{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:35:11Z","timestamp":1793295311887,"version":"4.5.0"},"reference-count":17,"publisher":"Human Kinetics","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic>Purpose<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic>:<\/jats:italic>\n                    To describe the training practices and isothermic heat acclimation (HA) of a competitive hand-cyclist with complex regional pain syndrome type I preparing for a world speed-record attempt in a hot environment.\n                    <jats:bold>\n                      <jats:italic>Methods<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic>:<\/jats:italic>\n                    A 53-year-old male hand-cyclist with complex regional pain syndrome type I completed a 16-week training program, followed by 9 consecutive days of isothermic HA. Incremental exercise tests were conducted 9 weeks into training to characterize physiological capacity and training intensity distribution. Heat tolerance tests (2 \u00d7 [4 min at 70, 100, 120, 150\u00a0W, and maximum effort]) were performed pre-HA and post-HA in an environmental chamber (33 \u00b0C, 40% relative humidity). Core temperature (\n                    <jats:italic>T<\/jats:italic>\n                    <jats:sub>core<\/jats:sub>\n                    ), weighted mean skin temperature (WMT\n                    <jats:sub>skin<\/jats:sub>\n                    ), heart rate (HR), power output (PO), rating of perceived exertion\u00a0(RPE), and thermal sensation (TS) were measured.\n                    <jats:bold>\n                      <jats:italic>Results<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic>:<\/jats:italic>\n                    After 9 weeks of training, PO at the second lactate threshold increased by 10.7% and peak PO by 17.6%. Compared with pre-HA, post-HA heat tolerance tests demonstrated lower exercising HR (mean \u22127\u2009beats per minute) and reduced perceptual strain (median RPE and TS reduced by 2.5 and 1.9 arbitrary units, respectively). Self-selected mean PO during maximal efforts increased by 9.9% to 44.2% post-HA. The\n                    <jats:italic>T<\/jats:italic>\n                    <jats:sub>core<\/jats:sub>\n                    (+0.22 \u00b0C) and WMT\n                    <jats:sub>skin<\/jats:sub>\n                    (+1.1 \u00b0C) were higher post-HA.\n                    <jats:bold>\n                      <jats:italic>Conclusion<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic>:<\/jats:italic>\n                    Moderate-term isothermic HA reduced cardiovascular and perceptual strain and improved self-regulated performance in a hand-cyclist with complex regional pain syndrome type I. Reduced perceptual strain was greater than in previous research and may allow the participant to improve exercise performance\/capacity. Findings support the use of HA in this athlete\u2019s preparation for competition in a hot environment and the cautious, individualized application of HA in similar contexts.\n                  <\/jats:p>","DOI":"10.1123\/ijspp.2026-0063","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:46:42Z","timestamp":1790740002000},"page":"1-6","source":"Crossref","is-referenced-by-count":0,"title":["Training Practices and Heat Acclimation Responses of a Hand-Cyclist With Complex Regional Pain Syndrome: A Case Study"],"prefix":"10.1123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1202-6649","authenticated-orcid":true,"given":"Anthony P.","family":"Turner","sequence":"first","affiliation":[{"name":"Human Environmental Resilience Research Network, University of Edinburgh, Edinburgh, United Kingdom"},{"name":"Human Performance Science Research Group, University of Edinburgh, Edinburgh, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Cracknell","sequence":"additional","affiliation":[{"name":"Human Environmental Resilience Research Network, University of Edinburgh, Edinburgh, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh","family":"Carter","sequence":"additional","affiliation":[{"name":"University of Edinburgh, Edinburgh, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ava","family":"Keating","sequence":"additional","affiliation":[{"name":"University of Edinburgh, Edinburgh, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7947-3403","authenticated-orcid":true,"given":"Shaun M.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Human Environmental Resilience Research Network, University of Edinburgh, Edinburgh, United Kingdom"},{"name":"Human Performance Science Research Group, University of Edinburgh, Edinburgh, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"4","key":"r1","series-title":"Physiol Rev","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1152\/physrev.00038.2020","article-title":"Exercise under heat stress: thermoregulation, hydration, performance implications, and mitigation strategies","volume":"101","author":"P\u00e9riard JD","year":"2021","unstructured":"P\u00e9riard JD, Eijsvogels TMH, Daanen HAM. 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