The challenge of the Petit Le Mans: a case study in driver science

Pagina creata da Viola Ceccarelli
 
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                                                                                                                                                                                                                                                                                                                                                                   Medicina dello Sport 2018 December;71(4):627-35
                                                                                                                                                                                                                                                                                                                                                                             DOI: 10.23736/S0025-7826.18.03387-2

                                                                                                                                                                                                                                                                                                                                           CASE REPORT

                                                                                                                                                                                                                                                                                                      The challenge of the Petit Le Mans:
                                                                                                                                                                                                                                                                                                        a case study in driver science
                                                                                                                                                                                                                                                                                                                    La sfida della Petit Le Mans:
                                                                                                                                                                                                                                                                                                              uno studio casistico riguardante i piloti
                                                                                                                                                                                                                                                                                                                                      Edward S. POTKANOWICZ *
                                                                                                                                                                                                                                                                                        Human Performance and Sport Science, Ohio Northern University, Ada, OH, USA
                                                                                                                                                                                                                                                                                        *Corresponding author: Edward S. Potkanowicz, Human Performance and Sport Science, Ohio Northern University, Ada,
                                                                                                                                                                                                                                                                                        OH, USA. E-mail: e-potkanowicz@onu.edu

                                                                                                                                                                                                                                                                                           SUMMARY
                                                                                                                                                                                                                                                                                           The Petit Le Mans is a 10-hour motorsports endurance race run in both dry and wet conditions. While technology drives
                                                                                                                                                                                                                                                                                           the development of the cars, there has been comparatively little interest in using that technology for the assessment of
                                                                                                                                                                                                                                                                                           the driver-athlete. Also, little published data exists relating to the physiological challenges experienced by the driver-ath-
                                                                                                                                                                                                                                                                                           lete. The purpose of this case study is to present the pre- and post-stint core body temperature, heart rate, and physiologi-
                                                                                                                                                                                                                                                                                           cal strain data from two professional driver-athletes collected during a single stint during the 2016 Petit Le Mans. This
                                                                                                                                                                                                                                                                                           data is being offered here in an effort to add, incrementally, to the growing body of work on the topic of driver science.
                                                                                                                                                                                                                                                                                           Two drivers, for one stint each, were monitored pre- and post-stint for core temperature, heart rate, and physiological
                                                                                                                                                                                                                                                                                           strain. Each driver exhibited an increase in PSI (driver 1 pre/post stint PSI= 0.21/7.76, driver 2 pre/post PSI= 2.16/8.17).
                                                                                                                                                                                                                                                                                           Similarly, the work of racing was evident in core body temperature (Tgi) and heart rate (HR) (driver 1 Tgi pre/post=
                                                                                                                                                                                                                                                                                           37.24/38.78 °C, driver 2 Tgi pre/post= 37.54/38.42 °C; driver 1 HR pre/post =71/166, driver 2 HR pre/post =93/195).
                                                                                                                                                                                                                                                                                           Post-stint HR levels represented 85% and 96% of their respective age-estimated maximal heart rate. These results add to
                                                                                                                                                                                                                                                                                           the slowly growing body of driver science research and support the findings of others who have contributed to the topic.
                                                                                                                                                                                                                                                                                           However, it is abundantly clear that there is much to learn in the area of driver science. While the current investigation
                                                                                                                                                                                                                                                                                           added incrementally to this growing body of work, the most obvious limitation is the lack of suitable micro-technology.
                                                                                                                                                                                                                                                                                           Driver science research would benefit greatly by moving in the direction of using research-grade micro-biometrics
                                                                                                                                                                                                                                                                                           which for the continuous real-time and non-intrusive assessment of the driver-athlete. The lack of adequate technology,
                                                                                                                                                                                                                                                                                           combined with the lack of published literature, offers compelling evidence for the continuation of this work.
                                                                                                                                                                                                                                                                                           (Cite this article as: Potkanowicz ES. The challenge of the Petit Le Mans: a case study in driver science. Med Sport
                                                                                                                                                                                                                                                                                           2018;71:627-35. DOI: 10.23736/S0025-7826.18.03387-2)
                                                                                                                                                                                                                                                                                           Key words: Automobile driving - Microtechnology - Athletes.

                                                                                                                                                                                                                                                                                           RIASSUNTO
                                                                                                                                                                                                                                                                                           La Petit Le Mans è una gara di corsa di categoria endurance, condotta in condizioni sia di asciutto che di bagnato.
                                                                                                                                                                                                                                                                                           Se da un lato la tecnologia promuove l’evoluzione delle auto, poco interesse è stato dedicato finora alla tecnologia,
                                                                                                                                                                                                                                                                                           per favorire le condizioni dei piloti. Inoltre, ci sono pochi dati pubblicati a proposito delle sfide fisiologiche cui i piloti
                                                                                                                                                                                                                                                                                           vanno incontro. Lo scopo di questo studio casistico è riportare, nei periodi pre- e post-test, la temperatura corporea
                                                                                                                                                                                                                                                                                           interna, la frequenza cardiaca e i dati inerenti allo sforzo fisiologico in due piloti professionisti, raccolti in un singolo
                                                                                                                                                                                                                                                                                           lasso di tempo, durante la Petit Le Mans del 2016. Questi dati vengono presentati qui, allo scopo di accrescere le
                                                                                                                                                                                                                                                                                           conoscenze, riguardanti la scienza che studia i piloti. Sono stati monitorati due piloti, entrambi in un singolo periodo,
                                                                                                                                                                                                                                                                                           nel pre- e nel post-test, per quanto riguarda la temperatura corporea interna, la frequenza cardiaca e lo sforzo fisiolo-
                                                                                                                                                                                                                                                                                           gico. Ciascun pilota ha esibito un aumento del PSI (pilota 1, PSI pre-/post-test =0,21/7,76; pilota 2, PSI pre-/post-test
                                                                                                                                                                                                                                                                                           =2,16/8,17). In modo analogo, la gara ha esercitato evidenti effetti sulla temperatura corporea interna (Tgi) e sulla
                                                                                                                                                                                                                                                                                           frequenza cardiaca (HR) (pilota 1, Tgi pre-/post-test =37,24/38,78 °C; pilota 2, Tgi pre/post=37,54/38,42 °C; pilota
                                                                                                                                                                                                                                                                                           1, HR pre-/post-test =71/166; pilota 2 HR pre/post =93/195). I livelli post-test di HR hanno rappresentato l’85% e il
                                                                                                                                                                                                                                                                                           96% della frequenza cardiaca massima stimata per età. Questi risultati si aggiungono al corpus di conoscenze della
                                                                                                                                                                                                                                                                                           scienza che studia i piloti, lentamente in crescita, e conferma le scoperte degli altri studiosi in quest’ambito. Nonostan-
                                                                                                                                                                                                                                                                                           te questo, è evidente che vi è ancora molto da apprendere nell’ambito della scienza sui piloti. Se da un lato questa
                                                                                                                                                                                                                                                                                           ricerca aggiunge conoscenze, è altrettanto ovvio che il limite principale è la mancanza di micro-tecnologie idonee. La
                                                                                                                                                                                                                                                                                           scienza che studia i piloti potrebbe avere dei grandi benefici da parte della ricerca basata sulla micro-biometria e dei
                                                                                                                                                                                                                                                                                           suoi metodi in tempo reale e continuo, non invasivi, per valutare i piloti. La mancanza di tecnologie adeguate, unita
                                                                                                                                                                                                                                                                                           alla carenza di dati pubblicati, è un input per l’approfondimento di questo lavoro.
                                                                                                                                                                                                                                                                                           Parole chiave: Automobilismo - Microtecnologia - Piloti.

                                                                                                                                                                                                                                                                                        Vol. 71 - No. 4                                      MEDICINA DELLO SPORT                                                        627
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                                                                                                                                                                                                                                                                                        POTKANOWICZ                                                                                   PETIT LE MANS

                                                                                                                                                                                                                                                                                        T   he Petit Le Mans is a ten-hour endurance
                                                                                                                                                                                                                                                                                            race which is held annually as the culminat-
                                                                                                                                                                                                                                                                                        ing event of the International Motor Sports As-
                                                                                                                                                                                                                                                                                                                                             L   a Petit Le Mans è una corsa di categoria endu-
                                                                                                                                                                                                                                                                                                                                                 rance della durata di 10 ore, che si tiene ogni
                                                                                                                                                                                                                                                                                                                                             anno come evento culminante della stagione della
                                                                                                                                                                                                                                                                                        sociation (IMSA) season. Held at the 2.54 mile,      associazione internazionale degli sport motoristi-
                                                                                                                                                                                                                                                                                        12-turn, Road Atlanta race course, the race is       ci (International Motor Sports Association [IMSA]).
                                                                                                                                                                                                                                                                                        run in both dry and wet conditions and is chal-      Questa corsa, che prevede 2,54 miglia e 12 giri, al
                                                                                                                                                                                                                                                                                        lenging for both car and driver. While technol-      circuito Road Atlanta, si tiene sia in condizioni di
                                                                                                                                                                                                                                                                                        ogy drives the continued development of the          asciutto che di bagnato ed è impegnativa sia per le
                                                                                                                                                                                                                                                                                        cars, little emphasis is placed on using that        auto che per i piloti. Mentre la tecnologia promuo-
                                                                                                                                                                                                                                                                                        technology to assess and quantify the demands        ve continuamente l’evoluzione delle auto, viene
                                                                                                                                                                                                                                                                                        endured by the driver-athlete. Commonly, the         dato poco rilievo all’uso della stessa per valutare e
                                                                                                                                                                                                                                                                                        physical challenges of motorsports are spoken        quantificare gli sforzi sopportati dai piloti. In ge-
                                                                                                                                                                                                                                                                                        of as a consequence of the job. While “some”         nere, le prove fisiche dovute agli sport motoristici
                                                                                                                                                                                                                                                                                        progress has been made in understanding the          vengono considerati una conseguenza dell’impe-
                                                                                                                                                                                                                                                                                        physiological challenges experienced by the          gno. Se da un lato sono stati fatti “alcuni” pro-
                                                                                                                                                                                                                                                                                        driver-athlete, there continues to be a shortfall    gressi verso la comprensione delle sfide fisiologiche,
                                                                                                                                                                                                                                                                                        of published scientific work in this area. Look-     cui sono sottoposti i piloti, vi è ancora carenza di
                                                                                                                                                                                                                                                                                        ing at the literature, using search terms, syno-     lavori scientifici in quest’ambito. Se si guarda alla
                                                                                                                                                                                                                                                                                        nyms and closely-related words like “driver per-     letteratura, usando le parole chiavi, sinonime e
                                                                                                                                                                                                                                                                                        formance,” “racecar driver,” and “motorsports        strettamente correlate, come “prestazione del pi-
                                                                                                                                                                                                                                                                                        performance,” two general themes emerge: 1)          lota”, “pilota di auto da corsa” e “prestazione in
                                                                                                                                                                                                                                                                                        when examined within the relative context of         sport motoristici”, emergono due questioni gene-
                                                                                                                                                                                                                                                                                                                                             rali: 1) se si esamina il contesto relativo alla lette-
                                                                                                                                                                                                                                                                                        the published scientific literature investigating
                                                                                                                                                                                                                                                                                                                                             ratura scientifica sugli atleti e le attività sportive,
                                                                                                                                                                                                                                                                                        athletes and athletic pursuits, there is compara-
                                                                                                                                                                                                                                                                                                                                             vi è poco a riguardo dei piloti e ciò che è presente
                                                                                                                                                                                                                                                                                        tively little work examining the topic of driver
                                                                                                                                                                                                                                                                                                                                             si basa sulla stesso numero limitato di riferimenti;
                                                                                                                                                                                                                                                                                        science, and what is published relies on the
                                                                                                                                                                                                                                                                                                                                             2) quando si leggono queste pubblicazioni, appa-
                                                                                                                                                                                                                                                                                        same limited number of references; 2) when           re evidente che a causa dei limiti della tecnologia
                                                                                                                                                                                                                                                                                        reading these manuscripts, it becomes obvious        attuale, l’intera faccenda sugli sforzi fisici che il
                                                                                                                                                                                                                                                                                        that due to the limitations of the current tech-     pilota affronta è tralasciata e spesso limitata a dati
                                                                                                                                                                                                                                                                                        nology, the whole story about the physical chal-     pre- e post-test o a dati incompleti.1-9
                                                                                                                                                                                                                                                                                        lenges that the driver-athlete faces is not being        Una delle prime pubblicazioni, che esprimeva-
                                                                                                                                                                                                                                                                                        told and is often limited to reporting pre- and      no preoccupazione nei confronti della sicurezza
                                                                                                                                                                                                                                                                                        post-stint data or data that is incomplete.1-9       del pilota da corsa, è stata realizzata da Taggart
                                                                                                                                                                                                                                                                                           One of the earliest published instances of con-   et al.10 nel 1967. In quest’opera, l’autore discute
                                                                                                                                                                                                                                                                                        cern for a racing driver’s safety was expressed      dell’aumento precoce della frequenza cardiaca
                                                                                                                                                                                                                                                                                        by Taggart et al.10 in 1967. In their manuscript,    del pilota e di altri incrementi di frequenza car-
                                                                                                                                                                                                                                                                                        the authors speak of anticipatory increases in       diaca del partecipante alla gara, nel momento in
                                                                                                                                                                                                                                                                                        the driver’s heart rate and further increases in     cui viene dato il segnale di partenza della corsa
                                                                                                                                                                                                                                                                                        the entrant’s heart rates once the signal was giv-   entro due minuti. Gli autori hanno riportato dati
                                                                                                                                                                                                                                                                                        en that the race would start in two minutes. The     che indicano che le frequenze cardiache conti-
                                                                                                                                                                                                                                                                                        authors’ reported data that showed heart rates       nuano ad aumentare quando la partenza si av-
                                                                                                                                                                                                                                                                                        continuing to increase as the start drew nearer,     vicina, raggiungendo infine il valore di 205 battiti
                                                                                                                                                                                                                                                                                        ultimately reaching a heart rate of 205 beats per    al minuto. In alcuni casi le frequenze cardiache
                                                                                                                                                                                                                                                                                        minute. In some cases, the heart rates remained      rimangono elevate per un periodo prolungato di
                                                                                                                                                                                                                                                                                        elevated for an extended period of time even         tempo, anche dopo che la corsa è iniziata. Taggart
                                                                                                                                                                                                                                                                                        after the race had begun. Taggart et al.10 sum-      et al.10 hanno riassunto le loro scoperte dichiaran-
                                                                                                                                                                                                                                                                                        marized their findings by offering that “even        do che “ci possono essere aumenti di frequenza
                                                                                                                                                                                                                                                                                        more rapid heart rates may develop in certain        cardiaca anche più rapidi in alcuni piloti, prima
                                                                                                                                                                                                                                                                                        drivers before and during competitive motor-         e durante le corse automobilistiche competitive”.
                                                                                                                                                                                                                                                                                        racing.” Since 1967, other scientists have worked    Dal 1967 in poi, diversi ricercatori hanno cerca-
                                                                                                                                                                                                                                                                                        to quantify the physiological stress of competi-     to di quantificare lo stress fisiologico della guida
                                                                                                                                                                                                                                                                                        tive driving in an effort to understand the con-     competitiva, allo scopo di comprendere le conse-
                                                                                                                                                                                                                                                                                        sequences of such an endeavor. For example, in       guenze di tale impresa. Per esempio, nel 1987 Ja-
                                                                                                                                                                                                                                                                                        1987 Jareño11 warned of the potential for ther-      reño11 mise in guardia dal potenziale dello stress
                                                                                                                                                                                                                                                                                        mal stress after treating two British drivers who    termico, dopo aver trattato due piloti britannici

                                                                                                                                                                                                                                                                                        628                                      MEDICINA DELLO SPORT                                  December 2018
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                           COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
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This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically

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                                                                                                                                                                                                                                                                                        PETIT LE MANS                                                                                POTKANOWICZ

                                                                                                                                                                                                                                                                                        showed signs of heat stroke following the com-        che avevano mostrato sintomi da colpo di calore,
                                                                                                                                                                                                                                                                                        pletion of a 360 km endurance race. Upon arriv-       dopo aver portato a termine una corsa endurance
                                                                                                                                                                                                                                                                                        ing at the Intensive Care Unit of the circuit, both   da 360 km. Al loro arrivo presso l’unità di terapia
                                                                                                                                                                                                                                                                                        of the drivers presented with core body temper-       intensiva del circuito, entrambi i piloti presenta-
                                                                                                                                                                                                                                                                                        atures of 41 °C (106 °F). Complicating matters,       vano una temperatura corporea interna di 41 °C
                                                                                                                                                                                                                                                                                        as was demonstrated by Wyon et al.12 in 1996, is      (106 °F). L’impatto dello stress termico è un fattore
                                                                                                                                                                                                                                                                                        the impact of thermal stress on decision-making.      che complica il processo decisionale, come dimo-
                                                                                                                                                                                                                                                                                        The authors reported a statistically significant      strato da Wyon et al.12 nel 1996. Gli autori hanno
                                                                                                                                                                                                                                                                                        negative effect of heat stress on driver vigilance,   riportato un effetto negativo, statisticamente signi-
                                                                                                                                                                                                                                                                                        reporting response times that were 22% slower         ficativo, dello stress da calore sull’attenzione del
                                                                                                                                                                                                                                                                                        at 27 °C than those measured at 21 °C. Jacobs         pilota, riportando risposte inferiore del 22% a 27
                                                                                                                                                                                                                                                                                        et al.13 reported on the metabolic challenge that     °C, rispetto a quelle misurate a 21 °C. Jacobs et
                                                                                                                                                                                                                                                                                        drivers face when they measured oxygen con-           al.13 hanno riscontrato uno stress metabolico da
                                                                                                                                                                                                                                                                                        sumption values in drivers during both oval and       parte del pilota, misurando i valori di consumo di
                                                                                                                                                                                                                                                                                        road course trials. The authors reported an aver-     ossigeno nei piloti durante prove su circuiti ovali
                                                                                                                                                                                                                                                                                        age road course oxygen consumption value of           e di strada. Gli autori hanno rilevato un consumo
                                                                                                                                                                                                                                                                                        38.5 mL/kg/min, which is an approximate 10-           medio di ossigeno su percorsi su strada di 38.5 ml/
                                                                                                                                                                                                                                                                                        fold increase from resting energy expenditure.        kg/min, che è circa 10 volte di più di quello a ri-
                                                                                                                                                                                                                                                                                        Similarly, oval track testing produced an average     poso. In modo analogo, durante i test su circuito
                                                                                                                                                                                                                                                                                        oxygen consumption value of 21.9 mL/kg/min,           ovale veniva consumato ossigeno per un valore di
                                                                                                                                                                                                                                                                                        or an approximately 6-fold increase from rest-        21.9 ml/kg/min oppure un aumento di 6 volte ri-
                                                                                                                                                                                                                                                                                        ing energy expenditure. The authors conclude          spetto ai livelli a riposo. Gli autori hanno concluso
                                                                                                                                                                                                                                                                                                                                              che bisogna studiare meglio le sfide previste dalla
                                                                                                                                                                                                                                                                                        by saying that more work needs to be done to
                                                                                                                                                                                                                                                                                                                                              cabina di pilotaggio. Uno degli ambiti di ricerca
                                                                                                                                                                                                                                                                                        understand fully the challenges of the cockpit.
                                                                                                                                                                                                                                                                                                                                              futuri delineati dagli autori è l’impatto della disi-
                                                                                                                                                                                                                                                                                        One of the areas for future investigation offered
                                                                                                                                                                                                                                                                                                                                              dratazione e della perdita di fluidi sulla prestazio-
                                                                                                                                                                                                                                                                                        by the authors is the impact of dehydration and
                                                                                                                                                                                                                                                                                                                                              ne. A questo proposito, Brearly et al.,3 lavorando
                                                                                                                                                                                                                                                                                        fluid loss on performance. To this point, Brear-      con i piloti della Australian V8 Supercar Cham-
                                                                                                                                                                                                                                                                                        ly et al.,3 working with Australian V8 Supercar       pionship, hanno registrato tassi di sudorazione di
                                                                                                                                                                                                                                                                                        Championship drivers, reported overall sweat          1,06 L/min e una perdita complessiva di sudore
                                                                                                                                                                                                                                                                                        rates of 1.06 L/min and an overall sweat loss of      di 1,48 kg, in seguito a gare di corsa brevi (
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                            COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
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This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically

to the Article. The use of all or any part of the Article for any Commercial Use is not permitted. The creation of derivative works from the Article is not permitted. The production of reprints for personal or commercial use is not permitted. It is not permitted to remove,

                                                                                                                                                                                                                                                                                        POTKANOWICZ                                                                                         PETIT LE MANS

                                                                                                                                                                                                                                                                                        other traditional sport involves high speed,             prestazione elevata (sia fisica che psicologica), e
                                                                                                                                                                                                                                                                                        paired with persistent g-loading, paired with            con la minaccia mortale, sempre presente? Soste-
                                                                                                                                                                                                                                                                                        split-second decision making, paired with pro-           nere che la comunità scientifica abbia risposto
                                                                                                                                                                                                                                                                                        tracted periods of sustained performance (both           adeguatamente a tali domande sarebbe sbagliato.
                                                                                                                                                                                                                                                                                        physical and psychological), paired with the             C’è molto da imparare sui piloti. Pertanto, lo scopo
                                                                                                                                                                                                                                                                                        ever-present threat of death? To suggest that the        di questo studio casistico è quello di riportare la
                                                                                                                                                                                                                                                                                        scientific community has adequately answered             temperatura corporea interna, la frequenza car-
                                                                                                                                                                                                                                                                                        these questions would be incorrect. There is             diaca e i dati dello sforzo fisiologico nel pre- e nel
                                                                                                                                                                                                                                                                                        still a great deal to learn about the driver-ath-        post-test, in due piloti professionisti, misurandoli
                                                                                                                                                                                                                                                                                        lete. Therefore, the purpose of this case study          in un momento singolo, durante la Petit Le Mans
                                                                                                                                                                                                                                                                                        is to present the pre- and post-stint core body          del 2016. Questi dati qui delineati accrescono le
                                                                                                                                                                                                                                                                                        temperature, heart rate, and physiological strain        conoscenze nella scienza che studia i piloti.
                                                                                                                                                                                                                                                                                        data from two professional driver-athletes col-
                                                                                                                                                                                                                                                                                        lected during a single stint during the 2016 Pet-
                                                                                                                                                                                                                                                                                        it Le Mans. This data is being offered here in                               Case report
                                                                                                                                                                                                                                                                                        an effort to add, incrementally, to the growing
                                                                                                                                                                                                                                                                                        body of work on the topic of driver science.                La metodologia presentata qui è simile a quella
                                                                                                                                                                                                                                                                                                                                                 usata dall’autore del lavoro precedente e verrà de-
                                                                                                                                                                                                                                                                                                                                                 scritta in maniera analoga.9 Il protocollo di studio
                                                                                                                                                                                                                                                                                                            Case report                          è stato approvato in precedenza dal board di re-
                                                                                                                                                                                                                                                                                                                                                 visione internazionale dell’università di apparte-
                                                                                                                                                                                                                                                                                           The methodology presented here is similar             nenza dell’autore.
                                                                                                                                                                                                                                                                                        to that used by the author in previous work                 Sono stati reclutati due piloti autorizzati dall’In-
                                                                                                                                                                                                                                                                                        and will be described here in a similar fashion.9        ternationale de l’Automobile (FIA). Ciascun pilota
                                                                                                                                                                                                                                                                                        The study protocol was approved in advance               ha ricevuto e firmato un consenso informato. Inol-
                                                                                                                                                                                                                                                                                        by the institutional review board of the author’s        tre il personale medico e per la sicurezza dell’IMSA
                                                                                                                                                                                                                                                                                        university.                                              è stato informato e ha approvato il progetto, prima
                                                                                                                                                                                                                                                                                           The Federation Internationale de l’Automobile         del rilevamento dei dati. La demografia sui piloti è
                                                                                                                                                                                                                                                                                        (FIA) licensed drivers were recruited. Each driv-        riportata in Tabella I.
                                                                                                                                                                                                                                                                                        er was provided with and signed an informed                 Due piloti autorizzati FIA sono stati osservati
                                                                                                                                                                                                                                                                                        consent. Additionally, IMSA medical and safety           per un periodo, durante la corsa Petit Le Mans del
                                                                                                                                                                                                                                                                                        personnel notified and approved the project,             2016. Ciascun pilota ha gareggiato nella categoria
                                                                                                                                                                                                                                                                                        prior to data collection. Driver demographics            Prototype. Il pilota 1 ha iniziato la corsa (periodo
                                                                                                                                                                                                                                                                                        are provided in Table I.                                 #1) ed è stato seguito immediatamente nella cabi-
                                                                                                                                                                                                                                                                                           Two FIA licensed drivers were observed for            na di pilotaggio dal pilota 2 (periodo #2).
                                                                                                                                                                                                                                                                                        one stint each during the running of the 2016               La temperatura interna (Tgi) è stata misurata
                                                                                                                                                                                                                                                                                        Petit Le Mans. Each driver competed in the Pro-          immediatamente prima che i piloti entrassero a
                                                                                                                                                                                                                                                                                        totype category. Driver 1 began the race (Stint          bordo dell’auto e immediatamente dopo esserne
                                                                                                                                                                                                                                                                                        #1) and was followed immediately in the cock-            usciti, mediante la pillola-sensore ingeribile, HQ
                                                                                                                                                                                                                                                                                        pit by driver 2 (Stint #2).                              Inc. (Palmetto, FL, USA) CorTemp®.
                                                                                                                                                                                                                                                                                           Core temperature (Tgi) was measured imme-                La frequenza cardiaca è stata misurata me-
                                                                                                                                                                                                                                                                                        diately before getting into the car and imme-            diante registratore non codificato di frequenza
                                                                                                                                                                                                                                                                                        diately upon exiting the car using the HQ Inc.           cardiaca Polar (Lake Success, NY, USA) T-31, ac-
                                                                                                                                                                                                                                                                                        (Palmetto, FL, USA) CorTemp® ingestible core             coppiato al registratore dati HQ Inc., per il rile-
                                                                                                                                                                                                                                                                                        probe pill.                                              vamento simultaneo di temperatura interna e fre-
                                                                                                                                                                                                                                                                                           Heart rate was assessed using a Polar (Lake           quenza cardiaca.

                                                                                                                                                                                                                                                                                        Table I.—Participant demographics/characteristics.
                                                                                                                                                                                                                                                                                        Tabella I. — Caratteristiche/demografia dei partecipanti.
                                                                                                                                                                                                                                                                                        Characteristic                                     Driver 1                              Driver 2
                                                                                                                                                                                                                                                                                        Age (years)                                          27                                    25
                                                                                                                                                                                                                                                                                        Height (cm)                                         182.88                                182.88
                                                                                                                                                                                                                                                                                        Weight (kg)                                          68.04                                 75.57
                                                                                                                                                                                                                                                                                        Body surface area (m2)                                1.86                                  1.92

                                                                                                                                                                                                                                                                                        630                                         MEDICINA DELLO SPORT                                    December 2018
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                                COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
cover, overlay, obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher.
This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically

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                                                                                                                                                                                                                                                                                        PETIT LE MANS                                                                                            POTKANOWICZ

                                                                                                                                                                                                                                                                                        Success, NY, USA) T-31 un-coded heart rate                   Poiché il pilota 2 ha avuto una risposta di fre-
                                                                                                                                                                                                                                                                                        monitor which was paired to the HQ Inc. data              quenza cardiaca superiore al limite massimo
                                                                                                                                                                                                                                                                                        recorder for simultaneous collection of core              di 180 battiti al minuto (bpm), come proposto
                                                                                                                                                                                                                                                                                        temperature and heart rate.                               dall’equazione di Moran et al.,15 il PSI è stato cal-
                                                                                                                                                                                                                                                                                           Because driver 2 exhibited a heart rate re-            colato secondo l’equazione di Moran et al.10 e di
                                                                                                                                                                                                                                                                                        sponse above the maximal limit of 180 beats per           Tikuisis et al.16 Il PSI di Moran et al.15 viene così
                                                                                                                                                                                                                                                                                        minute (bpm) as proposed in the equation by               calcolato:
                                                                                                                                                                                                                                                                                        Moran et al.,15 the PSI was calculated using the
                                                                                                                                                                                                                                                                                                                                                   PSI= 5(Tret – Tre0) · (39,5 - Tre0)-1 + 5(HRt – HR0) ·
                                                                                                                                                                                                                                                                                        equations of Moran et al.10 and Tikuisis et al.16
                                                                                                                                                                                                                                                                                                                                                                       (180 - HR0) -1
                                                                                                                                                                                                                                                                                        The PSI offered by Moran et al.15 is calculated as:
                                                                                                                                                                                                                                                                                        PSI= 5(Tret – Tre0) · (39.5 - Tre0)-1 + 5(HRt – HR0) ·       Tikuisis et al.16 modifica l’equazione originale
                                                                                                                                                                                                                                                                                                            (180 - HR0) -1                        di Moran et al.15 per consentire frequenze cardia-
                                                                                                                                                                                                                                                                                                                                                  che superiori ai 180 bpm al minuto. Tikuisis et
                                                                                                                                                                                                                                                                                           Tikuisis et al.16 modifies the original equation       al.16 calcolano il PSI in questo modo:
                                                                                                                                                                                                                                                                                        of Moran et al.15 to allow for heart rates above
                                                                                                                                                                                                                                                                                        the 180-bpm maximum. Tikuisis et al.16 calcu-                  PSI= 5(Tret – Tre0) · (39,5 - Tre0)-1 + 5(HRt - 60) ·
                                                                                                                                                                                                                                                                                        lates PSI as:                                                                    (HRmax - 60) -1

                                                                                                                                                                                                                                                                                        PSI= 5(Tret – Tre0) · (39.5 - Tre0)-1 + 5(HRt - 60) ·        dove HRmax costituisce la frequenza cardiaca
                                                                                                                                                                                                                                                                                                          (HRmax - 60) -1                         massima osservata e 60 è scelto arbitrariamente
                                                                                                                                                                                                                                                                                                                                                  come valore di frequenza cardiaca a riposo, pro-
                                                                                                                                                                                                                                                                                        where HRmax represents the maximal observed               posto in Tikuisis et al.16. Entrambe le equazioni
                                                                                                                                                                                                                                                                                        heart rate and 60 represents the arbitrarily cho-         per il PSI sono state modificate per adattarsi all’uso
                                                                                                                                                                                                                                                                                        sen resting heart rate value proposed by Tikuisis         del sensore di temperatura ingeribile. Pertanto,
                                                                                                                                                                                                                                                                                        et al.16 Both PSI equations were modified to ac-          abbiamo sostituito con i valori rilevati dal sen-
                                                                                                                                                                                                                                                                                        count for the use of the ingestible temperature           sore di temperatura ingeribile quelli di tempera-
                                                                                                                                                                                                                                                                                        probe. As such, ingestible temperature probe              tura rettale. Per facilitare la lettura e i confronti,
                                                                                                                                                                                                                                                                                        values were substituted for rectal temperature.           abbiamo presentato nella Tabella II le condizioni
                                                                                                                                                                                                                                                                                           For ease of reading and comparison, driver-            ambientali pilota-specifiche, pre-test e post-test, e
                                                                                                                                                                                                                                                                                        specific pre- and post-stint environmental con-           le temperature della cabina di pilotaggio. 15,16 Le
                                                                                                                                                                                                                                                                                        ditions and cockpit temperatures are presented            temperature della cabina di pilotaggio, misurate
                                                                                                                                                                                                                                                                                        in Table II.15, 16 Cockpit temperature, measured          usando una termocoppia montata centralmente,

                                                                                                                                                                                                                                                                                        Table II.—Pre- and post-stint driver responses.
                                                                                                                                                                                                                                                                                        Tabella II. — Risposte pre- e post-test.
                                                                                                                                                                                                                                                                                                          Measured                          Driver 1                                  Driver 2
                                                                                                                                                                                                                                                                                        Driving time                                        2:17:55                                   1:43:58
                                                                                                                                                                                                                                                                                        Laps/miles driven                                   101/244                                   73/184
                                                                                                                                                                                                                                                                                        Baseline Tgi (°C)                                    37.20                                     37.01
                                                                                                                                                                                                                                                                                        Baseline heart rate (bpm)                            72                                        70
                                                                                                                                                                                                                                                                                        Prestint ambient temperature (°C)                    22.2                                      25.0
                                                                                                                                                                                                                                                                                        Post-stint ambient temperature (°C)                  25.0                                      26.1
                                                                                                                                                                                                                                                                                        Prestint relative humidity (%)                       46.0                                      46.0
                                                                                                                                                                                                                                                                                        Post-stint relative humidity (%)                     46.0                                      45.0
                                                                                                                                                                                                                                                                                        Prestint Tgi (°C)                                    37.24                                     37.54
                                                                                                                                                                                                                                                                                        Post-stint Tgi (°C)                                  38.78                                     38.42
                                                                                                                                                                                                                                                                                        Tgi difference (°C)                                   1.54                                      0.88
                                                                                                                                                                                                                                                                                        Prestint heart rate (bpm)                            71                                        93
                                                                                                                                                                                                                                                                                        Post-stint heart rate (bpm)                         166                                       188
                                                                                                                                                                                                                                                                                        Heart rate difference (bpm)                          95                                        95
                                                                                                                                                                                                                                                                                        Prestint PSI 15                                       0.21                                      2.16
                                                                                                                                                                                                                                                                                        Post-stint PSI 15                                     7.76                                      8.17
                                                                                                                                                                                                                                                                                        PSI difference 15                                     7.55                                      6.01
                                                                                                                                                                                                                                                                                        Prestint PSI 16                                       0.18                                      2.03
                                                                                                                                                                                                                                                                                        Post-stint PSI 16                                     7.30                                      7.54
                                                                                                                                                                                                                                                                                        PSI difference 16                                     7.12                                      5.51

                                                                                                                                                                                                                                                                                        Vol. 71 - No. 4                             MEDICINA DELLO SPORT                                                  631
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                           COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
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                                                                                                                                                                                                                                                                                        POTKANOWICZ                                                                                     PETIT LE MANS

                                                                                                                                                                                                                                                                                        using a thermocouple centrally mounted within         al suo interno, sono salite, durante il periodo di ri-
                                                                                                                                                                                                                                                                                        the cockpit, rose during the period of data col-      levamento dei dati da un valore iniziale di 23,7°C
                                                                                                                                                                                                                                                                                        lection from an initial temperature of 23.7 °C to     fino a 40,0°C. Poiché si tratta di uno studio casisti-
                                                                                                                                                                                                                                                                                        a high of 40.0 °C.                                    co, i risultati si limitano a riportare i valori pre-test
                                                                                                                                                                                                                                                                                           As a case study, the results are limited to re-    e post-test per ciascun pilota.
                                                                                                                                                                                                                                                                                        porting pre- and post-stint values for each of           Per facilitare la lettura e la comprensione, ab-
                                                                                                                                                                                                                                                                                        the two drivers.                                      biamo riportato nella Tabella II i dati del pre-test,
                                                                                                                                                                                                                                                                                           For ease of reading and comparison, pre-,          del post-test e le differenze per ciascuna variabile.
                                                                                                                                                                                                                                                                                        post-, and difference data for each of the vari-
                                                                                                                                                                                                                                                                                        ables is presented in Table II.
                                                                                                                                                                                                                                                                                                                                                                  Discussione

                                                                                                                                                                                                                                                                                                           Discussion                             Questo studio casistico ha cercato di quantifica-
                                                                                                                                                                                                                                                                                                                                              re le sfide fisiologiche causate dalle gare di corsa. A
                                                                                                                                                                                                                                                                                           This case study sought to quantify the physi-      tal fine, questo studio ha prodotto dei risultati pre-
                                                                                                                                                                                                                                                                                        ological challenges of racing. To that end, this      test e post-test, per quanto riguarda la temperatura
                                                                                                                                                                                                                                                                                        study produced pre- and post-stint data for core      corporea interna, la frequenza cardiaca e lo sfor-
                                                                                                                                                                                                                                                                                        body temperature, heart rate, and physiological       zo fisiologico, in un singolo intervallo di tempo,
                                                                                                                                                                                                                                                                                        strain from a single stint for two professional       in due piloti professionisti durante una gara di
                                                                                                                                                                                                                                                                                        drivers during an actual race. In doing so, this      corsa reale. In tal modo, questo studio casistico ha
                                                                                                                                                                                                                                                                                        case study added, incrementally, to the topic of      apportato conoscenza all’ambito della scienza sui
                                                                                                                                                                                                                                                                                        driver science. Given how little published infor-     piloti. Date le scarse informazioni sul tema, ogni
                                                                                                                                                                                                                                                                                        mation exists on the topic, every piece of data       contributo è favorevole. Se si guarda ai dati di PSI
                                                                                                                                                                                                                                                                                        adds to the growing conversation. Looking at          pre- e post-test, si nota che i piloti sono stati messi
                                                                                                                                                                                                                                                                                        the pre- and post-stint PSI data, both drivers        alla prova fisiologicamente, alla fine del periodo
                                                                                                                                                                                                                                                                                        were physiologically challenged by the end of         di test. Inoltre, questo studio conferma ciò che è
                                                                                                                                                                                                                                                                                                                                              stato menzionato precedentemente da altri autori.
                                                                                                                                                                                                                                                                                        their stints. Additionally, these findings support    1-9 Sebbene entrambi i piloti abbiano all’inizio un
                                                                                                                                                                                                                                                                                        those of the authors mentioned previously.1-9
                                                                                                                                                                                                                                                                                                                                              valore di PSI che corrisponde ad assenza di sforzo/
                                                                                                                                                                                                                                                                                        While each driver began his stint with a PSI
                                                                                                                                                                                                                                                                                                                                              sforzo limitato, alla fine entrambi presentano un
                                                                                                                                                                                                                                                                                        value equal to No/Little strain, each ended their
                                                                                                                                                                                                                                                                                                                                              valore elevato di PSI. Di ulteriore rilievo è la situa-
                                                                                                                                                                                                                                                                                        stint with a PSI value in the High range. Of addi-    zione di partenza del pilota 2. Mentre il pilota 1 ha
                                                                                                                                                                                                                                                                                        tional note is the condition in which each driver     iniziato il suo periodo di test con un PSI di 0,21, il
                                                                                                                                                                                                                                                                                        2 began his stint. Where driver 1 began his stint     pilota 2 aveva in partenza un PSI di 2,16. Sebbe-
                                                                                                                                                                                                                                                                                        with a PSI of 0.21, driver 2 began his stint with     ne entrambi i valori di PSI del pre-test ricadessero
                                                                                                                                                                                                                                                                                        a PSI of 2.16. While both prestint PSI values are     nell’intervallo PSI assente/basso, il pilota 2 è salito
                                                                                                                                                                                                                                                                                        in the No/Little range, driver 2 entered the car      in auto in uno stato che potrebbe essere conside-
                                                                                                                                                                                                                                                                                        in what could be characterized as an already el-      rato elevato. Dato questo PSI alto, la domanda da
                                                                                                                                                                                                                                                                                        evated state. Given this elevated PSI, the ques-      porsi sarebbe se il pilota 2 fosse “riposato”, oppure
                                                                                                                                                                                                                                                                                        tion should be raised that while driver 2 may         avesse iniziato la gara in stato già alterato. Dato il
                                                                                                                                                                                                                                                                                        have been the “fresh” driver, was he entering         tempo che i piloti di categoria endurance passano
                                                                                                                                                                                                                                                                                        the car in an already compromised state? Given        seduti in auto, questo stato alterato potrebbe com-
                                                                                                                                                                                                                                                                                        the amount of time endurance drivers spend in         promettere la prestazione e la sicurezza del pilota?
                                                                                                                                                                                                                                                                                        the seat, does this already elevated state have       Inoltre, considerando il numero di volte in cui un
                                                                                                                                                                                                                                                                                        the potential to compromise a driver’s perform-       pilota può uscire o rientrare nella cabina di pilo-
                                                                                                                                                                                                                                                                                        ance and safety? Additionally, when considering       taggio durante una gara, ci sarebbe da chiedersi
                                                                                                                                                                                                                                                                                        the number of times a driver may get into and         se egli abbia il tempo per ritornare a una condi-
                                                                                                                                                                                                                                                                                        out of the cockpit during a race, the question        zione vicina alla normalità, fra i due momenti del
                                                                                                                                                                                                                                                                                        must be raised about whether or not the driver        test. In modo analogo, se si guarda alle variazio-
                                                                                                                                                                                                                                                                                        is afforded enough time to return to a near-to-       ni della temperatura corporea interna e alla fre-
                                                                                                                                                                                                                                                                                        normal state between stints? Similarly, looking       quenza cardiaca, è evidente che guidare un’auto
                                                                                                                                                                                                                                                                                        at the changes in core body temperature and           da corsa può suscitare variazioni notevoli di que-
                                                                                                                                                                                                                                                                                        heart rate, it’s evident that the work of driving a   sti parametri. Salendo a bordo dell’auto, il pilota
                                                                                                                                                                                                                                                                                        race car can elicit a noticeable change in driver     1 ha presentato una Tgi di 37,24 °C e ne è uscito
                                                                                                                                                                                                                                                                                        core body temperature and heart rate. Entering        con una Tgi di 38,78 °C. Inoltre, mentre il pilota 1
                                                                                                                                                                                                                                                                                        the car, driver 1 had a Tgi of 37.24 °C and exited    è salito a bordo con una frequenza cardiaca rela-

                                                                                                                                                                                                                                                                                        632                                       MEDICINA DELLO SPORT                                   December 2018
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                           COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
cover, overlay, obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher.
This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically

to the Article. The use of all or any part of the Article for any Commercial Use is not permitted. The creation of derivative works from the Article is not permitted. The production of reprints for personal or commercial use is not permitted. It is not permitted to remove,

                                                                                                                                                                                                                                                                                        PETIT LE MANS                                                                                 POTKANOWICZ

                                                                                                                                                                                                                                                                                        with a Tgi of 38.78 °C. Further, while driver 1       tivamente normale di 71 bpm, ne è uscito con una
                                                                                                                                                                                                                                                                                        entered the car with a relatively normal heart        frequenza cardiaca di 166 bpm, corrispondente
                                                                                                                                                                                                                                                                                        rate of 71 bpm, he exited the car with a heart        all’85% della sua frequenza cardiaca stimata in
                                                                                                                                                                                                                                                                                        rate of 166 bpm, or 85% of his age-estimated          base all’età.
                                                                                                                                                                                                                                                                                        maximal heart rate. Entering the car, driver             Salendo a bordo dell’auto, il pilota 2 ha presen-
                                                                                                                                                                                                                                                                                        2 had a Tgi of 37.54 °C and he exited with a          tato una Tgi di 37,54 °C e ne è uscito con una Tgi di
                                                                                                                                                                                                                                                                                        Tgi of 38.42 °C. While driver 2 entered the car       39,42 °C. Mentre il pilota 2 è salito a bordo dell’au-
                                                                                                                                                                                                                                                                                        with a slightly higher heart rate of 93 bpm, he       to con una frequenza cardiaca leggermente più
                                                                                                                                                                                                                                                                                        exited the car with a much higher heart rate          alta di 93 bpm, ne è uscito con una frequenza car-
                                                                                                                                                                                                                                                                                        of 195, or 96% of his age-estimated maximal           diaca molto più alta, 195, corrispondente al 96%
                                                                                                                                                                                                                                                                                        heart rate. While these pre-post numbers are          della sua frequenza cardiaca massima stimata in
                                                                                                                                                                                                                                                                                        telling, it would be ideal to have continuous         base all’età. Ciò che questi dati pre- e post-test sug-
                                                                                                                                                                                                                                                                                        data throughout a stint, or the entire race, in       geriscono è che sarebbe ideale avere a disposizione
                                                                                                                                                                                                                                                                                        order to look rate of change in the physiologi-       dati continui, oppure misurati durante la corsa,
                                                                                                                                                                                                                                                                                        cal markers over time. To that point, and to the      per capire il tasso di variazione dei marker fisiolo-
                                                                                                                                                                                                                                                                                        second theme identified in the literature search,     gici nel tempo. A tale scopo e come seconda istan-
                                                                                                                                                                                                                                                                                        there is the need for novel technology within         za, secondo la ricerca in letteratura, c’è bisogno di
                                                                                                                                                                                                                                                                                        driver science research that would allow for          una tecnologia più innovativa per poter condurre
                                                                                                                                                                                                                                                                                        the real-time assessment of the driver-athlete.       valutazioni in tempo reale sui piloti. Sfortunata-
                                                                                                                                                                                                                                                                                        Unfortunately, the equipment that is currently        mente, la strumentazione disponibile al momento
                                                                                                                                                                                                                                                                                        available to driver science researchers utilizes      per i ricercatori che studiano i piloti utilizza una
                                                                                                                                                                                                                                                                                        technology that is either unsuited for the rigors     tecnologia che non è idonea alla durezza della ca-
                                                                                                                                                                                                                                                                                        of the cockpit or is not accepted by the govern-      bina di pilotaggio, oppure non è consentita dagli
                                                                                                                                                                                                                                                                                        ing bodies as a safe means of data collection.        organismi governativi come metodo sicuro per il
                                                                                                                                                                                                                                                                                                                                              rilevamento dati. Ad esempio, la ricerca che studia
                                                                                                                                                                                                                                                                                        For example, driver science research has often
                                                                                                                                                                                                                                                                                                                                              i piloti ha spesso fatto affidamento su alcune pillole
                                                                                                                                                                                                                                                                                        relied on some form of ingestible core temper-
                                                                                                                                                                                                                                                                                                                                              ingeribili per misurare la temperatura (e.g. Equivi-
                                                                                                                                                                                                                                                                                        ature pill (e.g. Equivital, HQ Inc., or eCelsius
                                                                                                                                                                                                                                                                                                                                              tal, HQ Inc., or eCelsius Performance). Si potrebbe
                                                                                                                                                                                                                                                                                        Performance). One could reasonably argue that
                                                                                                                                                                                                                                                                                                                                              ragionevolmente credere che questi produttori e i
                                                                                                                                                                                                                                                                                        these manufacturers and their respective prod-        loro rispettivi prodotti si adattino alla perfezione
                                                                                                                                                                                                                                                                                        ucts are perfectly suited for testing in extreme      a test in ambienti estremi, ed è così. La pillola-
                                                                                                                                                                                                                                                                                        environments, and they are. The ingestible core       sensore di temperatura ingeribile è stata usata con
                                                                                                                                                                                                                                                                                        temperature pill has been used successfully in        successo nelle esplorazioni spaziali, nelle configu-
                                                                                                                                                                                                                                                                                        space exploration, HazMat settings, and fire-         razioni HazMat e nello spegnimento degli incendi.
                                                                                                                                                                                                                                                                                        fighting. However, while these manufacturers          Nonostante ciò, se questi produttori sono stati in
                                                                                                                                                                                                                                                                                        may have resolved some the problems com-              grado di risolvere alcuni problemi, comunemente
                                                                                                                                                                                                                                                                                        monly associated with data collection in the          associati con il rilevamento dati negli ambienti de-
                                                                                                                                                                                                                                                                                        motorsports environment (e.g. Equivital® uses a       gli sport motoristici (ad esempio, Equivital® sfrutta
                                                                                                                                                                                                                                                                                        more robust signal to avoid signal interference       un segnale più intenso per evitare l’interferenza
                                                                                                                                                                                                                                                                                        and/or loss and eCelsius stores the real-time         e/o la perdita del segnale e eCelsius salva i dati in
                                                                                                                                                                                                                                                                                        data within the pill itself), what has not been       tempo reale nella stessa pillola), ciò che non è stato
                                                                                                                                                                                                                                                                                        resolved, regardless of the manufacturer, is that     risolto, a prescindere dal produttore, è che è impos-
                                                                                                                                                                                                                                                                                        a person cannot have a magnetic resonance im-         sibile per una persona sottoporsi a una risonanza
                                                                                                                                                                                                                                                                                        aging (MRI) test done while the pill is in place      magnetica (RM) con una pillola in funzione all’in-
                                                                                                                                                                                                                                                                                        and being used. While in many traditional sport       terno del corpo. Mentre in molti sport o test tradi-
                                                                                                                                                                                                                                                                                        or testing situations the issue of the MRI is of      zionali il problema della RM non è rilevante, negli
                                                                                                                                                                                                                                                                                        no great concern, given the violence of racing        sport motoristici, data la gravità degli incidenti
                                                                                                                                                                                                                                                                                        accidents, the sanctioning bodies within mot-         in gara, le autorità sanzionatorie (ad esempio, la
                                                                                                                                                                                                                                                                                        orsports (i.e. the Indy Racing League [IRL], the      Indy Racing League [IRL], la National Association
                                                                                                                                                                                                                                                                                        National Association of Stock Car Racing [NAS-        of Stock Car Racing [NASCAR] e la International
                                                                                                                                                                                                                                                                                        CAR], and the International Motorsports Asso-         Motorsports Association [IMSA]) non permetteran-
                                                                                                                                                                                                                                                                                        ciation [IMSA]) will soon no longer permit the        no ancora a lungo l’uso di pillole-sensori per due
                                                                                                                                                                                                                                                                                        use of the sensor pill for two primary reasons.       ragioni primarie. La prima è che la pillola potrebbe
                                                                                                                                                                                                                                                                                        First, the pill has the potential to interfere with   interferire con il protocollo in caso di commozione
                                                                                                                                                                                                                                                                                        the series’ concussion protocol. According to         cerebrale. Secondo i rappresentanti dei rispettivi
                                                                                                                                                                                                                                                                                        the representatives of the respective sanction-       organismi sanzionatori, in contatto con chi dirige

                                                                                                                                                                                                                                                                                        Vol. 71 - No. 4                           MEDICINA DELLO SPORT                                           633
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                           COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
cover, overlay, obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher.
This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically

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                                                                                                                                                                                                                                                                                        POTKANOWICZ                                                                                    PETIT LE MANS

                                                                                                                                                                                                                                                                                        ing bodies in conversation with the PI of this         questo studio casistico, la RM (combinata con altri
                                                                                                                                                                                                                                                                                        case study, MRIs (in combination with other as-        strumenti diagnostici) viene usata come parte inte-
                                                                                                                                                                                                                                                                                        sessment tools) are used as an integral part of        grante di un protocollo per commozione cerebrale
                                                                                                                                                                                                                                                                                        the concussion protocol and are relied upon for        ed è il mezzo su cui fare affidamento per decidere
                                                                                                                                                                                                                                                                                        decisions about the driver’s immediate condi-          delle condizioni immediate del pilota e del suo ri-
                                                                                                                                                                                                                                                                                        tion and the driver-athletes’ return to competi-       entro alle competizioni. La seconda ragione è che i
                                                                                                                                                                                                                                                                                        tion. Second, medical safety directors are hesi-       dirigenti della sicurezza medica esitano a rimuo-
                                                                                                                                                                                                                                                                                        tant to remove a valuable diagnostic tool (i.e.        vere un valido metodo diagnostico (come la RM)
                                                                                                                                                                                                                                                                                        the MRI) from their “toolbox” for the evaluation       dalla loro “cassetta degli attrezzi”, per valutare le
                                                                                                                                                                                                                                                                                        of a driver after an accident. While the pill typi-    condizioni del pilota dopo un incidente. Se è vero
                                                                                                                                                                                                                                                                                        cally passes in the 24 to 36 hours, the need for       che la pillola viene espulsa dall’organismo in 24-
                                                                                                                                                                                                                                                                                        diagnostic evaluation in motorsports accidents         36 ore, la necessità di una diagnosi in un inciden-
                                                                                                                                                                                                                                                                                        is often immediate, or certainly sooner than the       te motoristico è spesso immediata, o sicuramente è
                                                                                                                                                                                                                                                                                        pill would pass. Therefore, the ingestible core        necessaria prima che la pillola sia espulsa. Pertan-
                                                                                                                                                                                                                                                                                        sensor pill represents a dead end in the real-         to, la pillola-sensore interno ingeribile rappresenta
                                                                                                                                                                                                                                                                                        time monitoring of the driver athlete. More im-        un punto cieco del monitoraggio in tempo reale del
                                                                                                                                                                                                                                                                                        portantly, there is nothing currently available,       pilota. Ancora più importante è che non vi sono
                                                                                                                                                                                                                                                                                        either commercially or otherwise, to replace           al momento alternative disponibili, né in commer-
                                                                                                                                                                                                                                                                                        the ingestible core probe pill in driver science       cio né reperibili in altra maniera, per sostituire la
                                                                                                                                                                                                                                                                                        research that would allow for the safe and non-        pillola-sensore ingeribile nella scienza che studia
                                                                                                                                                                                                                                                                                        invasive assessment of the drive-athlete. While        i piloti, che consentirebbero misurazioni sicure e
                                                                                                                                                                                                                                                                                        some have tried to introduce new technology,           non invasive sul pilota. Sebbene alcuni abbiano
                                                                                                                                                                                                                                                                                                                                               cercato di introdurre nuove tecnologie, queste non
                                                                                                                                                                                                                                                                                        that new technology is either not of sufficient
                                                                                                                                                                                                                                                                                                                                               sono né sufficientemente accurate per un uso in
                                                                                                                                                                                                                                                                                        accuracy as to be useful in a research setting (i.e.
                                                                                                                                                                                                                                                                                                                                               ricerca (ad esempio, strumenti biometrici presenti
                                                                                                                                                                                                                                                                                        commercially available biometrics like Garmin
                                                                                                                                                                                                                                                                                                                                               in commercio, come Garmin o Jawbone) o questi
                                                                                                                                                                                                                                                                                        or Jawbone) or these new devices (e.g. Wire-
                                                                                                                                                                                                                                                                                                                                               nuovi dispositivi (ad esempio, Wireless Motorsports
                                                                                                                                                                                                                                                                                        less Motorsports of Cammeray, NSW, Australia)          of Cammeray, NSW, Australia) richiederebbero che
                                                                                                                                                                                                                                                                                        would require that the athlete remove one of           il pilota rimuova gli auricolari provvisti di acce-
                                                                                                                                                                                                                                                                                        his or her accelerometer-outfitted earbuds that        lerometro, che registrano la forza di gravità della
                                                                                                                                                                                                                                                                                        record g-loads to the head in the event of an ac-      testa in caso di incidente. Nessuno di questi sce-
                                                                                                                                                                                                                                                                                        cident. Neither scenario is ideal from a research      nari è ideale da un punto di vista di ricerca o di
                                                                                                                                                                                                                                                                                        or safety perspective. Issues involving electrical     sicurezza. I problemi che coinvolgono l’interferen-
                                                                                                                                                                                                                                                                                        interference, timing of the core pill’s adminis-       za elettrica, la tempistica della somministrazione
                                                                                                                                                                                                                                                                                        tration, restrictions associated with magnetic         della pillola-sensore, le restrizioni associate alle
                                                                                                                                                                                                                                                                                        resonance imaging, and the changing attitude           immagini di risonanza magnetica e il cambio di
                                                                                                                                                                                                                                                                                        towards, and in some cases outright restriction        prospettiva, in alcuni casi immediato, verso l’uso
                                                                                                                                                                                                                                                                                        on, using the core probe pill have hampered            della pillola-sensore, costituiranno un ostacolo ver-
                                                                                                                                                                                                                                                                                        the advancement of this work and represent a           so il progresso di quest’ambito di ricerca nonché
                                                                                                                                                                                                                                                                                        significant limitation for future work in the area     un limite significativo nel contesto della ricerca sui
                                                                                                                                                                                                                                                                                        of driver science. As such, there is a definite        piloti. Pertanto è chiaro che è necessario avere a
                                                                                                                                                                                                                                                                                        need for novel technology in area of driver sci-       disposizione una nuova tecnologia nell’ambito di
                                                                                                                                                                                                                                                                                        ence research.                                         ricerca sui piloti.

                                                                                                                                                                                                                                                                                                          Conclusions                                             Conclusioni

                                                                                                                                                                                                                                                                                            Examining what little published work exists,          Dal basso numero di lavori pubblicati, è evi-
                                                                                                                                                                                                                                                                                        it is abundantly clear that there is much to learn     dente che vi è ancora molto da comprendere
                                                                                                                                                                                                                                                                                        in the area of driver science. While the cur-          nell’ambito della scienza dedicata ai piloti. Se da
                                                                                                                                                                                                                                                                                        rent investigation added incrementally to this         un lato la ricerca attuale ha aggiunto conoscenze
                                                                                                                                                                                                                                                                                        growing body of work, the most obvious limi-           al settore, il limite più ovvio è rappresentato dalla
                                                                                                                                                                                                                                                                                        tation is the lack of suitable micro-technology.       mancanza di microtecnologie idonee. La ricerca
                                                                                                                                                                                                                                                                                        Driver science research would benefit greatly          dedicata ai piloti beneficerà sicuramente di gran-
                                                                                                                                                                                                                                                                                        by moving in the direction of using research-          di vantaggi, nel caso in cui ci si muova in direzio-
                                                                                                                                                                                                                                                                                        grade micro-biometrics which would allow for           ne di una micro-biometria specifica per l’ambito

                                                                                                                                                                                                                                                                                        634                                        MEDICINA DELLO SPORT                                 December 2018
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or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access                                  COPYRIGHT 2018 EDIZIONI MINERVA MEDICA
cover, overlay, obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher.
This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically

to the Article. The use of all or any part of the Article for any Commercial Use is not permitted. The creation of derivative works from the Article is not permitted. The production of reprints for personal or commercial use is not permitted. It is not permitted to remove,

                                                                                                                                                                                                                                                                                        PETIT LE MANS                                                                                                         POTKANOWICZ

                                                                                                                                                                                                                                                                                        the continuous real-time and non-intrusive as-                        di ricerca, che consentirebbe valutazioni in tem-
                                                                                                                                                                                                                                                                                        sessment of the driver-athlete and would allow                        po reale e non invasive dei piloti e offrirebbe ai
                                                                                                                                                                                                                                                                                        researchers to tell the whole story. The lack of                      ricercatori la possibilità di descrivere un quadro
                                                                                                                                                                                                                                                                                        adequate technology, combined with the lack                           completo. La mancanza di tecnologia adeguata e
                                                                                                                                                                                                                                                                                        of published literature, offers compelling evi-                       la scarsità di letteratura sono input per l’approfon-
                                                                                                                                                                                                                                                                                        dence for the continuation of this work.                              dimento di questo lavoro.

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                                                                                                                                                                                                                                                                                        Conflicts of interest.—The authors certify that there is no conflict of interest with any financial organization regarding the
                                                                                                                                                                                                                                                                                        material discussed in the manuscript.
                                                                                                                                                                                                                                                                                        Acknowledgements.—The author would like to thank Wayne Taylor Racing for their contribution to this project. The ac-
                                                                                                                                                                                                                                                                                        cess that the team granted, the cooperative and professional crew, and the willingness of the drivers to participate, were
                                                                                                                                                                                                                                                                                        each integral parts of this project. The author would also like to thank the International Motors Sports Association for al-
                                                                                                                                                                                                                                                                                        lowing the author to collect data during one of its events. Without the cooperation of elite level teams and their sanction-
                                                                                                                                                                                                                                                                                        ing bodies, research in the area of driver science would come to a screeching halt (pun intended). The cooperation that
                                                                                                                                                                                                                                                                                        the author received from all parties involved is greatly appreciated.
                                                                                                                                                                                                                                                                                        Manuscript accepted: October 24, 2018. - Manuscript received: July 11, 2018.

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