Heat-related injuries and other physiological stresses continue to be a significant threat to the health and operational effectiveness of the US Armed Forces (Armed Forces Health Surveillance 2011). This is because military personnel are exposed to exertional and environmental heat-stress factors during both deployment and training at US installations in hot and humid climates. Cold water immersion (CWI) is considered the gold standard for the treatment of exertional heat stroke (EHS) and has been shown to increase survival rates to 100% with the implementation of CWI best practices. However, in a field setting other cooling strategies have been developed to aid in the prevention of EHS and other heat-related illnesses. One such proposed strategy is a portable hand cooling device that does not require the use of ice or water. Therefore, the primary purpose of this investigation is to validate hand and back cooling devices using physiological, cognitive, performance, and perceptual responses that occur during and following rest, exercise, and cooling in the heat.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
24
hand cooling at 12-15 degrees celsius will be performed for active cooling by having participants place their hands on the cooling device set to this temperature
hand cooling at 16-20 degrees celsius will be performed for active cooling by having participants place their hands on the cooling device set to this temperature
hand and back cooling at 12-15 or 16-20 degrees celsius will be performed for active cooling by having participants place their hands on the cooling device set to this temperature while also wearing the back wrap cooling device set to this temperature
participants will sit in a chair and "passively cool" (no active intervention)
Korey Stringer Institute, University of Connecticut
Storrs, Connecticut, United States
Difference in VO2max between Cycle ergometer and treadmill
Participants will be fitted with a Hans Rudolph mask attached to a breathing tube to measure the expired air delivered to the metabolic cart system during the exercise protocol. The metabolic cart will continuously measure oxygen consumption (VO2) to asess their VO2max value.
Time frame: through study completion, an average of 2 weeks
Metabolic Heat Production
Participants will be tested for 3-5 minutes at different % of their VO2max. It will include 5 stages.
Time frame: through study completion, an average of 2 weeks
Change in Rectal Temperature
Rectal thermometer will be self-inserted by participant to assess core temperature
Time frame: through study completion, an average of 2 weeks
Change in Heart Rate
A heart rate monitor will be worn by participant throughout exercise/cooling protocol
Time frame: through study completion, an average of 2 weeks
Change in Mean Skin temperature
Prior to the start of exercise, participants will be instrumented with iButton skin temperature sensors on the chest, arm, thigh, calf, back of hand, and ankle
Time frame: through study completion, an average of 2 weeks
Change in Rating of Perceived Exertion
6-20 scale that indicates how hard the participant feels they are working. 6 represents rest and 20 represents maximal exertion. A high score indicates more perceived exertion.
Time frame: through study completion, an average of 2 weeks
Change in Performance Measures
Participants will perform a performance battery consisting of a wingate anaerobic power test, grip strength test, and broad jump test
Time frame: through study completion, an average of 2 weeks
Change Injury Risk Assessment Measures
Participants will perform a injury risk assessment battery consisting of a balance and squat form assessments
Time frame: through study completion, an average of 2 weeks
Change in Cognitive Measures
Participants will perform 2 cognitive tests (Go-Nogo and Stroop) on a laptop to measure reaction time and errors. Both tests should take 5 minutes
Time frame: through study completion, an average of 2 weeks
Change in Recovery
Participants will be provided a WHOOP strap and Polar heart rate strap at their first visit. They will be instructed on how to download the associated apps and how to charge and care for the devices. They will be provided instructions with how to take heart rate measures. The WHOOP and heart rate measures will provide data on sleep quality and quantity, strain, and recovery.
Time frame: through study completion, an average of 2 weeks
Change in Thermal Sensation
0-8 Scale (cold to hot) that indicated how cold or hot the participate feels. 0 = extremely cold, 8 = extremely hot
Time frame: through study completion, an average of 2 weeks
Change in Perception of Fatigue
0-10 (no fatigue to extreme fatigue) Scale that indicates how fatigued the participate feels. High score indicates more fatigue (negative outcome).
Time frame: through study completion, an average of 2 weeks
Change in Perception of thirst
0-9 (no thirst to extreme thirst) Scale that indicates how thirsty the subject feels. A higher score is considered a negative outcome
Time frame: through study completion, an average of 2 weeks
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