The effects of cranial cooling during recovery on subsequent uncompensable heat stress tolerance.

This study compared cranial (CC) with passive (CON) cooling during recovery on tolerance to subsequent exercise while wearing firefighting protective ensemble and self-contained breathing apparatus in a hot-humid environment. Eleven males (mean ± SD; age, 30.9 ± 9.2 years; peak oxygen consumption, 49.5 ± 5.1 mL · kg(-1) · min(-1)) performed 2 × 20 min treadmill walks (5.6 km · h(-1), 4% incline) in 35 °C and 60% relative humidity. During a 20-min recovery (rest), participants sat and removed gloves, helmets, and flash hoods but otherwise remained encapsulated. A close-fitting liquid-perfused hood pumped 13 °C water at ∼ 500 mL · min(-1) through the head and neck (CC) or no cooling hood was worn (CON). During rest, neck temperature was lower in CC compared with CON from 4 min (CC: 35.73 ± 3.28 °C, CON: 37.66 ± 1.35 °C, p = 0.025) until the end (CC: 33.06 ± 4.70 °C, CON: 36.85 ± 1.63 °C, p = 0.014). Rectal temperature rose in both CC (0.11 ± 0.19 °C) and CON (0.26 ± 0.15 °C) during rest, with nonsignificant interaction between conditions (p = 0.076). Perceived thermal stress was lower (p = 0.006) from 5 min of CC (median: 3 (quartile 1: 3, quartile 3: 4)) until the end of rest compared with CON (median: 4 (quartile 1: 4, quartile 3: 4)). However, there were no significant differences (p = 0.906) in tolerance times during the second exercise between CC (16.55 ± 1.14 min) and CON (16.60 ± 1.31 min), nor were there any difference in rectal temperature at the start (CC: 38.30 ± 0.40 °C, CON: 38.40 ± 0.16 °C, p = 0.496) or at the end (CC: 38.82 ± 0.23 °C, CON: 39.07 ± 0.22 °C, p = 0.173). With high ambient heat and encapsulation, cranial and neck cooling during recovery decreases physiological strain and perceived thermal stress, but is ineffective in improving subsequent uncompensable heat stress tolerance.