring changes in their biomechanical, strength, power, and postural stability capabilities.

Material and Methods A total 18 participants (8 females, 10 males) were tested and included in the final analysis. Laboratory data collection consisted of two separate testing sessions for all participants. During the first testing session, participants were tested while wearing either the mild jugular vein compression neck device or a sham arm device (Sham) that was worn on the upper arm and did not alter venous return; participants exchanged devices for the second session. Participants underwent a battery of physical and neurological tests that included three-dimensional (3-D) biomechanical analysis, dynamic postural control testing using a stabilometer, isokinetic strength testing using a dynamometer, and a maximum vertical jump test.

Results Evaluation of vital biomechanics, postural control and dynamic stabilization, isokinetic strength, and power in this population showed no statistically significant effect of wearing a mild jugular vein compression neck device compared with a Sham armband.

Conclusions The data evaluated in the current project indicate that the device is safe during high intensity and dynamic postural stabilization exercise and does not alter normal physical or neuromuscular capabilities during physical activity.