Effects of Wrist Cooling on Recovery From Exercise-Induced Heat Stress With Firefighting Personal Protective Equipment

J Occup Environ Med. 2018 Nov;60(11):1049-0. doi: 10.1097/JOM.0000000000001436.

Abstract

Objective: To determine the effects of wrist cooling on recovery from exercise-induced heat stress (EIHS) from wearing firefighting personal protective equipment (PPE) and self-contained breathing apparatus.

Methods: Using a single-blind, counterbalanced, crossover-design, in 11 healthy men, we measured heart rate (HR), HR variability (HRV), core temperature (TCore), thermal strain (TS), and fatigue at rest, during 30-minute of exercise in PPE+SCBA, and during recovery while wearing a wrist cooling band (control[off] vs cool[on]).

Results: No differences were observed between trials at baseline or during exercise, in HR, TCore, TS, or fatigue. Time to 50% and recovery were not different between trials. Upon recovery, TCore was lower, while HR, fatigue, HRV, and TS were relatively indifferent with cooling.

Conclusion: Wrist cooling after EIHS only modestly enhanced recovery, questioning its implementation during on-scene rehabilitation of firefighters.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Body Temperature
  • Cross-Over Studies
  • Cryotherapy*
  • Exercise / physiology*
  • Fatigue / physiopathology
  • Fires
  • Heart Rate
  • Heat-Shock Response / physiology*
  • Humans
  • Male
  • Protective Clothing / adverse effects
  • Recovery of Function
  • Respiratory Protective Devices / adverse effects
  • Single-Blind Method
  • Wrist
  • Young Adult