Institutional members access full text with Ovid®

Share this article on:

Hyperthermia-induced Neural Alterations Impair Proprioception and Balance.

Mtibaa, Khouloud; Thomson, Athol; Nichols, David; Hautier, Christophe; Racinais, Sébastien
Medicine & Science in Sports & Exercise: Post Acceptance: August 31, 2017
doi: 10.1249/MSS.0000000000001418
Original Investigation: PDF Only

Purpose: Hyperthermia has been shown to affect both central and peripheral nervous systems. However, the consequences of these alterations on the proprioceptive mechanisms underlying human movement control remain unclear. The aim of this study was to investigate the effect of passive hyperthermia on various measures of proprioception and balance, two key components of injury prevention and movement efficiency.

Methods: Following a familiarization session, 14 volunteers (8 males, 6 females) completed 2 experimental sessions in temperate (CON, 24[degrees]C) and hot (HOT, 44-50[degrees]C) conditions, in a counterbalanced order. Participants were tested for neural function (electrically evoked M-wave and H-reflex, Soleus), active movement discrimination (5 positions, 50 trials, dorsiflexion), dynamic balance (Star Excursion Balance Test, 3 directions) and static balance (single leg stance).

Results: Both rectal (39.0+/-0.3 vs. 36.9+/-0.6[degrees]C) and mean skin (37.9+/-1.0 vs. 32.0+/-2.7[degrees]C) temperatures were significantly higher in HOT than CON (p<0.05). Hyperthermia significantly reduced the H-reflex (p<0.05) but not the M-wave (p>0.05) amplitudes; increased the mean error for active movement discrimination (0.58+/-0.13 vs. 0.50+/-0.11 degrees, +17%, p<0.05); decreased the average distance reached in the postero-medial direction during dynamic balance (88.6+/-7.9 vs. 90.9+/-6.1cm, p<0.05); and increased the contact area of the foot (126+/-14 vs. 122+/-13cm2, +2.7%, p<0.05) and the center of pressure excursion (64+/-14 vs. 57+/-9cm, +11.1%, p<0.10) during single leg stance.

Conclusion: The current study suggests that hyperthermia impairs the proprioception and balance parameters measured. These observations might be due to heat-induced alterations in efferent and afferent signals to and from the muscle.

(C) 2017 American College of Sports Medicine