Controlled cold begins with defined conditions.
Cold exposure is not one uniform intervention. Water immersion, cryostimulation, and designed dry cold systems differ in heat transfer, contact, coverage, duration, and physiological effect.
Controlled cold identifies the delivery method and exposure conditions before interpreting a person's response.
Not all cold is the same.
Research on cold exposure uses a variety of delivery methods, each with different temperature profiles, surface contact areas, cooling rates, and physiological effects. Findings should not be transferred between methods without qualification.
Water Immersion
Many studies summarized here used water immersion under defined conditions. Temperature, duration, contact and the study population affect how those findings should be interpreted. They do not establish equivalent effects from dry cooling.
Defining an exposure is not establishing an outcome.
Defining an exposure does not establish that it is safe for a particular person or that it produces a medical, recovery, performance, or psychological benefit.
BHVD proposes that a defined cold exposure can serve as an object of deliberate attention. This proposition has not been validated as a complete training framework.