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Introduction. Stability of body posture is essential for ensuring safety and achieving high physical performance. Firefighting, as a high-risk occupation, exposes professionals to factors that destabilize balance and posture, increasing the risk of falls and injuries. Extreme thermal environments are known to affect postural stability, which relies on dynamic neuromuscular control influenced by vision, body temperature, and psychophysiological state. Objective. This study aims to assess the influence of ambient temperature on the control of body posture stability among professional firefighters. Specifically, it examines the role of visual control in balance maintenance and explores coordination between the nervous and musculoskeletal systems using posturographic measurements from a force plate (AccuGait). Additionally, the study investigates the relationships between posturographic parameters, heart rate (HR), heart rate variability (HRV) and body temperature. The impact of extreme thermal conditions – temperatures exceeding 35°C and falling below 0°C – on balance maintenance, dizziness, and balance disorders is also analysed. Material and Methods. Seventeen healthy male volunteers (mean age 35.9 ± 6.1 years, mean work experience 10.7 ± 5.5 years) were involved in the study. In the first phase, participants completed a survey containing general and detailed questions. They responded with “YES” or “NO” regarding their exposure to high temperatures (above 35°C) and low temperatures (below 0°C). In the second phase, measurements were taken using the AccuGait force plate (AMTI, USA). Each participant performed two 30-second trials. The first trial involved standing still on the force plate with open eyes (OE) and closed eyes (CE). Heart rate (HR) and heart rate variability (HRV) were monitored using a Polar H7 heart rate monitor and the EliteHRV application. Additionally, infrared photos of all participants were taken using a FLIR C3X Compact thermal camera. Results. The study revealed that 89.7% of respondents reported experiencing dizziness during exposure to high temperatures. Force plate testing confirmed excellent postural stability among firefighters in both open-eye (OE) and closed-eye (CE) trials. In the CE trial, an 18.9% increase in the average COP velocity (Avg Velocity) and a 19.3% increase in COP path length (Length) were observed. The average heart rate (HR) for the 17 participants was 79.9 ± 15 beats per minute. A correlation was identified between HR and the average COP velocity, COP path length, and the minimal COP deviation along the Y-axis (AP). The average heart rate variability (HRV) was 56.4 ± 8.8 ms, and HRV correlated with the maximum COP value on the Y-axis (AP) during the CE trial. The average corneal temperature was 34.4 ± 1.5°C. Statistical analysis was conducted using Spearman’s rank correlation and the Wilcoxon signed-rank test. Conclusions. The risk of balance disturbances is higher when firefighters operate in high temperaturę environments (above 35°C) as compared to low temperatures (below 0°C). The absence of visual control does not compromise the stability of firefighters’ posture, reflecting their exceptional neuromuscular coordination. The dynamics of muscle force activation in maintaining body balance are influenced by visual control status and heart rate.
Wydawca
Rocznik
Tom
Strony
179--192
Opis fizyczny
Bibliogr. 34 poz., tab.
Twórcy
autor
- Department of Medical Biophysics, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Silesia, Poland
autor
- Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Zabrze, Silesia, Poland
autor
- Department of Medical Biophysics, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Silesia, Poland
autor
- Department of Medical Biophysics, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Silesia, Poland
Bibliografia
- 1. Aljaroudi, A.M., Bhattacharya, A., Strauch, A., Quinn, T.D., Jon Williams, W., (2023). Effect of cooling on static postural balance while wearing firefighter’s protective clothing in a hot environment. Int J Occup Saf Ergon, vol. 29, no 4, s. 1460–1466. doi:10.1080/10803548.2022.2138142
- 2. Błaszczyk, J., (2001). Biomechanika kliniczna. Warsaw: PZWL.
- 3. Borodulin-Nadzieja, L., Girek, M., Janocha, A., Kosendiak, A., Skalik, R., Woźniak, W., (2009). Znaczenie termoregulacji dla wydolności fizycznej człowieka: czy zaburzenia regulacji temperatury wewnętrznej i jej percepcji przez korę mózgową mogą mieć wpływ na przebieg przewlekłej niewydolności serca? Pracownia Fizjologii Wysiłku i Układu Krążenia. Pracownia Badań Psychomotorycznych. Akademia Medyczna Wrocław, Katedra i Zakład Fizjologii. Akademia Medyczna Wrocław, Europejskie Towarzystwo Kardiologiczne, Studium Wychowania Fizycznego i Sportu. Akademia Medyczna Wrocław.
- 4. Bourdillon, N., Barriac, D., Millet, G., (2023). Relationship between performance, heart rate variability and clinical symptoms in elite football: A case study. Current Issues in Sport Science (CISS), vol. 8, no 2. doi: 10.36950/2023.2ciss061
- 5. Chia S.E., Teo, K.J., (2001). Postural stability and neurobehavioural effects of heat exhaustion among adult men. Neurotoxicology and Teratology, vol. 23, no 6, pp. 659–664. doi: 10.1016/S0892-0362(01)00183-0
- 6. Chia, S.E., Teo, K.J., (2003). Prognosis of adult men with heat exhaustion with regard to postural stability and neurobehavioral effects: a 6-month follow-up study. Neurotoxicol Teratol, vol. 25, no 4, pp. 503–508. doi: 10.1016/s0892-0362(03)00016-3
- 7. Dudziński, Ł., Czyżewski, Ł., Panczyk M., (2024). Assessment of parameters reflecting the reactivity of the autonomic nervous system of Polish firefighters on the basis of a test in a smoke chamber. Front. Public Health, vol. 12. doi: 10.3389/fpubh.2024.1426174
- 8. Ferreira, F.C., Padilha, M.C.S.V., Araujo-Leite, M.A., da Silva Soares, P.P., Rodrigues, G.D., (2024). Heated environment increases blood pressure drop and postural sway during initial orthostasis in healthy subjects. Eur J Appl Physiol, vol. 124, no. 11 pp. 3365–3375. doi: 10.1007/s00421-024-05546-8
- 9. Fukuchi, C.A., Duarte, M., Stefanyshyn, D.J., (2014). Postural sway following cryotherapy in healthy adults. Gait Posture, vol. 40, no 1, pp. 262–265. doi: 10.1016/j.gaitpost.2014.02.010
- 10. Furmanek, M.P., Słomka, K., Juras, G., (2014). The Effects of Cryotherapy on Proprioception System. Biomed Res Int, vol. 2014, ID. 696397. doi: 10.1155/2014/696397
- 11. Gos, E., Ratajczak, A., Tacikowska, G., Sosna, M., Piłka, A., Skarżyński, P.H., (2020). Kwestionariusz przesiewowy do oceny zawrotów głowy i zaburzeń równowagi. Now Audiofonol, vol. 8, no 2, pp. 37–42. doi: 10.17431/1003248
- 12. Górski, J., Caputa, M., (2010). Fizjologia człowieka. Warsaw: PZWL.
- 13. Hur, P., Park, K., Rosengren, K.S., Horn, G.P., Hsiao-Wecksler, E.T., (2015). Effects of air bottle design on postural control of firefighters. Applied Ergonomics, vol. 48, pp. 49–55. doi: 10.1016/j.apergo.2014.11.003
- 14. Koo, C.J., Hintz, C., Butler, C.R., (2024). Return to Duty Following Exertional Heat Stroke: A Review. Mil Med, vol. 189, no 5–6, pp. e1312–e1317. doi: 10.1093/milmed/usad388
- 15. Marszałek, A., Młynarczyk, M., (2020). International Physiological tests on firefighters whilst using protective clothing. Journal of Occupational Safety and Ergonomics. doi: 10.1080/10803548.2020.1794370
- 16. Mika, T., Kasprzak, W., (2006). Fizykoterapia. Warsaw: PZWL.
- 17. Mtibaa, K., Thomson, A., Nichols, D., Hautier, C., Racinais, S., (2018). Hyperthermiainduced Neural Alterations Impair Proprioception and Balance. Medicine & Science in Sports & Exercise, vol. 50, no. 1, p. 46. doi: 10.1249/MSS.0000000000001418
- 18. Ordinance of the Minister of Internal Affairs and Administration of 11 October 2018 on the list of diseases and disabilities, together with categories of fitness for service in the Police, Border Guard, Marshal Guard, State Fire Service and State Protection Service.
- 19. Parsons, I., (2023). 4 Improvements in orthostatic tolerance with physical training are augmented with heat acclimation and associated plasma volume expansion; a randomised controlled trial. BMJ Mil Health, vol. 169, no 3, p. e3. doi:10.1136/bmjmilitary-2023-RSMabstracts.4
- 20. Petracek, L.S., Eastin, E.F., Rowe, I.R., Rowe, P.C., (2022). Orthostatic intolerance as a potential contributor to prolonged fatigue and inconsistent performance in elite swimmers. BMC Sports Sci Med Rehabil, vol. 14, no 1, p. 139. doi: 10.1186/s13102-022-00529-8
- 21. Pisula, A., (2008). Wpływ zabiegów krioterapii ogólnej i sauny na stabilność postawy ciała. Wpływ zabiegów krioterapii ogólnej i sauny na stabilność postawy ciała III. Stat- Soft.
- 22. Redfern, M.S., Yardley, L., Bronstein, A.M., (2001). Visual influences on balance. Journal of Anxiety Disorders, vol. 15, no 1, pp. 81–94. doi: 10.1016/S0887-6185(00)00043-8
- 23. Regulation of the Minister of Internal Affairs and Administration of 27 October 2005 on the scope, procedure and frequency of periodic preventive medical examinations and periodic assessment of physical fitness of a firefighter of the National Fire Service.
- 24. Sahebjamee, N., Nagy, E., (2023). The effect of a short breathing intervention on postural control and heart rate variability. Developments in Health Sciences, vol. 6, no. 1, pp. 11–17. doi: 10.1556/2066.2023.00045
- 25. Shankar, K.N., Li, A., (2023). Older Adult Falls in Emergency Medicine, 2023 Update. Clin Geriatr Med, vol. 39, no 4, pp. 503–518. doi: 10.1016/j.cger.2023.05.010
- 26. Stacey, M.M.J. et al., (2018). Heart rate variability and plasma nephrines in the evaluation of heat acclimatisation status. Eur J Appl Physiol, vol. 118, no. 1, pp. 165–174. doi:10.1007/s00421-017-3758-y
- 27. Stoffregen, T.A., Schmuckler, M.A., Gibson, E.J., (1987). Use of central and peripheral optical flow in stance and locomotion in young walkers. Perception, vol. 16, no 1, pp. 113–119. doi: 10.1068/p160113
- 28. Stål, F., Fransson, P. A., Magnusson, M., Karlberg, M., (2003). Effects of hypothermic anesthesia of the feet on vibration-induced body sway and adaptation. Journal of Vestibular Research, vol. 13, no 1, pp. 39–52. doi: 10.3233/VES-2003-13105
- 29. Vaught, S.L., (2001). Gait, Balance, and Fall Prevention. Ochsner, vol. 3, no 2, pp. 94–97.
- 30. Vesterinen, V., Nummela, A., (2018). Nocturnal Heart Rate Variability and Morning Orthostatic Test as Tools to Monitor Training Load: 525 Board #8 May 30 1: 00 PM - 3: 00 PM. Medicine & Science in Sports & Exercise, vol. 50, no. 5S, p. 118. doi: 10.1249/01.mss.0000535474.73559.c9
- 31. Warren, W.H., Kurtz, K. J., (1992). The role of central and peripheral vision in perceiving the direction of self-motion. Percept Psychophys, vol. 51, no 5, pp. 443–454. doi:10.3758/bf03211640
- 32. White, S.C., Hostler, D., (2017). The effect of firefighter protective garments, selfcontained breathing apparatus and exertion in the heat on postural sway. Ergonomics, vol. 60, no 8, pp. 1137–1145. doi: 10.1080/00140139.2016.1257162
- 33. Wyszomirska, I., Iwańska, D., Tabor, P., Karczewska-Lindinger, M., Urbanik, C., Mastalerz, A., (2019). Postural stability pattern as an important safety factor of firefighters. WOR, vol. 62, no 3, pp. 469–476. doi: 10.3233/WOR-192881
- 34. Zagrobelny, Z., Woźniewski, M., (2008). Biomechanika kliniczna. Wroclaw: AWF.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa nr POPUL/SP/0154/2024/02 w ramach programu "Społeczna odpowiedzialność nauki II" - moduł: Popularyzacja nauki (2025).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-bc6aa244-2eae-45e9-bda1-cbb058e1390b
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