Effects of two cooling strategies on thermoregulatory responses of tetraplegic athletes during repeated intermittent exercise in the heat

1 Department of Sport and Exercise Science, University of Brighton, Eastbourne; 2 British Paralympic Association, Croydon, Surrey; 3 School of Science and the Environment, Coventry University, Coventry; and 4 Centre for Biophysical and Clinical Research into Human Movement, Department of Exercise and Sport Science, The Manchester Metropolitan University, Alsager, United Kingdom Submitted 26 July 2004 ; accepted in final form 21 January 2005 Athletes with spinal cord injury (SCI), and in particular tetraplegia, have an increased risk of heat strain and consequently heat illness relative to able-bodied individuals. Strategies that reduce the heat strain during exercise in a hot environment may reduce the risk of heat illness. To test the hypotheses that precooling or cooling during intermittent sprint exercise in a heated environment would attenuate the rise in core temperature in tetraplegic athletes, eight male subjects with SCI (lesions C 5 –C 7 ; 2 incomplete lesions) undertook four heat stress trials (32.0 ± 0.1°C, 50 ± 0.1% relative humidity). After assessment of baseline thermoregulatory responses at rest for 80 min, subjects performed three intermittent sprint protocols for 28 min. All trials were undertaken on an arm crank ergometer and involved a no-cooling control (Con), 20 min of precooling (Pre), or cooling during exercise (Dur). Trials were administered in a randomized order. After the intermittent sprint protocols, mean core temperature was higher during Con (37.3 ± 0.3°C) compared with Pre and Dur (36.5 ± 0.6°C and 37.0 ± 0.5°C, respectively; P < 0.01). Moreover, perceived exertion was lower during Pre (13 ± 2; P < 0.01) and Dur (12 ± 1; P < 0.01) compared with Con (14 ± 2). These results suggest that both precooling and cooling during intermittent sprint exercise in the heat reduces thermal strain in tetraplegic athletes. The cooling strategies also appear to show reduced perceived exertion at equivalent time points, which may translate into improved functional capacity. spinal cord injury; core temperature; thermal strain; functional capacity Address for reprint requests and other correspondence: V. Goosey-Tolfrey, Dept. of Exercise and Sport Science, The Manchester Metropolitan Univ., Crewe+Alsager Faculty, Alsager ST7 2HL, UK (E-mail: v.tolfrey{at}mmu.ac.uk )