PT - JOURNAL ARTICLE AU - Alejandro Merchan AU - V J Clemente-Suárez TI - Psychophysiological modifications in an assault infantry manoeuvre using a chemical, biological, radiological and nuclear personal protective equipment AID - 10.1136/jramc-2019-001166 DP - 2019 Jun 18 TA - Journal of the Royal Army Medical Corps PG - jramc-2019-001166 4099 - http://militaryhealth.bmj.com/content/early/2019/06/17/jramc-2019-001166.short 4100 - http://militaryhealth.bmj.com/content/early/2019/06/17/jramc-2019-001166.full AB - Introduction The study of the psychophysiological response during combat actions has been poorly researched despite its importance for warfighter training and specific instruction. The aim of the present investigation was to analyse the effect of chemical, biological, radiological and nuclear personal protective equipment (PPE) on the psychophysiological response, mechanical and physical load and fine motor skills of professional soldiers in an endurance infantry manoeuvre.Methods 16 soldiers conducted an assault manoeuvre with and without the PEE in separate days. We analysed before and after the manoeuvre the psychophysiological response, fine motor skills, shooting test accuracy and anxiety state.Results The use of PPE produced significantly higher (p<0.05) stress, fatigue, temperature, HR, somatic anxiety and time in middle and high HR zones and significantly lower values in speed average and maximum speed. These findings can be used to improve the training and specific instruction for professionals who require the use of PPE equipment.Conclusion The use of the PPE suit in an assault manoeuvre produces a decrease in the speed of movement, an increase in HR, body temperature, somatic anxiety and subjective perception of effort.