John G. Fox (1931-2004)

The effectiveness of intermittent, microclimate cooling for men who worked in US Army chemical protective clothing (modified mission-oriented protective posture level 3; MOPP 3) was examined. The hypothesis was that intermittent cooling on a 2 min on–off schedule using a liquid cooling garment (LCG) covering 72% of the body surface area would reduce heat strain comparably to constant cooling. Four male subjects completed three experiments at 30°C, 30% relative humidity wearing the LCG under the MOPP 3 during 80 min of treadmill walking at 224 ± 5 W · m^?2. Water temperature to the LCG was held constant at 21°C. The experiments were; 1) constant cooling (CC); 2) intermittent cooling at 2-min intervals (IC); 3) no cooling (NC). Core temperature increased (1.6 ± 0.2°C) in NC, which was greater than IC (0.5 ± 0.2°C) and CC (0.5 ± 0.3°C) ( p < 0.05). Mean skin temperature was higher during NC (36.1 ± 0.4°C) than IC (33.7 ± 0.6°C) and CC (32.6 ± 0.6°C) and mean skin temperature was higher during IC than CC ( p < 0.05). Mean heart rate during NC (139 ± 9 b · min^?1) was greater than IC (110 ± 10 b · min^?1) and CC (107 ± 9 b · min^?1) ( p < 0.05). Cooling by conduction (K) during NC (94 ± 4 W · m^?2) was lower than IC (142 ± 7 W · m^?2) and CC (146 ± 4 W · m^?2) ( p < 0.05). These findings suggest that IC provided a favourable skin to LCG gradient for heat dissipation by conduction and reduced heat strain comparable to CC during exercise-heat stress in chemical protective clothing.     

A shirt containing multistage phase change material and active cooling components was associated with increased exercise capacity in a hot,humid environment

Recent advances in clothing design include the incorporation of phase change materials (PCM) and other active cooling components (ACC) to provide better body heat dissipation. The purpose of this study was to determine the effect of wearing a shirt containing multistage PCM/ACC on exercise capacity at low (5.0), moderate–high (7.5) and extreme (9.0) levels of the physiological strain index (PSI). Fourteen individuals tested two shirts (control vs. cooling) during 45-min of interval running in a hot, humid (35 ± 1 °C; 55 ± 6% RH) environment. The cooling shirt resulted in an 8% improvement in exercise capacity at a PSI of 7.5 (p < 0.05). The observed increase in exercise capacity would likely translate to a significant improvement in exercise performance. More research is needed to determine a best practice approach for the use of cooling clothing as a counter to exercise-induced heat exposure.

Practitioner Summary: In this report, we demonstrate that when forced to exercise in a hot, humid environment, an individual’s exercise capacity may increase by as much as 8% when wearing a shirt composed of multistage phase change material and active cooling components.     

The impact of various rehydration volumes for firefighters wearing protective clothing in warm environments

This study examined different fluid replacement quantities during intermittent work while wearing firefighting protective clothing and self-contained breathing apparatus in the heat (35°C, 50% relative humidity). Twelve firefighters walked at 4.5 km per h with 0% elevation on an intermittent work (50 min) and rest (30 min) schedule until they reached a rectal temperature of 39.5°C during work periods and 40.0°C during rest, heart rates of 95% of maximum and/or exhaustion. During the heat-stress trials subjects received one of four fluid replacement quantities, high (H), moderate (M), low (L), and no hydration (NH), where H, M and L represented 78%, 63% and 37% of fluid loss, respectively. The total tolerance time (work + rest) was significantly greater during H (111.8 ± 3.5), M (112.9 ± 5.2) and L (104.2 ± 5.8) compared to NH (95.3 ± 3.8). In addition, work time (min), which excluded rest periods, was significantly greater in H (82.6 ± 3.5), and M (82.9 ± 5.2) compared to NH (65.3 ± 3.8). It is concluded that incorporating even partial fluid replacement strategies while wearing firefighting protective clothing and self-contained breathing apparatus in the heat improves tolerance time.     

Reducing heat stress under thermal insulation in protective clothing: microclimate cooling by a ‘physiological’ method

Heat stress caused by protective clothing limits work time. Performance improvement of a microclimate cooling method that enhances evaporative and to a minor extent convective heat loss was tested. Ten male volunteers in protective overalls completed a work-rest schedule (130 min; treadmill: 3 × 30 min, 3 km/h, 5% incline) with or without an additional air-diffusing garment (climatic chamber: 25°C, 50% RH, 0.2 m/s wind). Heat loss was supported by ventilating the garment with dry air (600 l/min, ?5% RH, 25°C). Ventilation leads (M ± SD, n = 10, ventilated vs. non-ventilated) to substantial strain reduction (max. HR: 123 ± 12 b/min vs. 149 ± 24 b/min) by thermal relief (max. core temperature: 37.8 ± 0.3°C vs. 38.4 ± 0.4°C, max. mean skin temperature: 34.7 ± 0.8°C vs. 37.1 ± 0.3°C) and offers essential extensions in performance and work time under thermal insulation.     

Comparison of two different cooling systems in alleviating thermal and physiological strain during prolonged exercise in the heat

Abstract

This study compared the efficacy of an ice vest comprising of water (WATER) or a water-carbon (CARBON) emulsion on thermophysiological responses to strenuous exercise in the heat. Twelve male cyclists completed three 50-minute constant workload trials (55% of peak power output, ambient temperature 30.4?±?0.6°C) with WATER, CARBON, and without ice vest (CONTROL), respectively. The increase in core body temperature (Tcore) was lower in WATER at 40 (?0.49?±?0.34 °C) and 50?minutes (?0.48?±?0.48 °C) and in CARBON at 30 (?0.41?±?0.48 °C), 40 (?0.54?±?0.51 °C), and 50?minutes (?0.67?±?0.62 °C) as compared to CONTROL (p?<?0.05, ES > 0.8). While heart rate and blood lactate kinetics did not differ between the conditions, statistical main effects in favour of both WATER and CARBON were found for thermal sensation (condition p?<?0.001 and interaction p?<?0.01) and rating of perceived exertion (condition p?<?0.05). Per-cooling with CARBON and WATER similarly reduced Tcore but not physiological strain during prolonged exercise in the heat.

Practitioner Summary: Exercise in the heat is characterised by increases in thermophysiological strain. Both per-cooling with a novel carbon-based and a conventional water-based ice vest were shown to reduce core temperature significantly. However, due to its lower mass, the carbon-based system may be recommended especially for weight-bearing sports.     

The hybrid personal cooling system (PCS) could effectively reduce the heat strain while exercising in a hot and moderate humid environment

This study aimed to examine the effectiveness of a hybrid personal cooling system (PCS) in mitigating body heat stain while exercising in a hot environment. Eight subjects underwent two trials: PCS and CON (i.e. no cooling). All trials were conducted at an air temperature of 36 ± 0.5 °C and RH = 59 ± 5%. The key findings demonstrated that the PCS could significantly reduce the core temperature, mean skin temperature, heart rate and physiological strain index during both exercise and recovery periods (p < 0.05). Subjective perceptions were also significantly alleviated in PCS at the end of the exercise and during the recovery (p < 0.05). Besides, the PCS could also bring remarkable benefits in lowering local skin temperatures and in improving perceptual sensations in both upper and lower body during both exercise and recovery periods (p < 0.05). It was thus concluded that the hybrid PCS is effective in mitigating body heat strain while exercising in a hot environment.

Practitioner Summary: In hot and humid environments, body heat dissipation through sweating is greatly restricted. Our newly developed hybrid PCS could effectively alleviate heat strain while exercising in hot environments. The findings contribute to the body of knowledge in improving the health and well-being of sportsmen while exercising in hot environments.     

Intermittent microclimate cooling during rest increases work capacity and reduces heat stress

Requirements for special protective equipment while working in hazardous environments can present a significantly increased thermal burden and early onset of physical fatigue. Ambulatory (backpack) or tethered personal cooling can accelerate metabolic heat removal, but is often not practical from an ergonomic standpoint. The efficacy of incorporating personal cooling during non-ambulatory rest periods was evaluated in subjects (n=8) with varying levels of fitness. Treadmill work (≈475 W, 40% [Vdot]O₂max) was alternately performed for 30 min followed by 30 min of rest. Subjects walked and rested under three separate experimental conditions: (1) control (C), in which light clothing was worn; (2) CPE, in which a chemical protective ensemble (CPE) was worn, and (3) CPE plus intermittent microclimate cooling (COOL). The WBGTcondition for all trials was 31°C. During the COOL trial the subjects additionally wore a personal cooling vest which allowed for the circulation of chilled liquid over the torso during rest. Under C conditions, relatively modest changes in rectal temperature (T _re ) were observed, which stabilized over time. CPE wear resulted in a progessive rise in T _re and early fatigue. The addition of intermittent cooling during each rest cycle (COOL trial) significantly attenuated heat storage such that an oscillating, but equilibrated T _re was established and work capacity was at least doubled. Moreover, the perceived cooling effect was appreciable for all subjects. Therefore, intermittent personal cooling provided a useful means of enhancing work productivity and may have application for certain military and industrial personnel performing heavy work in hot environments. This approach should provide a practical alternative for reducing stress/fatigue when work/rest cycles are employed.     

Thermal and cardiovascular strain imposed by motorcycle protective clothing under Australian summer conditions

Motorcycle protective clothing can be uncomfortably hot during summer, and this experiment was designed to evaluate the physiological significance of that burden. Twelve males participated in four, 90-min trials (cycling 30 W) across three environments (25, 30, 35 °C [all 40% relative humidity]). Clothing was modified between full and minimal injury protection. Both ensembles were tested at 25 °C, with only the more protective ensemble investigated at 30 and 35 °C. At 35 °C, auditory canal temperature rose at 0.02 °C min^?1 (SD 0.005), deviating from all other trials (p < 0.05). The thresholds for moderate (>38.5 °C) and profound hyperthermia (>40.0 °C) were predicted to occur within 105 min (SD 20.6) and 180 min (SD 33.0), respectively. Profound hyperthermia might eventuate in ~10 h at 30 °C, but should not occur at 25 °C. These outcomes demonstrate a need to enhance the heat dissipation capabilities of motorcycle clothing designed for summer use in hot climates, but without compromising impact protection.

Practitioner’s Summary:

Motorcycle protective clothing can be uncomfortably hot during summer. This experiment was designed to evaluate the physiological significance of this burden across climatic states. In the heat, moderate (>38.5 °C) and profound hyperthermia (>40.0 °C) were predicted to occur within 105 and 180 min, respectively.     

Immune and inflammatory responses of Australian firefighters after repeated exposures to the heat

When firefighters work in hot conditions, altered immune and inflammatory responses may increase the risk of a cardiac event. The present study aimed to establish the time course of such responses. Forty-two urban firefighters completed a repeat work protocol in a heat chamber (100 ± 5°C). Changes to leukocytes, platelets, TNFα, IL-6, IL-10, LPS and CRP were evaluated immediately post-work and also after 1 and 24 h of rest. Increases in core temperatures were associated with significant increases in leukocytes, platelets and TNFα directly following work. Further, platelets continued to increase at 1 h (+31.2 ± 31.3 × 10⁹ l, p < 0.01) and remained elevated at 24 h (+15.9 ± 19.6 × 10⁹ l, p < 0.01). Sustained increases in leukocytes and platelets may increase the risk of cardiac events in firefighters when performing repeat work tasks in the heat. This is particularly relevant during multi-day deployments following natural disasters.

Practitioner Summary: Firefighters regularly re-enter fire affected buildings or are redeployed to further operational tasks. Should work in the heat lead to sustained immune and inflammatory changes following extended rest periods, incident controllers should plan appropriate work/rest cycles to minimise these changes and any subsequent risks of cardiac events.     

Effects of low back disability status on lower back discomfort during sustained and cyclical trunk flexion

A laboratory study was conducted to determine the effects of back disability status on endurance time and perceived discomfort during trunk flexion. Eighty participants (40 with chronic or recurrent low back pain (CRLBP), 40 pain-free) were tested. The trunk was flexed to 15°, 30°, 45° and 60° under three conditions: 1) continuous static flexion; 2) cyclical flexion with 20% rest; and 3) cyclical flexion with 40% rest. Each condition was performed for up to 600?s or until the participant reached his/her pain tolerance limit. Dependent variables included time to distracting discomfort (TDD), total endurance time (TET) and perceived discomfort. For continuous exertions, CRLBP participants had lower TDD (p?<?0.001), lower TET (p?<?0.001) and greater discomfort (p?<?0.001) compared to pain-free controls. In both groups, TDD and TET decreased and perceived discomfort increased as the flexion angle increased. For intermittent exertions, CRLBP participants reported greater discomfort than pain-free participants (p?<?0.001). Increasing rest from 20 to 40% reduced discomfort in CRLBP participants, but produced no consistent benefit in pain-free participants. To accommodate persons with CRLBP, consideration should be given to reducing both the magnitude (angle) and duration of trunk flexion required by their jobs.     

Effect of different handgrip angles on work distribution during hand cycling at submaximal power levels

The effect of different handle angles on work distribution during hand cycling was determined. Able-bodied subjects performed hand cycling at 20% of maximum power level (mean (SD) power level: 90.0 (25.8) W) at a cadence of 70 rpm using handle angles of ±30°, ±15° and 0°. The handle angle had a significant effect on work during the pull down (p < 0.001) and lift up (p = 0.005) sector, whereby the highest work was performed with handle angles of +30° and ?15° respectively. The cycle sector had a significant effect on work (p < 0.001) and significantly (p = 0.002) higher work was performed in the pull down sector (25% higher than mean work over one cycle) as compared to the lift up sector (30% lower than mean work over one cycle). Therefore, a fixed handle angle of +30° is suggested to be optimal for power generation. The results of this study help to optimise the handbike–user interface. A more pronated handle angle compared to the one conventionally used was found to improve the performance of hand cycling and thereby the mobility of disabled people.     

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXT_PPE and GXT_PT). Maximal oxygen consumption (VO_2max) during GXT_PPE was 17.3% lower than the GXT_PT in regular exercise clothing (43.0 ± 5.7 vs. 52.4 ± 8.5 ml/kg per min, respectively). The lower VO_2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 ± 18.0 vs. 167.1 ± 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 ± 10.4 vs. 3.2 ± 0.4 l). Breathing frequency at peak exercise was unchanged (55 ± 7 vs. 53 ± 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO_2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.     

Physiological strain of next generation combat uniforms with chemical and biological protection: importance of clothing vents

This study examined whether vents in the arms, legs and chest of new protective assault uniforms (PTAU) reduced heat strain at 35°C during a low dressed state (DS_low), and subsequently improved tolerance time (TT) after transitioning to DS_high compared with the battle dress uniform and overgarment (BDU+O). Small but significant reductions in rectal temperature (T _re), heart rate and vapour pressures over the thigh and shin were observed during DS_low with vents open (37.9 ± 0.2°C, 120 ± 10 b/min, 3.7 ± 0.4 and 3.5 ± 1.0 kPa) versus closed (38.0 ± 0.1°C, 127 ± 5 b/min, 4.3 ± 0.3 and 4.6 ± 0.5 kPa). During DS_high T _re was reduced and TT increased significantly with the PTAUs (1.1 ± 0.2°C/h and 46 ± 24 min) versus BDU+O (1.6 ± 0.2°C/h and 33 ± 16 min). The vents marginally reduced heat strain during DS_low and extended TT during DS_high compared with BDU+O.

Practitioner Summary: Clothing vents in chemical and biological protective uniforms can assist with heat transfer in situations where the uniforms must be worn for extended periods prior to exposure to a hazardous condition. Once the vents are closed, exposure time is increased and the increase in body temperature reduced.     

Sensitivity of large-scale vegetation greenup and dormancy dates to climate change in the north−south transect of eastern China

Phenology event responses, based on vegetation types, are strong indicators of climate variability and the ability of the vegetation to adapt to future climate changes. However, the sensitivity of phenology events to climate change along either environmental or vegetation type gradients is rarely examined. Phenological curves of major vegetation types along the North?South Transect of Eastern China (NSTEC) have been developed using wavelet and smooth-spline methods based on the normalized difference vegetation index from 1982 to 2006. Spatial?temporal patterns, trends of greenup-onset dates, dormancy dates, and growing season lengths (GSLs) during the period of 1982?2006 are presented.

The greenup-onset dates were most significantly and negatively related to the temperature in cold and humid areas, but insignificantly and positively in semi-arid regions. However, dormancy date showed a positive correlation with temperature. In populations of the same vegetation type, distributed along thermal gradients of NSTEC, the phenology sensitivities to warming were different. Greenup sensitivities of cold temperate coniferous forest (CTCF) and temperate meadow steppe (TMS) increased significantly from??6.0 to 0 days °C^?1 (p < 0.001) and from about??2.0 to 2.0 days °C^?1 (p < 0.001), respectively. In contrast, temperate grass steppe (TGS) and temperate deciduous shrubland (TDS) showed a decreased trend of greenup sensitivity from 2.0 to??4.0 days °C^?1 (p < 0.001) and from 2.0 to??6.0 days °C^?1 (p < 0.001), respectively. For the dormancy date sensitivity, CTCF showed a decreasing trend from about 6.0 to 0 days °C^?1 (p < 0.001), and subtropical evergreen-broadleaved forest (SEBF) decreased from 5.0 to??5.0 days °C^?1 (p < 0.05).     

Influence of carrying heavy loads on soldiers' posture,movements and gait

Military personnel are required to carry heavy loads whilst marching; this load carriage represents a substantial component of training and combat. Studies in the literature mainly concentrate on physiological effects, with few biomechanical studies of military load carriage systems (LCS). This study examines changes in gait and posture caused by increasing load carriage in military LCS. The four conditions used during this study were control (including rifle, boots and helmet carriage, totalling 8 kg), webbing (weighing 8 kg), backpack (24 kg) and a light antitank weapon (LAW; 10 kg), resulting in an incremental increase in load carried from 8, 16, 40 to 50 kg. A total of 20 male soldiers were evaluated in the sagittal plane using a 3-D motion analysis system. Measurements of ankle, knee, femur, trunk and craniovertebral angles and spatiotemporal parameters were made during self-paced walking. Results showed spatiotemporal changes were unrelated to angular changes, perhaps a consequence of military training. Knee and femur ranges of motion (control, 21.1° ± 3.0 and 33.9° ± 7.1 respectively) increased (p < 0.05) with load (LAW, 25.5° ± 2.3 and 37.8° ± 1.5 respectively). The trunk flexed significantly further forward, confirming results from previous studies. In addition, the craniovertebral angle decreased (p < 0.001) indicating a more forward position of the head with load. It is concluded that the head functions in concert with the trunk to counterbalance load. The higher muscular tensions necessary to sustain these changes have been associated with injury, muscle strain and joint problems.     

Intermittent microclimate cooling during exercise-heat stress in US army chemical protective clothing

The effectiveness of intermittent, microclimate cooling for men who worked in US Army chemical protective clothing (modified mission-oriented protective posture level 3; MOPP 3) was examined. The hypothesis was that intermittent cooling on a 2 min on-off schedule using a liquid cooling garment (LCG) covering 72% of the body surface area would reduce heat strain comparably to constant cooling. Four male subjects completed three experiments at 30 degrees C, 30% relative humidity wearing the LCG under the MOPP 3 during 80 min of treadmill walking at 224 +/- 5 W . m(-2). Water temperature to the LCG was held constant at 21 degrees C. The experiments were; 1) constant cooling (CC); 2) intermittent cooling at 2-min intervals (IC); 3) no cooling (NC). Core temperature increased (1.6 +/- 0.2 degrees C) in NC, which was greater than IC (0.5 +/- 0.2 degrees C) and CC (0.5 +/- 0.3 degrees C) ( p < 0.05). Mean skin temperature was higher during NC (36.1 +/- 0.4 degrees C) than IC (33.7 +/- 0.6 degrees C) and CC (32.6 +/- 0.6 degrees C) and mean skin temperature was higher during IC than CC ( p < 0.05). Mean heart rate during NC (139 +/- 9 b . min(-1)) was greater than IC (110 +/- 10 b . min(-1)) and CC (107 +/- 9 b . min(-1)) ( p < 0.05). Cooling by conduction (K) during NC (94 +/- 4 W . m(-2)) was lower than IC (142 +/- 7 W . m(-2)) and CC (146 +/- 4 W . m(-2)) ( p < 0.05). These findings suggest that IC provided a favourable skin to LCG gradient for heat dissipation by conduction and reduced heat strain comparable to CC during exercise-heat stress in chemical protective clothing.     

Comfort evaluation of maternity support garments in a wear trial

This study aims to evaluate the wear comfort of eight commercially available maternity support garments. The thermophysiological, sensory/tactile and movement comfort were assessed in a wear trial using a 19-item questionnaire. Fourteen pregnant Chinese women aged 32.3 ± 4.2 years were recruited from a local obstetric clinic. The results show that the tested garments generally provided greater sensory comfort than thermophysiological comfort. The thermophysiological comfort was mainly influenced by the fibre contents and breathability. Significant linear relationships were found between material appearance and hand feel (r = 0.86, p < 0.001), and between non-itchiness and no red mark (r = 0.78, p < 0.001). Movement comfort was influenced by the garment type and style features. Overall, the soft, good-fit, cotton/elastane maternity brief was perceived as the best product. The findings of comfort needs in pregnant women and the effects of various garment attributes would be helpful for the development of maternity support garment design criteria that are required to satisfy critical ergonomic needs. Low back pain during pregnancy is a common and significant health problem. A maternity support garment is regarded as a convenient and safe device to stabilise the lumbar spine so as to relieve pain. However, patient compliance is likely to be affected by discomfort and inconvenience. The results of this study provide guidance for the optimal design of maternity support clothing.     

Heat stress and bulkiness of chemical protective clothing impair performance of medical personnel in basic lifesaving tasks

The study examined the impact of chemical protective (CP) clothing on the performance of lifesaving tasks in thermoneutral and cold conditions. Eleven males performed pre-exercise followed by lifesaving tasks wearing either field combat uniform at 21°C (U) or CP clothing at 21°C (CPN) and–;5°C (CPC). The tasks were ventilating a doll (VA) and connecting an intravenous line (IV). Mean skin temperature was significantly higher for CPN compared to U and CPC during pre-exercise, VA and IV. Changes in blood pressure were significantly greater with CP clothing than without during VA and IV. The number of breaths per min (in VA) and time needed for IV increased by 19% (p < 0.05) and 18%, respectively, for CPN compared to U. Due to the cold, the additional increment was 5% and 17%, respectively, for CPC. Wearing of CP clothing in thermoneutral or in cold conditions may not prevent but, especially in the cold, significantly impede the performance of basic medical tasks. The findings of this study showed that performing medical tasks while wearing nuclear, biological and chemical protective clothing is impaired due to significant changes in physiological strain. This suggests that realistic training in local conditions as well as in cold conditions is needed to realise the restrictions due to protective clothing.     

Effect of carbohydrate supplementation on simulated exercise of rugby league referees

This investigation evaluated the effectiveness of supplementing eight elite rugby league referees with a 6% maltodextrin (Md) solution whilst undertaking a simulated rugby league game. The simulation was based on motion analysis of six rugby league matches. Subjects undertook two trials of repetitive 20-m shuttle activity on an indoor track. During one trial 200 ml of Md was ingested at eight time points and in the other trial a similarly tasting placebo (Pl) was administered. A single-blind, counterbalanced design was employed. The simulation involved subjects performing four, 10-min blocks of shuttle activity before a 10-min break was instigated. Three further 10-min blocks of shuttle activity were also performed before a performance test to volitional exhaustion involving 20-m shuttles at paces varying between 55 and 95% of a pre-determined [Vdot]O_{2 max} was undertaken. Timed 15-m sprints took place during each of the 10-min blocks. The rating of perceived exertion (RPE), and blood glucose and lactate concentrations were also determined throughout. The mean number of shuttles to exhaustion was significantly greater with Md ingestion than with Pl ingestion (57 ± 19 vs. 43 ± 15; p < 0.05), while the mean 15-m sprint times were significantly shorter for the Md than the Pl condition (2.40 ± 0.09 s vs. 2.51 ± 0.14 s; p < 0.01). The mean RPE was ～ 5.2% lower during Md than Pl ingestion, the values being significantly different (Md: 12.07 ± 0.32; Pl: 12.73 ± 0.28; p < 0.01). Maltodextrin ingestion significantly elevated blood glucose levels compared with placebo (F(1,7) = 18.07: p < 0.01), although no significant differences were apparent for blood lactate levels (F(1,7) = 4.39; p > 0.05). These results highlight the beneficial eVects of maltodextrin ingestion on work-rates of rugby league referees in a simulation of a game?s activity. The improvement may be related to higher circulating concentrations of blood glucose.     

The interrelationship of the thorax and pelvis under varying task constraints

The purpose of this study was to investigate the interrelationship between the thorax and pelvis during coupled movement patterns. Fifty-seven participants were assessed using an infrared motion analysis system to track trunk movement during maximal pelvis and thorax rotations over four trunk inclinations and two pelvic constraint conditions. A repeated-measures multivariate analysis of variance investigated the effects of forward trunk inclination and pelvic constraint on thorax and pelvic rotation. Forward trunk inclination from neutral to 45° resulted in a 46% (p < 0.001) decrease in axial pelvic rotation and a 15% (p < 0.001) decrease in axial thorax rotation with an unconstrained pelvis. A constrained pelvis resulted in a 15% (p < 0.001) decrease in axial thorax rotation. An externally constrained pelvis allowed the thorax to achieve an average of 18° (SD = 2°) greater rotational range of motion across all angles. This study reinforced the importance of allowing the pelvis to rotate during whole body axial rotation tasks.

Practitioner Summary: Results indicated that maximum axial trunk rotation is best achieved in a neutral posture, when the pelvis is allowed to contribute and flexion at the hips should be minimised. For example, if a recumbent task requires rotation of the torso, then the chair seat should be allowed to swivel.