Whole-body active heating does not preserve finger temperature or manual dexterity during cold-water immersion

2020 ◽  
pp. 253-260
Author(s):  
Courtney E. Wheelock ◽  
Hayden W. Hess ◽  
Zachary J. Schlader ◽  
Blair D. Johnson ◽  
David Hostler ◽  
...  
Keyword(s):  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Manual Dexterity ◽  
Whole Body ◽  
Finger Temperature ◽  
Thermal Thresholds ◽  
Increased Risk ◽  
Core Body ◽  
Skin Temperatures

Background: Cold-water immersion impairs manual dexterity when finger temperature is below 15˚C. This exposes divers to increased risk of error. We hypothesized that whole-body active heating would maintain finger temperatures and dexterity during cold-water immersion. Methods: Twelve subjects (six males) (22±2 years old; BMI 23.9±2.5; body fat 16±6%) completed 60-minute head-out water immersion (HOWI) wearing a 7mm wetsuit and 3mm gloves in thermoneutral water (TN 25˚C) and cold water (CW 10˚C)while wearing a water-perfused suit (WP) with 37˚C water circulated over the torso, arms, and legs. Gross (Minnesota Manual Dexterity Test [MMDT]) and fine (modified Purdue Pegboard [PPT]) dexterity were assessed before, during and after immersion. Core body and skin temperatures were recorded every 10 minutes. Results: MMDT (TN -25±14%; CW -72±23%; WP -67±29%; p<0.05) and PPT (TN -16±9%; CW: -45±10%; WP: -38±13%; p<0.05) performance decreased during immersion. MMDT and PPT did not differ between CW and WP. Immediately following immersion gross dexterity was recovered in all conditions. Post-immersion fine dexterity was still impaired in CW (p<0.01), but not WP or TN. Core and skin temperatures decreased during immersion in CW and WP (p<0.05) but did not differ between CW and WP. Conclusions: Manual dexterity decreased during immersion. Dexterity was further impaired during cold-water immersion and was not maintained by water perfusion active heating. Warm water perfusion did not maintain finger temperature above 15˚C but hand temperature remained above these limits, suggesting a need to reassess thermal thresholds for working divers in cold-water conditions.

Cold-water acclimation does not modify whole-body fluid regulation during subsequent cold-water immersion

2004 ◽  
Vol 92 (1-2) ◽  
pp. 56-61 ◽  
Author(s):  
J. M. Stocks ◽  
M. J. Patterson ◽  
D. E. Hyde ◽  
A. B. Jenkins ◽  
K. D. Mittleman ◽  
...  
Keyword(s):  
Body Fluid ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Whole Body ◽  
Fluid Regulation ◽  
Body Fluid Regulation

Tolerance of Gaspé fishermen to cold water

1960 ◽  
Vol 15 (6) ◽  
pp. 1031-1034 ◽  
Author(s):  
Jacques LeBlanc ◽  
J. A. Hildes ◽  
O. Héroux
Keyword(s):  
Cold Water ◽  
Pressor Response ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Control Group ◽  
Skin Thickness ◽  
Finger Temperature ◽  
Control Subjects ◽  
Skin Biopsies ◽  
And Control

A group of Gaspé fishermen used to cold water immersion and control subjects from the same vicinity were studied to determine if the fishermen's hands were adapted to cold. With one hand immersed in cold water, the pressor response was greater in the control subjects; the fishermen maintained a higher finger temperature and complained less of pain; heat flow from the fishermen's hands was greater than in the control group; finger numbness as measured by a modification of Mackworth's V-test was variable and not significantly different in the two groups. Skin biopsies showed no difference in skin thickness or cell size but there was a significantly greater number of mast cells in the fishermen's skin. The differences between the fishermen and the control subjects may be related to repeated cold exposure. Submitted on June 7, 1960

scholarly journals Cooling Effectiveness of a Modified Cold-Water Immersion Method After Exercise-Induced Hyperthermia

2016 ◽  
Vol 51 (11) ◽  
pp. 946-951 ◽  
Author(s):  
Katherine E. Luhring ◽  
Cory L. Butts ◽  
Cody R. Smith ◽  
Jeffrey A. Bonacci ◽  
Ramon C. Ylanan ◽  
...  
Keyword(s):  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Effect Size ◽  
Cold Water ◽  
Water Immersion ◽  
Heat Stroke ◽  
Cold Water Immersion ◽  
Whole Body ◽  
Exertional Heat Stroke

Context: Recommended treatment for exertional heat stroke includes whole-body cold-water immersion (CWI). However, remote locations or monetary or spatial restrictions can challenge the feasibility of CWI. Thus, the development of a modified, portable CWI method would allow for optimal treatment of exertional heat stroke in the presence of these challenges. Objective: To determine the cooling rate of modified CWI (tarp-assisted cooling with oscillation [TACO]) after exertional hyperthermia. Design: Randomized, crossover controlled trial. Setting: Environmental chamber (temperature = 33.4°C ± 0.8°C, relative humidity = 55.7% ± 1.9%). Patients or Other Participants: Sixteen volunteers (9 men, 7 women; age = 26 ± 4.7 years, height = 1.76 ± 0.09 m, mass = 72.5 ± 9.0 kg, body fat = 20.7% ± 7.1%) with no history of compromised thermoregulation. Intervention(s): Participants completed volitional exercise (cycling or treadmill) until they demonstrated a rectal temperature (Tre) ≥39.0°C. After exercise, participants transitioned to a semirecumbent position on a tarp until either Tre reached 38.1°C or 15 minutes had elapsed during the control (no immersion [CON]) or TACO (immersion in 151 L of 2.1°C ± 0.8°C water) treatment. Main Outcome Measure(s): The Tre, heart rate, and blood pressure (reported as mean arterial pressure) were assessed precooling and postcooling. Statistical analyses included repeated-measures analysis of variance with appropriate post hoc t tests and Bonferroni correction. Results: Before cooling, the Tre was not different between conditions (CON: 39.27°C ± 0.26°C, TACO: 39.30°C ± 0.39°C; P = .62; effect size = −0.09; 95% confidence interval [CI] = −0.2, 0.1). At postcooling, the Tre was decreased in the TACO (38.10°C ± 0.16°C) compared with the CON condition (38.74°C ± 0.38°C; P &lt; .001; effect size = 2.27; 95% CI = 0.4, 0.9). The rate of cooling was greater during the TACO (0.14 ± 0.06°C/min) than the CON treatment (0.04°C/min ± 0.02°C/min; t15 = −8.84; P &lt; .001; effect size = 2.21; 95% CI = −0.13, −0.08). These differences occurred despite an insignificant increase in fluid consumption during exercise preceding CON (0.26 ± 0.29 L) versus TACO (0.19 ± 0.26 L; t12 = 1.73; P = .11; effect size = 0.48; 95% CI = −0.02, 0.14) treatment. Decreases in heart rate did not differ between the TACO and CON conditions (t15 = −1.81; P = .09; effect size = 0.45; 95% CI = −22, 2). Mean arterial pressure was greater at postcooling with TACO (84.2 ± 6.6 mm Hg) than with CON (67.0 ± 9.0 mm Hg; P &lt; .001; effect size = 2.25; 95% CI = 13, 21). Conclusions: The TACO treatment provided faster cooling than did the CON treatment. When location, monetary, or spatial restrictions are present, TACO represents an effective alternative to traditional CWI in the emergency treatment of patients with exertional hyperthermia.

Cooling and Performance Recovery of Trained Athletes: A Meta-Analytical Review

2013 ◽  
Vol 8 (3) ◽  
pp. 227-242 ◽  
Author(s):  
Wigand Poppendieck ◽  
Oliver Faude ◽  
Melissa Wegmann ◽  
Tim Meyer
Keyword(s):  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Effect Sizes ◽  
Whole Body ◽  
Intensive Training ◽  
Positive Effects ◽  
Performance Recovery ◽  
And Performance ◽  
Whole Body Cooling

Purpose:Cooling after exercise has been investigated as a method to improve recovery during intensive training or competition periods. As many studies have included untrained subjects, the transfer of those results to trained athletes is questionable.Methods:Therefore, the authors conducted a literature search and located 21 peer-reviewed randomized controlled trials addressing the effects of cooling on performance recovery in trained athletes.Results:For all studies, the effect of cooling on performance was determined and effect sizes (Hedges’ g) were calculated. Regarding performance measurement, the largest average effect size was found for sprint performance (2.6%, g = 0.69), while for endurance parameters (2.6%, g = 0.19), jump (3.0%, g = 0.15), and strength (1.8%, g = 0.10), effect sizes were smaller. The effects were most pronounced when performance was evaluated 96 h after exercise (4.3%, g = 1.03). Regarding the exercise used to induce fatigue, effects after endurance training (2.4%, g = 0.35) were larger than after strength-based exercise (2.4%, g = 0.11). Cold-water immersion (2.9%, g = 0.34) and cryogenic chambers (3.8%, g = 0.25) seem to be more beneficial with respect to performance than cooling packs (−1.4%, g= −0.07). For cold-water application, whole-body immersion (5.1%, g = 0.62) was significantly more effective than immersing only the legs or arms (1.1%, g = 0.10).Conclusions:In summary, the average effects of cooling on recovery of trained athletes were rather small (2.4%, g = 0.28). However, under appropriate conditions (whole-body cooling, recovery from sprint exercise), postexercise cooling seems to have positive effects that are large enough to be relevant for competitive athletes.

scholarly journals Acute Whole-Body Cooling for Exercise-Induced Hyperthermia: A Systematic Review

2009 ◽  
Vol 44 (1) ◽  
pp. 84-93 ◽  
Author(s):  
Brendon P. McDermott ◽  
Douglas J. Casa ◽  
Matthew S. Ganio ◽  
Rebecca M. Lopez ◽  
Susan W. Yeargin ◽  
...  
Keyword(s):  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Whole Body ◽  
Original Research ◽  
Induced Hyperthermia ◽  
Body Cooling ◽  
Exercise Induced ◽  
Whole Body Cooling ◽  
Ice Water

Abstract Objective: To assess existing original research addressing the efficiency of whole-body cooling modalities in the treatment of exertional hyperthermia. Data Sources: During April 2007, we searched MEDLINE, EMBASE, Scopus, SportDiscus, CINAHL, and Cochrane Reviews databases as well as ProQuest for theses and dissertations to identify research studies evaluating whole-body cooling treatments without limits. Key words were cooling, cryotherapy, water immersion, cold-water immersion, ice-water immersion, icing, fanning, bath, baths, cooling modality, heat illness, heat illnesses, exertional heatstroke, exertional heat stroke, heat exhaustion, hyperthermia, hyperthermic, hyperpyrexia, exercise, exertion, running, football, military, runners, marathoner, physical activity, marathoning, soccer, and tennis. Data Synthesis: Two independent reviewers graded each study on the Physiotherapy Evidence Database (PEDro) scale. Seven of 89 research articles met all inclusion criteria and a minimum score of 4 out of 10 on the PEDro scale. Conclusions: After an extensive and critical review of the available research on whole-body cooling for the treatment of exertional hyperthermia, we concluded that ice-water immersion provides the most efficient cooling. Further research comparing whole-body cooling modalities is needed to identify other acceptable means. When ice-water immersion is not possible, continual dousing with water combined with fanning the patient is an alternative method until more advanced cooling means can be used. Until future investigators identify other acceptable whole-body cooling modalities for exercise-induced hyperthermia, ice-water immersion and cold-water immersion are the methods proven to have the fastest cooling rates.

scholarly journals Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study

Medicina ◽  
2020 ◽  
Vol 56 (10) ◽  
pp. 539
Author(s):  
Yuri Hosokawa ◽  
Luke N. Belval ◽  
William M. Adams ◽  
Lesley W. Vandermark ◽  
Douglas J. Casa
Keyword(s):  
Cooling Rate ◽  
Body Mass ◽  
Cold Water ◽  
Water Immersion ◽  
Heat Stroke ◽  
Cooling Capacity ◽  
Cold Water Immersion ◽  
Whole Body ◽  
Climatic Chamber ◽  
Exercise Induced

Background and objectives: Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min−1 or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. Materials and Methods: Fourteen recreationally active participants (mean ± SD; male, n = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m2. female, n = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m2) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (TRE) >39 °C (mean TRE, 39.59 ± 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until TRE reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. Results: There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, p < 0.01, η2p = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min−1) than PASS (0.04 ± 0.01 °C·min−1) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, p = 0.02, η2p = 0.20) and cooling modality type (F[1, 24] = 4.38, p = 0.047, η2p = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, p = 0.03); however, this association was not significant in vest (r = −0.252, p = 0.39). Conclusions: Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.

Effect of alcohol on thermal balance of man in cold water

1979 ◽  
Vol 57 (8) ◽  
pp. 860-865 ◽  
Author(s):  
G. R. Fox ◽  
J. S. Hayward ◽  
G. N. Hobson
Keyword(s):  
Metabolic Rate ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Cooling Rates ◽  
Rate Of Increase ◽  
Exercise Period ◽  
Hot Bath ◽  
Core Cooling ◽  
Skin Temperatures

The effects of alcohol on core cooling rates (rectal and tympanic), skin temperatures, and metabolic rate were determined for 10 subjects rendered hypothermic by immersion for 45 min in 10 °C water. Experiments were duplicated with and without a 20-min period of exercise at the beginning of cold water immersion. Measurements were continued during rewarming in a hot bath. With blood alcohol concentrations averaging 82 mg 100 mL−1, core cooling rates and changes in skin temperatures were insignificantly different from controls, even if the exercise period was imposed. Alcohol reduced shivering metabolic rate by an overall mean of 13%, insufficient to affect cooling rate. Alcohol had no effect on metabolic rate during exercise. During rewarming by hot bath, the amount of 'afterdrop' and rate of increase in core temperature were unaffected by alcohol. It was concluded that alcohol in a moderate dosage does not influence the rate of progress into hypothermia or subsequent, efficient rewarming. This emphasizes that the high incidence of alcohol involvement in water-related fatalities is due to alcohol potentiation of accidents rather than any direct effects on cold water survival, although very high doses of alcohol leading to unconsciousness would increase rate of progress into hypothermia.

scholarly journals Effect of the Depth of Cold Water Immersion on Sleep Architecture and Recovery Among Well-Trained Male Endurance Runners

2021 ◽  
Vol 3 ◽  
Author(s):  
Maxime Chauvineau ◽  
Florane Pasquier ◽  
Vincent Guyot ◽  
Anis Aloulou ◽  
Mathieu Nedelec
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Muscle Damage ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Sleep Architecture ◽  
Whole Body ◽  
Partial Body ◽  
Endurance Runners

Introduction: The aim of the present study was to investigate the effect of the depth of cold water immersion (CWI) (whole-body with head immersed and partial-body CWI) after high-intensity, intermittent running exercise on sleep architecture and recovery kinetics among well-trained runners.Methods: In a randomized, counterbalanced order, 12 well-trained male endurance runners (V.O2max = 66.0 ± 3.9 ml·min−1·kg−1) performed a simulated trail (≈18:00) on a motorized treadmill followed by CWI (13.3 ± 0.2°C) for 10 min: whole-body immersion including the head (WHOLE; n = 12), partial-body immersion up to the iliac crest (PARTIAL; n = 12), and, finally, an out-of-water control condition (CONT; n = 10). Markers of fatigue and muscle damage—maximal voluntary isometric contraction (MVIC), countermovement jump (CMJ), plasma creatine kinase [CK], and subjective ratings—were recorded until 48 h after the simulated trail. After each condition, nocturnal core body temperature (Tcore) was measured, whereas sleep and heart rate variability were assessed using polysomnography.Results: There was a lower Tcore induced by WHOLE than CONT from the end of immersion to 80 min after the start of immersion (p &lt; 0.05). Slow-wave sleep (SWS) proportion was higher (p &lt; 0.05) during the first 180 min of the night in WHOLE compared with PARTIAL. WHOLE and PARTIAL induced a significant (p &lt; 0.05) decrease in arousal for the duration of the night compared with CONT, while only WHOLE decreased limb movements compared with CONT (p &lt; 0.01) for the duration of the night. Heart rate variability analysis showed a significant reduction (p &lt; 0.05) in RMSSD, low frequency (LF), and high frequency (HF) in WHOLE compared with both PARTIAL and CONT during the first sequence of SWS. No differences between conditions were observed for any markers of fatigue and muscle damage (p &gt; 0.05) throughout the 48-h recovery period.Conclusion: WHOLE reduced arousal and limb movement and enhanced SWS proportion during the first part of the night, which may be particularly useful in the athlete's recovery process after exercise. Future studies are, however, required to assess whether such positive sleep outcomes may result in overall recovery optimization.

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