Comment on: “Endurance Performance is Influenced by Perceptions of Pain and Temperature: Theory, Applications and Safety Considerations”
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We commend Stevens et al.  on an excellent systematic review on the interconnections of perceptions of pain, thermal perceptions of sensation and comfort and how these factors affect endurance performance. Additionally, the combination of interventions including those that alter the perceptual state (e.g., menthol, transcranial magnetic stimulation) or mental state (e.g., psychological skills training) help connect the applicability and necessary future directions for this area of research and use in athletic settings. Future endurance and thermal experiments should consider including measures of perceptions to determine their role in performance. We are writing this letter to provide additional insights from one of our studies that may complement the findings discussed in your review, as it may help to determine the interconnection between perceptions and their role in exercise performance in the heat . This study was approved by the Biosciences Research Ethics Board at Brock...
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No sources of funding were used to assist in the preparation of this letter.
Conflict of interest
Phillip Wallace, Brandon McKinlay and Stephen Cheung declare that they have no conflicts of interest relevant to the content of this letter.