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Published on: February 20, 2018
Neurovascular Coupling in Special Operations Forces Combat Soldiers
Patricia R Roby1,2, Jamie P DeCicco1, Avinash Chandran1,3
1Department of Exercise and Sport Science, Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, The University of North Carolina at Chapel Hill, 2207 Stallings-Evans Sports Medicine Center, Chapel Hill, NC, USA.
Concussion history did not affect neurovascular coupling (NVC) in Special Operations Forces (SOF) soldiers. However, a dose-response relationship was observed, with more concussions correlating to greater task-related NVC differences.
Area of Science:
- Neuroscience
- Military Medicine
- Cerebrovascular Physiology
Background:
- Concussions and head injuries are prevalent in Special Operations Forces (SOF) due to combat exposures.
- The long-term neurophysiological consequences of repeated head impacts and blast injuries remain incompletely understood.
- Neurovascular coupling (NVC), the relationship between brain activity and blood flow, is a potential indicator of cerebrovascular health.
Purpose of the Study:
- To investigate the impact of concussion history on NVC in SOF combat Soldiers.
- To determine if prior concussions alter the brain's ability to regulate blood flow during cognitive tasks.
- To explore a potential dose-response relationship between the number of concussions and NVC.
Main Methods:
- 100 SOF combat Soldiers were studied, with 55% reporting a history of concussion.
- Transcranial Doppler (TCD) ultrasound assessed NVC by measuring posterior cerebral artery (PCA) velocity changes during reading and visual search tasks.
- Linear mixed-effect models analyzed group differences in PCA velocity response curves based on concussion history.
Main Results:
- No significant differences in baseline PCA velocity or NVC response were found between SOF Soldiers with and without a concussion history during cognitive tasks.
- Among SOF Soldiers with a concussion history, a significantly greater differential response to tasks was observed in those with three or more concussions compared to those with one to two.
- This suggests a dose-response effect where higher concussion incidence may be associated with altered NVC patterns.
Conclusions:
- While overall concussion history did not significantly impact NVC in this SOF cohort, a dose-dependent relationship emerged.
- Assessing NVC may offer insights into cerebrovascular function and overall health following head injuries in military personnel.
- Further research is needed to elucidate the long-term neurophysiological effects of head impacts and blast-related injuries in SOF.
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