On the Use of Wearable Face and Neck Cooling Fans to Improve Occupant Thermal Comfort in Warm Indoor Environments

Face and neck cooling has been found effective in improving thermal comfort during exercise in the heat despite the fact that the surface area of human face and neck regions accounts for only 5.5% of the entire body. Presently very little documented research has been conducted to investigate cooling the face and neck only to improve indoor thermal comfort. In this study, two highly energy efficient wearable face and neck cooling fans were used to improve occupant thermal comfort in two warm indoor conditions (30 and 32 °C). Local skin temperatures and perceptual responses while using the two wearable cooling fans were examined and compared. Results showed that both cooling fans could significantly reduce local skin temperatures at the forehead, face and neck regions by up to 2.1 °C. Local thermal sensation votes at the face and neck were decreased by 0.82–1.21 scale unit at the two studied temperatures. Overall TSVs decreased by 1.03–1.14 and 1.34–1.66 scale units at 30 and 32 °C temperatures, respectively. Both cooling fans could raise the acceptable HVAC temperature setpoint to 32.0 °C, resulting in a 45.7% energy saving over the baseline HVAC setpoint of 24.5 °C. Furthermore, occupants are advised to use the free-control cooling mode when using those two types of wearable cooling fans to improve thermal comfort. Finally, despite some issues on dry eyes and dry lips associated with those wearable cooling fans, it is concluded that those two highly energy-efficient wearable cooling fans could greatly improve thermal comfort and save HVAC energy.

On the use of facial and neck cooling to improve indoor occupant thermal comfort in warm conditions

Face and neck cooling has been found effective to improve thermal comfort during exercise in the heat despite the surface area of human face and neck regions accounts for only 5.5% of the entire body. Presently, very limited work in the literature has been reported on face and neck cooling to improve indoor thermal comfort. In this work, two energy-efficient wearable face and neck cooling fans were used to enhance occupant thermal comfort in two warm indoor conditions (30 & 32 °C). Local skin temperatures and perceptual responses while using those two wearable cooling fans were examined and compared. Results showed that both cooling fans could largely reduce local skin temperatures at the forehead, face and neck regions up to 2.1 °C. Local thermal sensation votes at the face and neck were decreased by 0.82-1.21 scale unit at two studied temperatures. Overall TSVs dropped by 1.03-1.14 and 1.34-1.66 scale unit at 30 and 32 °C temperatures, respectively. Both cooling fans could extend the acceptable HVAC temperature setpoint to 32.0 °C, resulting in an average energy saving of 45.7% as compared to the baseline HVAC setpoint of 24.5 °C. Further, the free-control cooling mode is recommended to occupants for further improving thermal comfort while using those two types of wearable cooling fans indoors. Lastly, it is concluded that those two wearable cooling fans could greatly improve thermal comfort and save HVAC energy despite some issues on dry eyes and dry lips associated with those wearable cooling fans were noted.

Topical Neck Cooling Prolongs Survival of Rats with Intra-Abdominal Feculent Sepsis by Activation of the Vagus Nerve

Global hypothermia prolongs survival in rats with intraabdominal feculent sepsis by inhibiting inflammatory responses. We hypothesized that topical neck cooling (TNC) has similar benefits. Septic shock was induced by cecal ligation and incision (CLI) in Sprague Dawley rats. Rats were randomized to sham laparotomy, control with CLI, CLI with TNC, or vagotomy at the gastroesophageal junction before CLI and TNC. Two more groups underwent peritoneal washout with and without TNC two hours after CLI. TNC significantly lowered neck skin temperature (16.7 ± 1.4 vs. 30.5 ± 0.6 °C, p < 0.05) while maintaining core body normothermia. TNC rats recovered from anesthesia 70 min earlier than the control (p < 0.05). Three hours following CLI, the control and vagotomy with TNC groups had significantly more splenic contraction, fewer circulating leukocytes and higher plasma IL-1β, IL-10 and TNF-α levels than TNC rats (p < 0.05). TNC prolonged survival duration after CLI by a median of four hours vs. control (p < 0.05), but no benefit was seen if vagotomy preceded TNC. Peritoneal washout alone increased survival by 3 h (9.2 (7.8–10.5) h). Survival duration increased dramatically with TNC preceding washout, to a 56% survival rate (>10 days). TNC significantly prolonged the survival of rats with severe intraabdominal sepsis by inhibiting systemic proinflammatory responses by activating vagal anti-inflammatory pathways.

Correction to: Neck cooling induces blood pressure increase and peripheral vasoconstriction in healthy persons

A Correction to this paper has been published: https://doi.org/10.1007/s10072-021-05355-3

Head, facial and neck cooling as per-cooling modalities to improve exercise performance in the heat: A narrative review and practical applications

It has been well established that athletic performance is greatly affected by environmental heat. Numerous studies have attempted to find reliable cooling strategies to improve athletic performance while exercising in the heat. Whole-body pre-cooling has been found to enhance endurance performance in both dry and humid heat. Nevertheless, positive physiological alternations induced by pre-cooling gradually disappear during exercise. Hence, there is a great need to find effective per-cooling strategies to improve athletic performance in the heat. Unfortunately, it is impractical to adopt pre-cooling approaches as a per-cooling modality to improve athletic performance due to inherent issues of practicality. Thus, a narrative review was conducted to examine the impact of head, neck and facial cooling on athletic performance in the heat. Based on current evidences, head, neck and facial cooling could greatly decrease local skin temperature at those areas where cooling was applied and thereby, local perceptual sensations were greatly enhanced. Neck cooling during exercise is found effective to improve athletic performance for both endurance and team sports athletes in the heat. Besides, neck cooling is preferred over the head, facial & combined head, facial and neck cooling for both endurance and team sport athletes in the heat from a practical application viewpoint. Research is lacking on the systematically selection of per-cooling modalities to improve athletic performance based on environmental conditions and nature of the sports activity. In addition, powerful but portable head, neck and facial cooling systems are urgently required to help athletes improving performance in the heat.

Selective head–neck cooling after concussion shortens return-to-play in ice hockey players

We aimed to investigate whether selective head–neck cooling could shorten recovery after sports-related concussions (SRCs). In a nonrandomized study of 15 Swedish professional ice hockey teams, 29 concussed players received immediate head and neck cooling for ≥30 min (initiated at 12.3 ± 9.2 min post-SRC by a portable cooling system), and 52 SRC controls received standard management. Players receiving head–neck cooling had shorter time to return-to-play than controls (7 vs 12.5 days, p < 0.0001), and 7% in the intervention group versus 25% in the control group were out of play for ≥3 weeks (p = 0.07). Immediate selective head–neck cooling is a promising option in the acute management of SRC that should be addressed in larger cohorts.

The effect of head and neck per-cooling on neuromuscular fatigue following exercise in the heat

The effect of localised head and neck per-cooling on central and peripheral fatigue during high thermal strain was investigated. Fourteen participants cycled for 60 min at 50% peak oxygen uptake on 3 occasions: thermoneutral control (CON; 18 °C), hot (HOT; 35 °C), and HOT with head and neck cooling (HOTcooling). Maximal voluntary force (MVF) and central activation ratio (CAR) of the knee extensors were measured every 30 s during a sustained maximal voluntary contraction (MVC). Triplet peak force was measured following cycling, before and after the MVC. Rectal temperatures were higher in HOTcooling (39.2 ± 0.6 °C) and HOT (39.3 ± 0.5 °C) than CON (38.1 ± 0.3 °C; P < 0.05). Head and neck thermal sensation was similar in HOTcooling (4.2 ± 1.4) and CON (4.4 ± 0.9; P > 0.05) but lower than HOT (5.9 ± 1.5; P < 0.05). MVF and CAR were lower in HOT than CON throughout the MVC (P < 0.05). MVF and CAR were also lower in HOTcooling than CON at 5, 60, and 120 s, but similar at 30 and 90 s into the MVC (P > 0.05). Furthermore, they were greater in HOTcooling than HOT at 30 s, whilst triplet peak force was preserved in HOT after MVC. These results provide evidence that central fatigue following exercise in the heat is partially attenuated with head and neck cooling, which may be at the expense of greater peripheral fatigue. Novelty Central fatigue was greatest during hyperthermia. Head and neck cooling partially attenuated the greater central fatigue in the heat. Per-cooling led to more voluntary force production and more peripheral fatigue.