REF-1723 · Jafari & Borujeni, 2026 · European Journal of Applied Physiology, · Paper · PubMed

In 25 hijab-wearing female futsal players doing repeated 30-m shuttle sprints in hot-dry indoor heat, neck cooling, alone or with a menthol mouth rinse, made mean and best sprint times faster than placebo and lowered thermal sensation and RPE, while a menthol rinse alone gave only a small gain in mean sprint time; heart rate and rectal temperature did not differ between conditions (randomised crossover, effect sizes not in the abstract)

Main caveat: One crossover of 25 players, read from the abstract only: no sprint times, effect sizes, confidence intervals, or adjustment details are given.
limited evidenceMeasured on non-athletes to trained athletesRead from the abstract only

Jafari and Borujeni asked whether a menthol mouth rinse, neck cooling, or both help female futsal players who wear a sports hijab during repeated sprinting in the heat, on the premise that the hijab may add to heat strain.

Twenty-five players completed four randomised crossover trials in a hot-dry indoor room (about 34 °C, 20-30% humidity): placebo, menthol rinse, neck cooling, and neck cooling with menthol rinse. Each trial was a 10 × 30-m out-and-back sprint test with a sprint every 30 s.

Neck cooling, alone or combined, made mean and best sprint times faster than placebo; the menthol rinse alone made mean sprint time slightly faster (p = 0.045) but not best sprint time. All three active conditions lowered the fatigue index.

Neck cooling, alone or combined, lowered thermal sensation, thermal comfort ratings and RPE and reduced sweat loss, while heart rate and rectal temperature did not differ between conditions.

The authors conclude that neck cooling helps repeated sprinting and lowers perceived thermal strain in this population, that menthol gives smaller benefits, and that combining the two is broadly comparable to neck cooling alone.

Participants

n = 25 female futsal players who wear a sports hijab.
Age, competition level, training history, heat acclimatisation and menstrual status: not in the abstract.

Protocol

Environment: indoor, 34 ± 1 °C, 20-30% RH, WBGT about 31 °C.
Four conditions in randomised order: placebo (PLA), menthol mouth rinse (MEN), neck cooling (NEC), neck cooling plus menthol rinse (MEN + NEC).
Test: 10 × 30-m out-and-back repeated sprints, one every 30 s.
Outcomes: mean and best sprint time, fatigue index, whole-body thermal sensation and comfort, RPE; heart rate and sweat loss after the test; rectal temperature (listed as pre-trial in the methods, reported for after the test in the results).
Not in the abstract: the neck-cooling device and when it was applied, menthol concentration and rinse timing, what the placebo was, blinding, washout between trials, and the hijab type.

Key Results

Outcome vs placeboMenthol rinseNeck coolingNeck cooling + menthol
Mean sprint timefaster, p = 0.045faster, p < 0.001faster, p < 0.001
Best sprint timeno difference, p = 1.000faster, p < 0.001faster, p < 0.001
Fatigue indexlower (all p ≤ 0.002)lowerlower
Sweat lossnot reported as differentlower (p ≤ 0.049)lower (p ≤ 0.049)
Thermal sensation / comfort and RPEnot reported as differentlower (condition effect p < 0.01)lower (condition effect p < 0.01)
Heart rate and rectal temperature after the testno difference across conditions (p ≥ 0.553)
Thermal sensation, comfort and RPE rose over the test in every condition (p < 0.001).
The authors report the combination as broadly comparable to neck cooling alone for the main performance outcomes; no direct statistic for that comparison is in the abstract.
No sprint times, effect sizes or confidence intervals are given in the abstract.

Practical Application

For repeated sprints in dry indoor heat, in hijab-wearing female futsal players, cooling the neck helped more than a menthol rinse. In 25 hijab-wearing futsal players, neck cooling (alone or with menthol) made mean and best sprint times faster and lowered perceived heat and effort, a menthol rinse alone only nudged mean sprint time, and adding menthol to neck cooling did not clearly add more.
Where it meets [SYNTH-25]: the guide warns that menthol changes how hot an athlete feels more than how hot they are.This trial does not test that warning for menthol: the rinse alone was not reported to lower thermal sensation, comfort or RPE against placebo; the drop in perceived strain came with neck cooling, alone or with the rinse, while rectal temperature (its timing unclear in the abstract) and heart rate did not differ between conditions.It differs on the rinse: the guide's pooled mouth-rinse effect is not significant (REF-962) and the guide prefers a cold menthol drink, while here a rinse gave a small faster mean sprint time (p = 0.045) and a lower fatigue index, though not a faster best sprint; this is one trial in repeated sprinting, a task the guide's cycling trials did not cover.
Where it meets [SYNTH-06]: that guide carries "not before sprints" as practice for precooling, because pooled precooling impaired sprints (REF-111); here neck cooling went with faster repeated sprints. When the neck was cooled (before or during) is not in the abstract, so this does not settle the timing question.
Inference, not tested here: because neck cooling lowered perceived strain and sweat loss without a measured change in rectal temperature, it may let an athlete feel cooler than they are, as the guide says of menthol; in a long hot effort, pace and drinking should still follow the body, not the feeling.
What transfers and what does not: the result answers for repeated short sprints in hot-dry indoor heat, by female team-sport players wearing a hijab. It was not measured in endurance events, in humid heat, in men or in uncovered athletes, and the trial did not test whether the hijab itself makes the benefit larger.

Limitations

One crossover of 25 players, read from the abstract only: no sprint times, effect sizes, confidence intervals, or adjustment details are given.
The neck-cooling method, timing and dose of menthol, the placebo, blinding and washout are not described in the abstract, including whether neck cooling could be hidden from the players.
The methods list rectal temperature as a pre-trial measure while the results report it for after the test; what was compared is unclear from the abstract.
No group without a hijab, so the effect of the hijab itself is not tested.
Hot-dry indoor conditions only; humid heat and outdoor play were not studied.
Participants' level, training, acclimatisation and menstrual status, and the study's funding and conflicts, are not in the abstract.
How this entry was checked and changed
Why this level

a crossover of 25 (the rubric's B+ band for crossovers) held one step lower because only the abstract was read and it gives p values but no sprint times, effect sizes, intervals, blinding or details of the cooling and rinse; the main outcomes are performance, so no further step