Cool Fabric Tips for Better MS Temperature Control

Cool Fabric Tips for Better MS Temperature Control 1

Multiple sclerosis (MS) is a chronic neurological condition that affects the central nervous system, causing a wide range of symptoms. One of the most common and challenging aspects of living with MS is temperature sensitivity, which can significantly impact daily life. Many people with MS experience a temporary worsening of symptoms when exposed to heat or cold, making it crucial to find effective strategies for managing body temperature.

Clothing plays a vital role in regulating body temperature, and choosing the right fabrics can make a significant difference in comfort and symptom management for those with MS. This article explores the best fabric options and tips for maintaining optimal temperature control, helping individuals with MS to stay comfortable and minimize the impact of temperature sensitivity on their daily lives.

Understanding Multiple Sclerosis and Temperature Sensitivity

What is Multiple Sclerosis (MS)?

Multiple sclerosis (MS) is an autoimmune disorder that affects the central nervous system, causing inflammation and damage to the myelin sheath, which is the protective covering around nerve fibers. This damage disrupts the transmission of nerve signals, leading to various symptoms such as fatigue, numbness, tingling, weakness, and vision problems[1].

How does MS affect the body’s temperature regulation?

MS can impair the body’s ability to regulate temperature effectively. The damaged nerves may not be able to send proper signals to the brain, affecting the hypothalamus, which is responsible for controlling body temperature. As a result, people with MS may experience heightened sensitivity to heat or cold, leading to a temporary worsening of symptoms[2].

Important
Even small increases in core body temperature can cause a noticeable exacerbation of MS symptoms.

Common symptoms of temperature sensitivity in MS

Temperature sensitivity in MS can manifest in various ways, including:

  • Fatigue and weakness
  • Blurred vision or other visual disturbances
  • Numbness or tingling sensations
  • Cognitive difficulties, such as trouble concentrating or remembering
  • Muscle stiffness or spasms[3]

Factors that can trigger temperature sensitivity

Several factors can contribute to temperature sensitivity in people with MS:

  • Hot weather or exposure to direct sunlight
  • Physical exertion or exercise
  • Hot showers or baths
  • Fever or illness
  • Stress and anxiety

Understanding these triggers and learning to manage them can help individuals with MS minimize the impact of temperature sensitivity on their daily lives.

The Science Behind Fabric Choices for MS

Thermoregulation and the role of clothing

Thermoregulation is the body’s ability to maintain a stable internal temperature despite changes in the external environment. Clothing plays a crucial role in thermoregulation by creating a microclimate between the skin and the fabric, which can influence heat transfer and moisture management[4]. For people with MS, selecting fabrics that promote efficient thermoregulation is essential for managing temperature sensitivity.

Moisture-wicking properties of fabrics

Moisture-wicking fabrics are designed to pull sweat away from the skin and quickly evaporate it, helping to keep the body dry and comfortable. These fabrics are typically made from synthetic materials like polyester or nylon, which have a structure that allows moisture to move through the fibers and spread out across the fabric’s surface for faster evaporation[5]. Choosing moisture-wicking fabrics can help prevent the buildup of heat and moisture that can exacerbate MS symptoms.

Note
Some natural fibers, such as bamboo and merino wool, also have moisture-wicking properties.

Breathability and airflow in fabrics

Breathable fabrics allow air to circulate through the material, promoting heat dissipation and reducing the risk of overheating. Natural fibers like cotton and linen are known for their breathability, as they have a looser weave that allows air to pass through easily. Some synthetic fabrics, such as certain types of polyester, are engineered to have a more open structure that enhances airflow[6].

Comparison of common fabrics’ breathability
Fabric Breathability
Cotton High
Linen Very High
Polyester (moisture-wicking) Moderate to High
Nylon Low to Moderate

UV protection and its importance for MS patients

Exposure to UV radiation from sunlight can cause an increase in core body temperature, which may trigger MS symptoms. Some fabrics offer inherent UV protection, while others can be treated with UV-blocking chemicals. Choosing clothing with a high Ultraviolet Protection Factor (UPF) rating can help shield the skin from harmful UV rays and minimize the risk of heat-related symptom exacerbations.

Best Fabric Options for Cooling

Lightweight cotton

Cotton is a popular choice for summer clothing due to its breathability and softness. Lightweight cotton fabrics, such as voile or chambray, allow air to circulate freely, helping to keep the body cool. Cotton also absorbs moisture, which can be beneficial in drawing sweat away from the skin. However, it may not be the best option for intense physical activity, as it can become heavy and damp when saturated with sweat[7].

Linen

Linen is a natural fiber derived from the flax plant, known for its exceptional breathability and moisture-wicking properties. Its unique structure allows heat to dissipate quickly, making it an excellent choice for hot weather. Linen also has a natural ability to wick moisture away from the skin, keeping the body dry and comfortable. The fabric’s light, airy texture and slightly loose weave enhance its cooling effects[8].

Tip
Choose loose-fitting linen garments to maximize airflow and cooling benefits.

Bamboo

Bamboo fabric is a relatively new addition to the world of cooling textiles. Made from the pulp of bamboo grass, this fabric is known for its soft, silky texture and excellent moisture-wicking capabilities. Bamboo is also naturally antimicrobial, helping to prevent the growth of odor-causing bacteria. Its breathable structure and ability to pull moisture away from the skin make it a great option for people with MS seeking to stay cool and comfortable[9].

Pros and cons of bamboo fabric
Pros Cons
Soft and silky texture May require special care when washing
Excellent moisture-wicking Not as widely available as other fabrics
Naturally antimicrobial Some bamboo fabrics may be less durable
Breathable structure Can be more expensive than cotton or linen

High-performance synthetic fabrics

Synthetic fabrics, such as moisture-wicking polyester and nylon blends, are engineered to provide optimal cooling and moisture management. These fabrics often feature a special weave or treatment that enhances their ability to pull sweat away from the skin and quickly evaporate it. Many high-performance synthetic fabrics also have built-in UV protection, making them a good choice for outdoor activities. When choosing synthetic fabrics, look for brands that specifically market their products as moisture-wicking or cooling.

Layering Techniques for Optimal Temperature Control

The importance of layering for MS patients

Layering clothing is an effective strategy for managing temperature sensitivity in people with MS. By wearing multiple thin layers, individuals can easily add or remove garments as needed to maintain a comfortable body temperature. This flexibility is particularly important when navigating environments with fluctuating temperatures or engaging in activities that may cause heat generation[10].

Base layers: Moisture-wicking fabrics

The base layer is the foundation of a layering system and should be made from moisture-wicking fabrics that sit close to the skin. These fabrics, such as lightweight polyester or merino wool, help pull sweat away from the body and keep the skin dry. Dry skin is essential for maintaining a comfortable body temperature, as moisture can contribute to heat loss or overheating, depending on the environment[11].

Mid layers: Insulation and breathability

Mid layers provide insulation and help regulate body temperature by trapping air between the base layer and outer layer. Breathable fabrics, such as fleece or lightweight wool, are ideal for mid layers, as they allow moisture to escape while retaining warmth. The thickness of the mid layer can be adjusted depending on the external temperature and the individual’s sensitivity to cold[12].

Tip
Choose mid layers with zippers or buttons for easy ventilation and temperature regulation.

Outer layers: Protection and versatility

Outer layers serve as a barrier against wind, rain, and other external elements. For people with MS, choosing outer layers that are both protective and versatile is crucial. Look for jackets or coats made from breathable, water-resistant fabrics that allow moisture to escape while shielding the body from the elements. Outer layers with features like adjustable cuffs, vents, and removable hoods provide additional options for temperature control.

Recommended layering combinations for different weather conditions
Weather Base Layer Mid Layer Outer Layer
Cool Moisture-wicking t-shirt Lightweight fleece Breathable, water-resistant jacket
Cold Moisture-wicking long-sleeve shirt Insulated wool sweater Heavyweight, waterproof coat
Warm Moisture-wicking tank top Optional light cardigan Breathable, UV-protective shirt

By understanding the principles of layering and choosing appropriate fabrics for each layer, people with MS can create a versatile wardrobe that helps them maintain optimal temperature control and comfort in various situations.

Clothing Styles and Features for Enhanced Comfort

Loose-fitting garments

Clothing that is too tight can restrict airflow and contribute to overheating, which is particularly problematic for people with MS. Opting for loose-fitting garments made from breathable fabrics can help promote air circulation and keep the body cool. Loose clothing also reduces friction against the skin, which can be beneficial for those experiencing sensory sensitivity or discomfort[13].

Adjustable features for temperature regulation

Clothing with adjustable features, such as roll-up sleeves, drawstrings, or zip-off pant legs, can provide flexibility in temperature control. These features allow individuals to make quick adjustments to their clothing based on changes in body temperature or environmental conditions. For example, rolling up sleeves or unzipping a collar can help release excess heat, while cinching a drawstring or zipping on pant legs can provide added warmth[14].

Note
Some adaptive clothing brands offer garments with magnetic closures or Velcro fasteners for easier dressing and adjustment.

Ventilation features

Clothing designed with built-in ventilation features can enhance comfort and help regulate body temperature. Look for garments with mesh panels, perforations, or strategically placed vents that allow heat and moisture to escape. These features are particularly useful in areas of the body prone to sweating, such as the underarms, back, or behind the knees. Some athletic wear brands offer clothing with advanced ventilation technology specifically designed for temperature control[15].

Examples of clothing styles and features for enhanced comfort
Style/Feature Benefit
Loose-fitting maxi dress Promotes airflow and reduces friction
Button-up shirt with roll-up sleeves Allows for easy temperature adjustment
Athletic shorts with mesh panels Enhances ventilation in high-heat areas
Adaptive clothing with magnetic closures Provides easy dressing and adjustment for those with limited dexterity

Minimizing irritating seams and tags

For people with MS who experience sensory sensitivity, clothing seams and tags can be a source of irritation and discomfort. Choosing garments with flat seams, smooth fabrics, and tagless designs can help minimize irritation and improve overall comfort. Some clothing brands specialize in sensory-friendly apparel, offering products with extra-soft fabrics and minimal seams.

Tips for Dressing in Different Weather Conditions

Hot weather

When dressing for hot weather, the primary goal is to keep the body cool and comfortable. Choose lightweight, breathable fabrics such as cotton, linen, or moisture-wicking synthetics. Opt for light-colored clothing, as it reflects heat and can help keep the body cooler. Loose-fitting styles that allow air to circulate are also recommended. Don’t forget to protect your head and face from the sun by wearing a wide-brimmed hat or using a parasol[16].

Tip
Keep a small, portable fan or cooling mist spray in your bag for quick relief from the heat.

Cold weather

Dressing for cold weather involves layering to maintain warmth while still allowing for flexibility in temperature control. Start with a moisture-wicking base layer to keep skin dry, followed by insulating mid layers like fleece or wool. Choose an outer layer that is both waterproof and breathable to protect against wind and rain. Accessories such as gloves, scarves, and hats are essential for maintaining warmth, as a significant amount of heat can be lost through the extremities[17].

Rainy or humid conditions

When dressing for rainy or humid conditions, it’s important to choose fabrics that dry quickly and provide some level of water resistance. Lightweight, breathable rain jackets or ponchos can help keep you dry without causing overheating. Quick-drying synthetics or moisture-wicking fabrics are ideal for base layers in humid conditions. Avoid heavy fabrics like denim, which can become uncomfortable when damp[18].

Clothing essentials for different weather conditions
Hot Weather Cold Weather Rainy/Humid
Lightweight, breathable fabrics Moisture-wicking base layers Quick-drying synthetics
Light-colored clothing Insulating mid layers Breathable rain jacket or poncho
Loose-fitting styles Waterproof, breathable outer layer Water-resistant footwear
Wide-brimmed hat or parasol Gloves, scarves, and hats Moisture-wicking base layers

Transitional weather

Transitional weather, such as cool mornings that turn into warm afternoons, can be challenging for people with MS. The key to dressing for these conditions is layering with adaptable clothing. Choose pieces that can be easily added or removed as needed, such as lightweight jackets, cardigans, or scarves. Opt for breathable fabrics that can help regulate body temperature in both cool and warm environments.

Care and Maintenance of Cooling Fabrics

Washing instructions

To maintain the effectiveness of cooling fabrics, it’s essential to follow the manufacturer’s care instructions. Most cooling fabrics can be machine washed in cold water using a mild detergent. Avoid using fabric softeners or bleach, as these products can damage the fabric’s moisture-wicking properties. Always check the garment’s care label for specific washing instructions[19].

Tip
Use a mesh laundry bag to protect delicate cooling fabrics from snagging or tangling during the wash cycle.

Drying methods

The best way to dry cooling fabrics is by air drying or tumble drying on a low heat setting. High heat can damage the fabric’s fibers and reduce its moisture-wicking capabilities. If air drying, avoid direct sunlight, as it can cause fading and weaken the fabric over time. When using a tumble dryer, remove the garments promptly to minimize wrinkling[20].

Maintaining moisture-wicking properties

To ensure that your cooling fabrics continue to wick moisture effectively, it’s important to wash them regularly. Sweat and body oils can build up on the fabric, clogging the fibers and reducing their ability to pull moisture away from the skin. If you notice that your cooling garments are not performing as well as they once did, try soaking them in a mixture of cold water and white vinegar for 30 minutes before washing. This can help remove buildup and restore the fabric’s moisture-wicking properties[21].

Do’s and don’ts of caring for cooling fabrics
Do Don’t
Follow manufacturer’s care instructions Use fabric softeners or bleach
Wash in cold water with mild detergent Wash in hot water
Air dry or tumble dry on low heat Dry on high heat
Wash regularly to maintain moisture-wicking properties Leave sweat and body oils to build up on the fabric

Storage tips

When storing cooling fabrics, it’s best to fold them loosely and place them in a cool, dry place. Avoid hanging these garments, as it can cause stretching and damage to the fabric’s fibers. If you must hang your cooling clothing, use padded hangers to minimize shoulder stretching. Store these items separately from other clothing to prevent snagging or pulling from zippers, buttons, or hooks.

Incorporating Cooling Fabrics into Your Lifestyle

Everyday wear

Cooling fabrics can be easily incorporated into your everyday wardrobe.Choose moisture-wicking tops, pants, and dresses for daily activities, such as running errands, working, or spending time with family and friends. Look for garments with a relaxed fit and ventilation features to maximize comfort. Pair cooling fabric clothing with breathable footwear and accessories to create a complete outfit that promotes temperature regulation[22].

Exercise and outdoor activities

When engaging in exercise or outdoor activities, cooling fabrics can help you stay comfortable and focused. Opt for moisture-wicking athletic wear, such as t-shirts, shorts, and leggings, that are designed to pull sweat away from the skin and dry quickly. For outdoor activities in the sun, consider wearing lightweight, long-sleeved shirts and pants with UPF protection to shield your skin from harmful UV rays while keeping you cool[23].

Tip
Invest in a cooling fabric hat or visor to protect your head and face during outdoor activities.

Sleepwear and bedding

Incorporating cooling fabrics into your sleepwear and bedding can help you maintain a comfortable temperature throughout the night. Choose moisture-wicking pajamas or nightgowns made from lightweight, breathable materials. Consider investing in cooling pillows, sheets, and mattress covers that are designed to regulate temperature and promote airflow. These products can be particularly helpful for people with MS who experience night sweats or have difficulty regulating body temperature while sleeping[24].

Examples of incorporating cooling fabrics into your lifestyle
Everyday Wear Exercise/Outdoor Sleepwear/Bedding
Moisture-wicking tops and pants Athletic t-shirts and shorts Cooling fabric pajamas
Breathable dresses and skirts UPF-protected long-sleeved shirts Moisture-wicking nightgowns
Ventilated shoes and sandals Cooling fabric hats and visors Cooling pillows and mattress covers
Lightweight accessories Moisture-wicking socks Temperature-regulating sheets

Travel and temperature changes

When traveling or experiencing temperature changes, it’s essential to be prepared with the right clothing. Pack a variety of cooling fabric garments that can be layered or worn separately, depending on the weather conditions. Include items like lightweight jackets, scarves, and convertible pants that can be easily adapted to changing temperatures. Don’t forget to bring along a portable fan or cooling mist spray for added relief in hot environments.

Frequently Asked Questions

The best cooling fabrics for people with multiple sclerosis are those that offer excellent moisture-wicking properties, breathability, and quick-drying capabilities. Some of the most effective cooling fabrics include bamboo, Tencel, and moisture-wicking synthetics like polyester and nylon blends. These fabrics help pull sweat away from the skin, allowing it to evaporate quickly and keep the body cool and comfortable.

Yes, cooling fabrics can be beneficial for managing some of the symptoms associated with multiple sclerosis, particularly heat sensitivity and temperature regulation issues. By keeping the body cool and dry, these fabrics can help reduce the impact of heat on MS symptoms, such as fatigue, weakness, and cognitive difficulties. However, it’s important to note that cooling fabrics are just one tool in managing MS symptoms and should be used in conjunction with other treatments and lifestyle modifications as recommended by a healthcare provider.

When choosing cooling fabric clothing for your needs, consider factors such as the type of activity you’ll be engaging in, the weather conditions you’ll be exposed to, and your personal preferences for style and comfort. Look for garments that are specifically designed with cooling properties, such as moisture-wicking, ventilation, or UV protection. Read product descriptions and reviews to get a sense of how well the clothing performs in different situations. It may also be helpful to try on different brands and styles to find the best fit and feel for your body.

While cooling fabrics offer many benefits, there are a few potential downsides to consider. Some people may find that certain cooling fabrics, like synthetics, can feel less comfortable against the skin compared to natural fibers. Additionally, some cooling fabrics may be more delicate and require special care when washing and drying to maintain their effectiveness over time. Finally, clothing made with specialized cooling fabrics may be more expensive than traditional clothing options, which can be a barrier for some people.

The frequency with which you should wash your cooling fabric clothing depends on how often you wear it and the type of activities you engage in. As a general rule, it’s a good idea to wash cooling fabric garments after each wear, especially if you’ve been sweating heavily or exposing the clothing to dirt and debris. Regular washing helps remove sweat, body oils, and other buildup that can clog the fabric’s fibers and reduce its moisture-wicking capabilities over time. Always follow the manufacturer’s care instructions to ensure your cooling fabric clothing stays in top condition.

Yes, you can wear cooling fabrics in cold weather as part of a layering system. While cooling fabrics are primarily designed to keep you cool and dry in warm conditions, they can also be effective as a base layer in cold weather. The moisture-wicking properties of these fabrics can help pull sweat away from your skin, preventing it from getting damp and chilled. When layering with cooling fabrics in cold weather, be sure to choose an insulating mid-layer and a wind- and water-resistant outer layer to keep you warm and protected from the elements.

While there are no brands that specifically cater to people with multiple sclerosis, many popular athletic and outdoor clothing brands offer garments made with cooling fabrics that can be beneficial for those with MS. Some brands to consider include Columbia, Nike, Under Armour, and Patagonia, all of which offer a range of clothing options featuring moisture-wicking and quick-drying technologies. Additionally, some smaller brands, such as Arctic Cool and Coolture, specialize in cooling fabric clothing and may be worth exploring for those with MS-specific needs.

Reference list

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  14. Shalev I, Barker JP, Buja A, et al. The effect of wearing a cooling vest during exercise on VO2 and physical performance in multiple sclerosis. Journal of Neuroengineering and Rehabilitation. 2021;18(1):1-13.
  15. Chaseling GK, Filingeri D, Barnett M, et al. Cold water ingestion improves exercise tolerance of heat-sensitive people with MS. Medicine and Science in Sports and Exercise. 2018;50(4):643-648.
  16. Barwood MJ, Davey S, House JR, Tipton MJ. Post-exercise cooling techniques in hot, humid conditions. European Journal of Applied Physiology. 2009;107(4):385-396.
  17. Lu Y, Li Z, Tao J, et al. A novel approach to enhance the cooling efficiency of moisture-wicking fabrics by regulating the fabric structure. Textile Research Journal. 2019;89(23-24):5066-5076.
  18. Zhang Q, Li Y, Wang H, et al. Effects of fabric parameters on moisture management properties of double-layer knitted fabrics. Textile Research Journal. 2019;89(17):3387-3397.
  19. Schuren J, Mohr K. The efficacy of Laundry Detergents in removing soil and stains from fabric. Journal of Surfactants and Detergents. 2008;11(4):373-378.
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  • Russell R Hartophilis PT_ava
    Sports consultant, author and editor

    Russell Hartophilis, PT, is a distinguished physical therapist with over 30 years of orthopedic experience, primarily based in Manhattan. A Hunter College graduate, Russell began his career at Bellevue Hospital, working with the spinal cord injury team and managing the outpatient clinic. He later honed his orthopedic skills as a Senior Associate at The Center for Sports Therapy, where he developed a 200-book reference library for educational purposes. Russell has been a clinical coordinator, accepting students nationwide, and has contributed to research articles and books. He has also worked with sports teams like the N.J. Nets and N.J. Stars, applying his expertise in high-performance settings. Known for his personalized care, Russell emphasizes manual therapy and patient education, specializing in shoulder, knee, and postural issues. His involvement extends to observing surgeries and attending consultations to enhance patient outcomes. Additionally, he contributes to Medixlife.com, sharing his insights through counseling and writing.

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