{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T18:29:07Z","timestamp":1793816947798,"version":"4.6.1"},"reference-count":35,"publisher":"National Athletic Trainers' Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Context:<\/jats:title>\n          <jats:p>Cooling the neck region can improve the ability to exercise in a hot environment. It might improve performance by dampening the perceived level of thermal strain, allowing individuals to override inhibitory signals.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objective:<\/jats:title>\n          <jats:p>To investigate whether the enhanced ability to exercise in a hot environment observed when cooling the neck region occurs because of dampening the perceived level of thermal strain experienced and the subsequent overriding of inhibitory signals.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design:<\/jats:title>\n          <jats:p>Crossover study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting:<\/jats:title>\n          <jats:p>Walk-in environmental chamber.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants:<\/jats:title>\n          <jats:p>Eight endurance-trained, nonacclimated men (age \u200a=\u200a 26 \u00b1 2\u00a0years, height \u200a=\u200a 1.79 \u00b1 0.04\u00a0m, mass \u200a=\u200a 77.0 \u00b1 6.2\u00a0kg, maximal oxygen uptake [V\u02d9O<jats:sub>2max<\/jats:sub>] \u200a=\u200a 56.2 \u00b1 9.2\u00a0mL\u00b7kg<jats:sup>\u22121<\/jats:sup>\u00b7min<jats:sup>\u22121<\/jats:sup>) participated.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Intervention(s):<\/jats:title>\n          <jats:p>Participants completed 4 running tests at approximately 70% V\u02d9O<jats:sub>2max<\/jats:sub> to volitional exhaustion: 2 familiarization trials followed by 2 experimental trials (cooling collar [CC] and no collar [NC]). Trials were separated by 7\u00a0days. Familiarization and NC trials were performed without a collar and used to assess the test variability.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s):<\/jats:title>\n          <jats:p>Time to volitional exhaustion, heart rate, rectal temperature, neck skin temperature, rating of perceived exertion, thermal sensation, and feeling scale (pleasure\/displeasure) were measured.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results:<\/jats:title>\n          <jats:p>Time to volitional exhaustion was increased by 13.5% \u00b1 3.8% (CC \u200a=\u200a 43.15 \u00b1 12.82\u00a0minutes, NC \u200a=\u200a 38.20 \u00b1 11.70\u00a0minutes; <jats:italic>t<\/jats:italic><jats:sub>7<\/jats:sub> \u200a=\u200a 9.923, <jats:italic>P<\/jats:italic> &lt; .001) with the CC, which reduced mean neck skin temperature throughout the test (<jats:italic>P<\/jats:italic> &lt; .001). Participants terminated exercise at identical levels of perceived exertion, thermal sensation, and feeling scale, but the CC enabled participants to tolerate higher rectal temperatures (CC \u200a=\u200a 39.61\u00b0C \u00b1 0.45\u00b0C, NC \u200a=\u200a 39.18\u00b0C \u00b1 0.7\u00b0C; <jats:italic>t<\/jats:italic><jats:sub>7<\/jats:sub> \u200a=\u200a \u22123.217, <jats:italic>P<\/jats:italic> \u200a=\u200a .02) and heart rates (CC \u200a=\u200a 181 \u00b1 6 beats\/min, NC \u200a=\u200a 178 \u00b1 9 beats\/min; <jats:italic>t<\/jats:italic><jats:sub>7<\/jats:sub> \u200a=\u200a \u22122.664, <jats:italic>P<\/jats:italic> \u200a=\u200a .03) at the point of termination.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions:<\/jats:title>\n          <jats:p>Cooling the neck increased the time taken to reach volitional exhaustion by dampening the perceived levels of thermal strain.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-46.1.61","type":"journal-article","created":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T18:48:34Z","timestamp":1294426114000},"page":"61-68","source":"Crossref","is-referenced-by-count":79,"title":["Cooling the Neck Region During Exercise in the Heat"],"prefix":"10.4085","volume":"46","author":[{"given":"Christopher James","family":"Tyler","sequence":"first","affiliation":[{"name":"Human and Life Sciences, Whitelands College, Roehampton University, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Sunderland","sequence":"additional","affiliation":[{"name":"School of Science and Technology, Nottingham Trent University, Nottingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"10","key":"i1062-6050-46-1-61-Tyler1","series-title":"Int J Sports Med","first-page":"812","article-title":"The effect of ambient temperature on the reliability of a preloaded treadmill time-trial.","volume":"29","author":"Tyler, C.","year":"2008","unstructured":"Tyler, C. and C.Sunderland. The effect of ambient temperature on the reliability of a preloaded treadmill time-trial.Int J Sports Med2008. 29 (10):812\u2013816."},{"issue":"5 suppl 1","key":"i1062-6050-46-1-61-Tyler2","series-title":"Med Sci Sports Exerc","first-page":"S368","article-title":"Neck cooling during exercise in the heat improves subsequent treadmill time-trial performance [abstract].","volume":"40","author":"Tyler, C. J.","year":"2008","unstructured":"Tyler, C. J. and C.Sunderland. Neck cooling during exercise in the heat improves subsequent treadmill time-trial performance [abstract].Med Sci Sports Exerc2008. 40 (5 suppl 1):S368."},{"issue":"9","key":"i1062-6050-46-1-61-Galloway1","series-title":"Med Sci Sports Exerc","first-page":"1240","article-title":"Effects of ambient temperature on the capacity to perform prolonged exercise in man.","volume":"29","author":"Galloway, S. D. R.","year":"1997","unstructured":"Galloway, S. D. R. and R. J.Maughan. Effects of ambient temperature on the capacity to perform prolonged exercise in man.Med Sci Sports Exerc1997. 29 (9):1240\u20131249."},{"issue":"3","key":"i1062-6050-46-1-61-GonzalezAlonso1","series-title":"J Appl Physiol","first-page":"1032","article-title":"Influence of body temperature on the development of fatigue during prolonged exercise in the heat.","volume":"86","author":"Gonzalez-Alonso, J.","year":"1999","unstructured":"Gonzalez-Alonso, J., C.Teller, S. L.Andersen, F. B.Jensen, T.Hyldig, and B.Nielsen. Influence of body temperature on the development of fatigue during prolonged exercise in the heat.J Appl Physiol1999. 86 (3):1032\u20131039."},{"key":"i1062-6050-46-1-61-Nielsen1","series-title":"J Physiol","first-page":"467","article-title":"Human circulatory and thermoregulatory adaptations with heat acclimation and exercise in a hot, dry environment.","volume":"460","author":"Nielsen, B.","year":"1993","unstructured":"Nielsen, B., J. R.Hales, S.Strange, N. J.Christensen, J.Warberg, and B.Saltin. Human circulatory and thermoregulatory adaptations with heat acclimation and exercise in a hot, dry environment.J Physiol1993. 460:467\u2013485."},{"issue":"5","key":"i1062-6050-46-1-61-MacDougall1","series-title":"J Appl Physiol","first-page":"538","article-title":"Effects of metabolic hyperthermia on performance during heavy prolonged exercise.","volume":"36","author":"MacDougall, J. D.","year":"1974","unstructured":"MacDougall, J. D., W. G.Reddan, C. R.Layton, and J. A.Dempsey. Effects of metabolic hyperthermia on performance during heavy prolonged exercise.J Appl Physiol1974. 36 (5):538\u2013544."},{"issue":"3","key":"i1062-6050-46-1-61-Pugh1","series-title":"J Appl Physiol","first-page":"347","article-title":"Rectal temperatures, weight losses, and sweat rates in marathon running.","volume":"23","author":"Pugh, L. G.","year":"1967","unstructured":"Pugh, L. G., J. L.Corbett, and R. H.Johnson. Rectal temperatures, weight losses, and sweat rates in marathon running.J Appl Physiol1967. 23 (3):347\u2013352."},{"issue":"12","key":"i1062-6050-46-1-61-Kay1","series-title":"J Sports Sci","first-page":"937","article-title":"Whole-body pre-cooling and heat storage during self-paced cycling performance in warm humid conditions.","volume":"17","author":"Kay, D.","year":"1999","unstructured":"Kay, D., D. R.Taaffe, and F. E.Marino. Whole-body pre-cooling and heat storage during self-paced cycling performance in warm humid conditions.J Sports Sci1999. 17 (12):937\u2013944."},{"issue":"6","key":"i1062-6050-46-1-61-Lee1","series-title":"J Appl Physiol","first-page":"1971","article-title":"Exercise duration and thermoregulatory responses after whole body precooling.","volume":"79","author":"Lee, D. T.","year":"1995","unstructured":"Lee, D. T. and E. M.Haymes. Exercise duration and thermoregulatory responses after whole body precooling.J Appl Physiol1995. 79 (6):1971\u20131976."},{"issue":"6","key":"i1062-6050-46-1-61-Hessemer1","series-title":"J Appl Physiol","first-page":"1731","article-title":"Effect of slightly lowered body temperatures on endurance performance in humans.","volume":"57","author":"Hessemer, V.","year":"1984","unstructured":"Hessemer, V., D.Langusch, L. K.Bruck, R. H.Bodeker, and T.Breidenbach. Effect of slightly lowered body temperatures on endurance performance in humans.J Appl Physiol1984. 57 (6):1731\u20131737."},{"issue":"pt 1","key":"i1062-6050-46-1-61-Cotter1","series-title":"J Physiol","first-page":"335","article-title":"The distribution of cutaneous sudomotor and alliesthesial thermosensitivity in mildly heat-stressed humans: an open-loop approach.","volume":"565","author":"Cotter, J. D.","year":"2005","unstructured":"Cotter, J. D. and N. A.Taylor. The distribution of cutaneous sudomotor and alliesthesial thermosensitivity in mildly heat-stressed humans: an open-loop approach.J Physiol2005. 565 (pt 1):335\u2013345."},{"issue":"5","key":"i1062-6050-46-1-61-Shvartz1","series-title":"J Appl Physiol","first-page":"668","article-title":"Effect of neck versus chest cooling on responses to work in heat.","volume":"40","author":"Shvartz, E.","year":"1976","unstructured":"Shvartz, E.\n          \n          Effect of neck versus chest cooling on responses to work in heat.\n          J Appl Physiol\n          1976. 40 (5):668\u2013672."},{"issue":"2","key":"i1062-6050-46-1-61-Gordon1","series-title":"Med Sci Sports Exerc","first-page":"245","article-title":"Effect of a practical neck cooling device on core temperature during exercise.","volume":"22","author":"Gordon, N. F.","year":"1990","unstructured":"Gordon, N. F., G. M.Bogdanffy, and J.Wilkinson. Effect of a practical neck cooling device on core temperature during exercise.Med Sci Sports Exerc1990. 22 (2):245\u2013249."},{"key":"i1062-6050-46-1-61-Hammel1","series-title":"J Appl Physiol","first-page":"1146","article-title":"Temperature regulation by hypothalamic proportional control with an adjustable set point.","volume":"18","author":"Hammel, H. T.","year":"1963","unstructured":"Hammel, H. T., D.Jackson, J. A.Stolwijk, J. D.Hardy, and S. B.Stromme. Temperature regulation by hypothalamic proportional control with an adjustable set point.J Appl Physiol1963. 18:1146\u20131154."},{"issue":"1","key":"i1062-6050-46-1-61-Marino1","series-title":"J Appl Physiol","first-page":"124","article-title":"Superior performance of African runners in warm humid but not in cool environmental conditions.","volume":"96","author":"Marino, F. E.","year":"2004","unstructured":"Marino, F. E., M. I.Lambert, and T. D.Noakes. Superior performance of African runners in warm humid but not in cool environmental conditions.J Appl Physiol2004. 96 (1):124\u2013130."},{"issue":"4","key":"i1062-6050-46-1-61-Marino2","series-title":"Comp Biochem Physiol B Biochem Mol Biol","first-page":"561","article-title":"Anticipatory regulation and avoidance of catastrophe during exercise-induced hyperthermia.","volume":"139","author":"Marino, F. E.","year":"2004","unstructured":"Marino, F. E.\n          \n          Anticipatory regulation and avoidance of catastrophe during exercise-induced hyperthermia.\n          Comp Biochem Physiol B Biochem Mol Biol\n          2004. 139 (4):561\u2013569."},{"issue":"1","key":"i1062-6050-46-1-61-Jones1","series-title":"J Sports Sci","first-page":"89","article-title":"A comparison of three protocols for the determination of maximal aerobic power in runners [abstract].","volume":"14","author":"Jones, A. M.","year":"1996","unstructured":"Jones, A. M. and J.Doust. A comparison of three protocols for the determination of maximal aerobic power in runners [abstract].J Sports Sci1996. 14 (1):89."},{"issue":"6","key":"i1062-6050-46-1-61-Bishop1","series-title":"Sports Med","first-page":"439","article-title":"Warm up I: potential mechanisms and the effects of passive warm up on exercise performance.","volume":"33","author":"Bishop, D.","year":"2003","unstructured":"Bishop, D.\n          \n          Warm up I: potential mechanisms and the effects of passive warm up on exercise performance.\n          Sports Med\n          2003. 33 (6):439\u2013454."},{"issue":"5","key":"i1062-6050-46-1-61-Borg1","series-title":"Med Sci Sports Exerc","first-page":"377","article-title":"Psychophysical bases of perceived exertion.","volume":"14","author":"Borg, G. A.","year":"1982","unstructured":"Borg, G. A.\n          \n          Psychophysical bases of perceived exertion.\n          Med Sci Sports Exerc\n          1982. 14 (5):377\u2013381."},{"issue":"3","key":"i1062-6050-46-1-61-Young1","series-title":"J Appl Physiol","first-page":"1218","article-title":"Cooling different body surfaces during upper and lower body exercise.","volume":"63","author":"Young, A. J.","year":"1987","unstructured":"Young, A. J., M. N.Sawka, Y.Epstein, B.Decristofano, and K. B.Pandolf. Cooling different body surfaces during upper and lower body exercise.J Appl Physiol1987. 63 (3):1218\u20131223."},{"issue":"3","key":"i1062-6050-46-1-61-Hardy1","series-title":"J Sport Exerc Psychol","first-page":"304","article-title":"Not what, but how one feels: the measurement of affect during exercise.","volume":"11","author":"Hardy, C. J.","year":"1989","unstructured":"Hardy, C. J. and W. J.Rejeski. Not what, but how one feels: the measurement of affect during exercise.J Sport Exerc Psychol1989. 11 (3):304\u2013317."},{"key":"i1062-6050-46-1-61-Cohen1","series-title":"Statistical Power Analysis for the Behavioral Sciences. 2nd ed","author":"Cohen, J.","unstructured":"Cohen, J.\n          \n          Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJLawrence Erlbaum Associates Inc. 1988"},{"issue":"5\u20136","key":"i1062-6050-46-1-61-Morrison1","series-title":"Eur J Appl Physiol","first-page":"729","article-title":"Passive hyperthermia reduces voluntary activation and isometric force production.","volume":"91","author":"Morrison, S.","year":"2004","unstructured":"Morrison, S., G. G.Sleivert, and S. S.Cheung. Passive hyperthermia reduces voluntary activation and isometric force production.Eur J Appl Physiol2004. 91 (5\u20136):729\u2013736."},{"issue":"4","key":"i1062-6050-46-1-61-Tucker1","series-title":"Pflugers Arch","first-page":"422","article-title":"Impaired exercise performance in the heat is associated with an anticipatory reduction in skeletal muscle recruitment.","volume":"448","author":"Tucker, R.","year":"2004","unstructured":"Tucker, R., L.Rauch, Y. X.Harley, and T. D.Noakes. Impaired exercise performance in the heat is associated with an anticipatory reduction in skeletal muscle recruitment.Pflugers Arch2004. 448 (4):422\u2013430."},{"issue":"5","key":"i1062-6050-46-1-61-Roelands1","series-title":"Med Sci Sports Exerc","first-page":"879","article-title":"The effects of acute dopamine reuptake inhibition on performance.","volume":"40","author":"Roelands, B.","year":"2008","unstructured":"Roelands, B., H.Hasegawa, P.Watson, et al. The effects of acute dopamine reuptake inhibition on performance.Med Sci Sports Exerc2008. 40 (5):879\u2013885."},{"issue":"pt 3","key":"i1062-6050-46-1-61-Watson1","series-title":"J Physiol","first-page":"873","article-title":"Acute dopamine\/noradrenaline reuptake inhibition enhances human exercise performance in warm, but not temperate conditions.","volume":"565","author":"Watson, P.","year":"2005","unstructured":"Watson, P., H.Hasegawa, B.Roelands, M. F.Piacentini, R.Looverie, and R.Meeusen. Acute dopamine\/noradrenaline reuptake inhibition enhances human exercise performance in warm, but not temperate conditions.J Physiol2005. 565 (pt 3):873\u2013883."},{"issue":"5","key":"i1062-6050-46-1-61-Guatteo1","series-title":"J Neurophysiol","first-page":"3069","article-title":"Temperature sensitivity of dopaminergic neurons of the substantia nigra pars compacta: involvement of transient receptor potential channels.","volume":"94","author":"Guatteo, E.","year":"2005","unstructured":"Guatteo, E., K. K.Chung, T. K.Bowala, G.Bernardi, N. B.Mercuri, and J.Lipski. Temperature sensitivity of dopaminergic neurons of the substantia nigra pars compacta: involvement of transient receptor potential channels.J Neurophysiol2005. 94 (5):3069\u20133080."},{"issue":"3","key":"i1062-6050-46-1-61-Bulbulian1","series-title":"J Strength Cond Res","first-page":"198","article-title":"Effectiveness of a commercial head-neck cooling device.","volume":"13","author":"Bulbulian, R.","year":"1999","unstructured":"Bulbulian, R., R.Shapiro, M.Murphy, and D.Levenhagen. Effectiveness of a commercial head-neck cooling device.J Strength Cond Res1999. 13 (3):198\u2013205."},{"issue":"1","key":"i1062-6050-46-1-61-Nunneley1","series-title":"Aerosp Med","first-page":"64","article-title":"Head cooling in work and heat stress.","volume":"42","author":"Nunneley, S. A.","year":"1971","unstructured":"Nunneley, S. A., S. J.TroutmanJr, and P.Webb. Head cooling in work and heat stress.Aerosp Med1971. 42 (1):64\u201368."},{"issue":"5","key":"i1062-6050-46-1-61-Crewe1","series-title":"Eur J Appl Physiol","first-page":"569","article-title":"The rate of increase in rating of perceived exertion predicts the duration of exercise to fatigue at a fixed power output in different environmental conditions.","volume":"103","author":"Crewe, H.","year":"2008","unstructured":"Crewe, H., R.Tucker, and T. D.Noakes. The rate of increase in rating of perceived exertion predicts the duration of exercise to fatigue at a fixed power output in different environmental conditions.Eur J Appl Physiol2008. 103 (5):569\u2013577."},{"issue":"2","key":"i1062-6050-46-1-61-Caputa1","series-title":"Pflugers Arch","first-page":"184","article-title":"Effects of brain and trunk temperatures on exercise performance in goats.","volume":"406","author":"Caputa, M.","year":"1986","unstructured":"Caputa, M., G.Feistkorn, and C.Jessen. Effects of brain and trunk temperatures on exercise performance in goats.Pflugers Arch1986. 406 (2):184\u2013189."},{"key":"i1062-6050-46-1-61-Haymaker1","series-title":"The Hypothalamus","first-page":"210","article-title":"Blood supply of the human hypothalamus.","author":"Haymaker, W.","year":"1969","unstructured":"Haymaker, W.\n          \n          Blood supply of the human hypothalamus.\n          In:\n          \n            \n              Haymaker, W., E.Anderson, and W. J. H.Nauta. eds.The Hypothalamus. Springfield, ILCharles C Thomas. 1969. 210\u2013218."},{"issue":"pt 1","key":"i1062-6050-46-1-61-Nybo1","series-title":"J Physiol","first-page":"279","article-title":"Middle cerebral artery blood velocity is reduced with hyperthermia during prolonged exercise in humans.","volume":"534","author":"Nybo, L.","year":"2001","unstructured":"Nybo, L. and B.Nielsen. Middle cerebral artery blood velocity is reduced with hyperthermia during prolonged exercise in humans.J Physiol2001. 534 (pt 1):279\u2013286."},{"issue":"1","key":"i1062-6050-46-1-61-Sukstanskii1","series-title":"Eur J Appl Physiol","first-page":"41","article-title":"Theoretical limits on brain cooling by external head cooling devices.","volume":"101","author":"Sukstanskii, A. L.","year":"2007","unstructured":"Sukstanskii, A. L. and D. A.Yablonskiy. Theoretical limits on brain cooling by external head cooling devices.Eur J Appl Physiol2007. 101 (1):41\u201349."},{"issue":"4","key":"i1062-6050-46-1-61-Beedie1","series-title":"Sports Med","first-page":"313","article-title":"The placebo effect in sports performance: a brief review.","volume":"39","author":"Beedie, C. J.","year":"2009","unstructured":"Beedie, C. J. and A. J.Foad. The placebo effect in sports performance: a brief review.Sports Med2009. 39 (4):313\u2013329."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/46\/1\/article-p61.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/46\/1\/61\/1452822\/1062-6050-46_1_61.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/46\/1\/article-p61.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/46\/1\/article-p61.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:41:24Z","timestamp":1749688884000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/46\/1\/article-p61.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":35,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-46.1.61","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}