Hot environments can impair the complex cognitive functions that are crucial to baseball hitting and defense. This study investigated the effects of intermittent forehead and neck cooling on the hitting and reactive agility of baseball players in hot environments. Ten male collegiate baseball players played 7-inning intrasquad games in a hot environment (31.1°C - 33.4°C), completing one cooling and one control trial in a randomized crossover design. In the cooling trial, the participants placed ice-cold towels on their forehead and neck for 3 min during offensive half innings. Hitting and reactive agility tests, a go/no-go task, and the Stroop Color and Word Test were administered before and after each game. The games in the hot environment significantly increased rectal temperatures to the same level in the control (38.15°C ± 0.31°C, p < 0.001) and cooling (38.08°C ± 0.24°C, p < 0.001) trials. Intermittent cooling significantly reduced forehead and tympanic temperatures, perceived exertion, and thermal sensation during the game. Swing power significantly increased after the game, but the exit velocity of batted balls did not significantly differ in both trials. Reactive agility was significantly impaired after the game in the control trial (before: 0.367 ± 0.109 s, after: 0.491 ± 0.212 s, p = 0.008) but displayed a trend of decrease in the cooling trial (before: 0.390 ± 0.183 s, after: 0.518 ± 0.282 s, p = 0.066). The game and cooling intervention had no significant effects on the reaction time or error rate in the go/no-go task and Stroop Color and Word Test. The results showed that intermittent cooling during a baseball game in a hot environment reduces perceived exertion and thermal sensation but has no significant effect on hitting, defense performance, or cognitive function.

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