Controlled clinical trial2013

Responses to sudden cold-water immersion in inexperienced swimmers following training

Croft JL, Button C, Hodge K, Lucas SJ, Barwood MJ, Cotter JD

Aviation, space, and environmental medicine · 12 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Controlled clinical trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2013-07-19 · Aviat Space Environ Med · vol. 84 · issue 8 · pp. 850–855
Publisher
Aerospace Medical Association
Cited
20 citations · more than 76% of similar papers · 1.0× the field average
References
0 works
Access
Paywalled
Research areas
Thermoregulation and physiological responses · Exercise and Physiological Responses · Cardiovascular and exercise physiology
Keywords
Hyperventilation, Habituation, Medicine, Anesthesia, Physical medicine and rehabilitation, Physical therapy, Psychology, Audiology
MeSH
brain, humans, blood flow velocity, immersion, adaptation, psychological, adaptation, physiological, swimming, female, male, cold temperature, young adult, respiratory rate

6 authors

From NZ, GB

  • James L. CroftUniversity of Otago
  • Chris Button
  • Ken P. Hodge
  • Samuel J. E. Lucas
  • Martin James BarwoodUniversity of Portsmouth
  • James David Cotter

Abstract

Background

When suddenly immersed in cold water, humans typically exhibit the cold shock response, although training can attenuate hyperventilation. This study extends previous findings by considering the influence of physical activity to maintain buoyancy and subsequent swimming performance.

Methods

Six inexperienced swimmers (three men and three women; mean age 22.8) received 1 wk of cold-water head-out immersions (10 x 3 min at 15 degrees C) alongside mental skills training to improve their treading water technique and to control hyperventilation upon immersion. Six inexperienced control swimmers (four men and two women; mean age 21.8) received immersions in temperate water (27 degrees C). Ventilation, brain blood flow velocity, and blood oxygenation were measured during a physiological test in which participants trod water for 150 s. In a subsequent simulated survival test, performance (swimming duration and distance) and perception of effort were recorded. All the tests were in 10 degrees C water with the head out.

Results

There were significant improvements in the intervention group's ability to suppress rapid increases in respiratory frequency; 62 +/- 24 breaths x min(-1) to 33 +/- 12. The drop in brain blood flow was smaller and more transient than that previously reported due to the hypertensive response associated with treading water.

Discussion

Inexperienced swimmers could benefit from cold-water habituation combined with mental skills training in order to improve voluntary control over the respiratory portion of the cold shock response as part of learning to tread water. This may improve survival prospects in a real-life emergency scenario such as an overturned boat.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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