TY - JOUR
T1 - Head, face and neck cooling for performance: A systematic review and meta-analysis
T2 - A Systematic Review and Meta-Analysis
AU - Stevens, Christopher J
AU - Borg, David
AU - Brade, Carly
AU - Carter, Sarah
AU - Filingeri, Davide
AU - Lee, Jason
AU - Lim, Louisa
AU - Mündel, Toby
AU - Taylor, Lee
AU - Tyler, Christopher J
PY - 2025/5/12
Y1 - 2025/5/12
N2 - PURPOSE: Cooling the head, face, and neck can have strong perceptual effects that contribute to improved performance. This systematic review aimed to determine the effect of cooling strategies targeting the head, face, and neck on physical and cognitive performance, determine any associated physiological and perceptual responses, synthesize adverse events, and provide practical applications.METHODS: We conducted a systematic review and multilevel meta-analysis, adhering to PRISMA guidelines. Studies that investigated the effect of cooling strategies targeting the head, face, or neck on a physical or cognitive task using a controlled trial design were included.RESULTS: Sixty-three studies were identified, involving 618 participants (86.6% male). Cooling strategies included water-perfused devices (18.7%), phase-change neck collars (17.3%), fanning/cold air (14.7%), phase-change headwear (13.3%), ice/gel packs (13.3%), cold towels (5.3%), menthol application (4.0%), water spraying/dousing (4.0%), or a combination of strategies (9.3%). The effect of cooling on both self-paced and fixed-intensity exercise tasks was inconclusive; the 95% CI of the pooled effect was compatible with no effect and medium beneficial effects but not harmful effects. We were unable to pool cognitive data. Cooling reduced the skin temperature at the target site and improved thermal sensation and comfort. Effects on heart rate and core and mean skin temperatures were negligible. Adverse events were rare, and no intervention subgroup was superior.CONCLUSION: We recommend that athletes experiment with a range of head-, face-, and neck-cooling strategies, including using different doses and timings, to determine the optimal strategy for their individual and sport context.
AB - PURPOSE: Cooling the head, face, and neck can have strong perceptual effects that contribute to improved performance. This systematic review aimed to determine the effect of cooling strategies targeting the head, face, and neck on physical and cognitive performance, determine any associated physiological and perceptual responses, synthesize adverse events, and provide practical applications.METHODS: We conducted a systematic review and multilevel meta-analysis, adhering to PRISMA guidelines. Studies that investigated the effect of cooling strategies targeting the head, face, or neck on a physical or cognitive task using a controlled trial design were included.RESULTS: Sixty-three studies were identified, involving 618 participants (86.6% male). Cooling strategies included water-perfused devices (18.7%), phase-change neck collars (17.3%), fanning/cold air (14.7%), phase-change headwear (13.3%), ice/gel packs (13.3%), cold towels (5.3%), menthol application (4.0%), water spraying/dousing (4.0%), or a combination of strategies (9.3%). The effect of cooling on both self-paced and fixed-intensity exercise tasks was inconclusive; the 95% CI of the pooled effect was compatible with no effect and medium beneficial effects but not harmful effects. We were unable to pool cognitive data. Cooling reduced the skin temperature at the target site and improved thermal sensation and comfort. Effects on heart rate and core and mean skin temperatures were negligible. Adverse events were rare, and no intervention subgroup was superior.CONCLUSION: We recommend that athletes experiment with a range of head-, face-, and neck-cooling strategies, including using different doses and timings, to determine the optimal strategy for their individual and sport context.
U2 - 10.1123/ijspp.2024-0561
DO - 10.1123/ijspp.2024-0561
M3 - Article
C2 - 40355096
SN - 1555-0265
SP - 1
EP - 21
JO - International journal of sports physiology and performance
JF - International journal of sports physiology and performance
ER -