Evidence map›Paper›PMID 39283237›Full record

Trial reportMedicine and science in sports and exercise2025

Exercise and Heat Stress in Well-Healed Burn Survivors: Effects of Cooling Modalities on Thermal and Perceptual Responses.

Whitley C Atkins, Josh Foster, Zachary J McKenna, Caitlin P Jarrard, Joseph C Watso, Luke N Belval, Ollie Jay, Craig G Crandall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine and science in sports and exercise, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Whitley C AtkinsInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, TX.ORCID 0000-0003-1610-048
Josh Foster
Zachary J McKenna
Caitlin P Jarrard
Joseph C Watso
Luke N Belval
Ollie JayHeat and Health Research Incubator, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, AUSTRALIA.

Funding

Exercise in Burn Survivors - Administrative Supplement for EquipmentR01GM068865 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI CRANDALL, CRAIG G · 2003 to 2023
$7.0M
Time-Efficient Inspiratory Muscle Strength Training as a New Approach to Lower Blood Pressure, Improve Respiratory Function, and Reduce Exertional Dyspnea in Adults with ObesityK01HL160772 · NHLBI · FLORIDA STATE UNIVERSITY · PI Joseph Watso · 2022 to 2026
$693k
Ketamine-induced Hypertensive Episodes: Adverse Central and Peripheral Neurovascular ActionsF32HL154559 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI WATSO, JOSEPH · 2021 to 2021
$50k
American Heart Association 23CDA1037938NHLBI NIH HHS F32 HL154559NHLBI NIH HHS K01 HL160772NIGMS NIH HHS R01 GM068865
6 · The paper itself

Abstract

purposeBurn injuries that require grafting impair thermoregulation, which may dissuade individuals with such injuries from being physically active. We tested the hypothesis that cooling modalities attenuate core temperature elevations and perceptions of heat stress during physical activity in the heat among adults with well-healed burn injuries.

methodsAdults with no burn injuries (non-burned), 20%-40% body surface area burn injuries (moderate burn), and >40% body surface area burn injuries (large burn) performed 1 h of moderate-intensity exercise (2.5 ± 0.2 mph and 2% grade) on four different occasions in two environmental conditions (30°C and 39°C, 40% relative humidity). Within each environmental condition, we applied one of the following cooling modalities, random assigned, for each visit: no cooling (control), fan at 4 m·s -1 (fan), water spray every 5 min (water spray; scaled to burn area size), or a combination of water spray + fan.

resultsIn 30°C, perceptual strain index (PeSI) was reduced in the non-burned and moderate burn groups with water spray + fan, whereas PeSI was reduced with all cooling modalities in the large burn group. The cooling modalities did not affect core temperature responses. In the 39°C environment, water spray and water spray + fan attenuated the elevation in core temperature ( P ≤ 0.007) only in the large burn group. In the moderate burn group, PeSI was decreased with water spray + fan ( P = 0.017). In the large burn group, both water spray alone and water spray + fan ( P ≤ 0.041) lowered PeSI.

conclusionsFor both environments across burn groups, the applied cooling modalities were generally more effective at reducing indices of perceptual strain relative to indices of thermal strain (e.g., core temperature).

Indexed as

BurnsExerciseHeat Stress DisordersAdultBody TemperatureBody Temperature RegulationFemaleHot TemperatureHumansMaleMiddle AgedPerceptionYoung Adult

Identifiers

PMID39283237
PMCPMC11729463

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.