The aim of the study is to understand the relationship between intracranial pressure regulation, cerebral tissue oxygenation and cognitive functioning. More specifically, the study tests the hypothesis that head down tilt will increase intracranial pressure (not measured in this study, but demonstrated in previous studies), will induce venous congestion and facial swelling, decrease intracranial tissue oxygenation and hamper brain functioning. The objectives of the study therefore are to assess young healthy people during head-down tilt (HDT), and to assess cognitive brain functioning, cerebral tissue oxygenation (non-invasively), frontal skin thickness, cerebral perfusion and neuronal functioning via event-related potentials.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
13
supine head down tilt
DLR German Aerospace Center
Cologne, Germany
Change in cognitive test battery score
The test battery includes sensomotoric speed, psychomotor vigilance, visual analysis of items, abstract thinking and mathematical processing
Time frame: Twice at baseline, and 30 minutes and 20 hours after starting the intervention
Change in mid cerebral artery blood flow velocity
Transcranial Doppler measurements
Time frame: Twice at baseline, and 10 minutes and 19 hours after starting the intervention
Change in cerebral tissue oxygenation
Near-infrared measurement
Time frame: Twice at baseline, and 10 minutes and 19 hours after starting the intervention
Magnetic resonance Imaging: Change in cerebral blood flow
Magnetic resonance imaging will be performed in order to gain information about intracranial blood flow.
Time frame: Once at baseline, and 2 and 19 hours after starting the intervention
Magnetic resonance Imaging: Change in resting state functional MRI (fMRI)
Magnetic resonance imaging will be performed to assess resting state functional MRI.
Time frame: Once at baseline, and 2 and 19 hours after starting the intervention
Magnetic resonance Imaging: Change in fMRI Response to decision task
Magnetic resonance imaging will be performed in order to assess functional MRI during a decision task combing a reaction time test using a visual stimulus.
Time frame: Once at baseline, and 2 and 19 hours after starting the intervention
Change in jugular vein filling
Conventional Imaging ultrasound from jugular veins veins will be used to assess vein cross sections
Time frame: Once at baseline, and 10 minutes and 19 hours after starting the intervention
Change in frontal vein filling
Conventional Imaging ultrasound from the frontal veins will be used to assess vein cross sections
Time frame: Once at baseline, and 10 minutes and 19 hours after starting the intervention
Change in P-300
P-300 will be assessed via an EEG electrode during cognitive test battery
Time frame: Twice at baseline, and 30 minutes and 20 hours after starting the intervention
Change in sleep effectiveness
Polysomnographic recordings
Time frame: over the entire intervention night
Change in total sleep time
Polysomnographic recordings
Time frame: from 22:00 until 6:00 in all nights
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