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Oska N, Azad F, Saad M, Juzych M. Seeing through the strikes: a comprehensive study of ocular injuries in martial arts from 2012 to 2021. CANADIAN JOURNAL OF OPHTHALMOLOGY 2024:S0008-4182(24)00252-7. [PMID: 39181158 DOI: 10.1016/j.jcjo.2024.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Revised: 07/12/2024] [Accepted: 08/11/2024] [Indexed: 08/27/2024]
Abstract
PURPOSE Over 6 million people in the United States participate in martial arts, and the focus on striking the face poses a significant risk of injury to the eye. The objective of this study is to characterize the nature and incidence of martial arts-related eye injuries in the United States. METHODS A retrospective analysis of the National Electronic Injury Surveillance System (NEISS) database served as the basis of the study. The NEISS database was queried for eye injuries related to martial arts from 2012 to 2021. The entries that resulted were coded for demographic information, mechanism of injury, martial arts discipline, and diagnosis. Data were analyzed using SPSS version 28 through descriptive and χ2 analyses. RESULTS There were 162 reported cases of martial arts-related eye injuries in 4- to 62-years-old patients with most injuries occurring in males (84%). The most represented martial arts discipline was boxing (30.5%), and the most frequently reported mechanism of injury was punching (30.2%). The most frequently reported diagnosis resulting from eye injury was corneal abrasion (40.5%), while sight-threatening diagnoses were reported, including retinal detachment (n = 4), vitreous hemorrhage (n = 2), and open globe (n = 2). CONCLUSIONS Despite the significant risk of ocular injury from martial arts, corneal abrasion was the most commonly diagnosed with excellent prognosis. Sight-threatening diagnoses were also reported, indicating that martial arts athletes should be educated about the risks of eye injury and the importance of regular eye examination when practicing combat sports.
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Affiliation(s)
- Nicole Oska
- Wayne State University, School of Medicine, Detroit, MI.
| | - Fereshteh Azad
- Wayne State University, School of Medicine, Detroit, MI; Kresge Eye Institute, Department of Ophthalmology, Wayne State University School of Medicine, Detroit, MI
| | - Michael Saad
- Wayne State University, School of Medicine, Detroit, MI; Kresge Eye Institute, Department of Ophthalmology, Wayne State University School of Medicine, Detroit, MI
| | - Mark Juzych
- Wayne State University, School of Medicine, Detroit, MI; Kresge Eye Institute, Department of Ophthalmology, Wayne State University School of Medicine, Detroit, MI; Department of Ophthalmology, Visual and Anatomical Sciences
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Santos SP, Soares HHP, Perez Neto S, Caseiro Filho LC, Girasol CE. Epidemiology of Injuries and Their Implications in Jiu-Jitsu Practitioners: An Integrative Systematic Review. Rev Bras Ortop 2024; 59:e364-e371. [PMID: 38911890 PMCID: PMC11193589 DOI: 10.1055/s-0044-1785662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 11/06/2023] [Indexed: 06/25/2024] Open
Abstract
Objective To investigate the epidemiology of injury types among jiu-jitsu practitioners, as well as the incidence regarding different skill and experience levels, through the question: "What are the characteristics and prevalence of musculoskeletal injuries in Jiu-Jitsu practitioners?". Methods Since the beginning of the study, in August 2020, we conducted a search on the MEDLINE, LILACS, and SciELO electronic databases. We included cross-sectional studies published between 2018 and 2023 on the epidemiology of the types of injuries among jiu-jitsu practitioners that compared their incidence regarding different levels of ability and experience. Two independent researchers performed the data extraction and assessed the risk of bias. Results Seven studies were included. The common outcomes involved 2,847 jiu-jitsu practitioners. A high prevalence in the knee joint and chest and rib areas was reported. Considering the difference in experience level among the practitioners, we could observe that most of the individuals included were beginners. Among the age groups observed, male practitioners older than 30 years of age were the ones who presented the highest rate of musculoskeletal injury, especially during training sessions. Conclusion There is a high prevalence of musculoskeletal injuries among jiu-jitsu practitioners. The most affected anatomical segments are the knee joint, the chest, and the rib region, followed by the shoulder joint. The related factors change according to certain variables, being more common during training in male individuals over 30 years of age and beginners in the sport.
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Affiliation(s)
- Sara Pereira Santos
- Departamento de Fisioterapia, Centro Universitário Estácio de Ribeirão Preto, Ribeirão Preto, SP, Brasil
| | | | - Sebastião Perez Neto
- Departamento de Fisioterapia, Centro Universitário Estácio de Ribeirão Preto, Ribeirão Preto, SP, Brasil
| | - Luis Carlos Caseiro Filho
- Departamento de Ciências da Saúde, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brasil
| | - Carlos Eduardo Girasol
- Departamento de Fisioterapia, Centro Universitário Estácio de Ribeirão Preto, Ribeirão Preto, SP, Brasil
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Schiffner E, Hilsmann F, Lakomek F, Beyersdorf C, Windolf J, Latz D. Degenerative changes of the wrist in mixed martial arts and boxing based on the three column theory. PHYSICIAN SPORTSMED 2024:1-5. [PMID: 38700558 DOI: 10.1080/00913847.2024.2351357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 05/01/2024] [Indexed: 05/14/2024]
Abstract
OBJECTIVE Mixed Martial Arts (MMA) is a relatively young combat sport. In contrast to classic boxing, MMA combines techniques of grappling and striking. However, characteristic long-term effects of MMA on the wrist are discussed controversially. Aim of this study was to elucidate characteristic degenerative changes of the wrist from MMA fighters in comparison to classic boxers. METHODS In this study, eleven professional MMA fighters and ten professional boxers with chronic wrist pain were examined and compared. Age, weight, number of fights and weekly hours of training were recorded. Wrist and hand of each fighter were examined using a 3T-MR scanner. Degenerations of the radial, central and ulnar column were analyzed according to Navarro's three-column theory and degenerative changes were categorized based on the classification of Fredericson. RESULTS There was no significant difference of age, weight and number of fights between MMA fighters and boxers (p > 0.15). However, MMA fighters practiced significantly more hours per week (19.5 (MMA) vs. 8.5 (boxing) hours/week, p < 0.001). No significant associations were found between different training times per Week in terms of degenerative changes of the wrist in MMA and boxing based on the three column theory. The comparison of degenerative changes in the columns between MMA and boxing showed no significant differences. The MRI showed a significantly higher degeneration in the radial column compared to the central column among MMA fighters for ligaments (p = 0.01) and bones (p = 0.03). CONCLUSION Due to different fighting techniques, different physical traumas, including falls, pattern of degenerations of the wrist between MMA fighters and boxers are different. MMA fighters suffer of a highly degenerative radial column and boxers suffer of a homogeneous degeneration of all three columns.
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Affiliation(s)
- Erik Schiffner
- Department for Orthopedics and Trauma Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Falk Hilsmann
- Department for Orthopedics and Trauma Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Felix Lakomek
- Department for Orthopedics and Trauma Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Christoph Beyersdorf
- Department for Orthopedics and Trauma Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Joachim Windolf
- Department for Orthopedics and Trauma Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - David Latz
- Department for Orthopedics and Trauma Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
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Harrington WB, Fugler PR, Midkiff T, Christensen SJ, Miller E. Exploring Choke Holds in Brazilian Jiujitsu Athletes: A Demographic Study. Cureus 2024; 16:e60618. [PMID: 38894780 PMCID: PMC11182763 DOI: 10.7759/cureus.60618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Accepted: 05/19/2024] [Indexed: 06/21/2024] Open
Abstract
Introduction Brazilian jiujitsu is a relatively new sport that has grown exponentially in popularity along with the growth of the Ultimate Fighting Championship (UFC). In jiujitsu, there are a variety of submissions with a choke hold being one of the most popular. There is a subset of athletes in jiujitsu who believes chokes are safe. However, there have been case reports of relatively young athletes suffering strokes secondary to internal carotid or vertebral artery dissections after being placed in choke holds. There have been manuscripts describing the injury profile in jiujitsu, but none mention stroke or dissections. This study evaluated how frequently chokes happen in jiujitsu and if athletes have ever experienced symptoms consistent with cervical artery dissection (CAD). Additionally, this study aimed to describe the training frequency and baseline demographics of jiujitsu athletes. Methods A survey was distributed throughout social media platforms which asked both quantitative and qualitative questions regarding athlete training. The survey consisted of 28 questions which collected largely baseline grappling information about the participants such as how long they trained, how often they spar, favorite submission, how frequently they are choked, etc. This data was then analyzed using odds ratio and one sample t-test to evaluate for statistical differences. Results A total of 521 participants were included in the analysis. The participants were mostly male (84.7%), trained for four years, four times per week; 99.8% (520) participated in sparring, with an average age of 37; and 55.7% (290) have experienced symptoms consistent with CAD. Descriptive statistics revealed that individuals who were 37 years of age or younger were more likely to experience symptoms consistent with CAD (odds ratio: 1.5337 (95% confidence interval (CI): 1.0827-2.1727). Athletes that were 37 years of age or younger have been training for fewer years (4.7 years vs 8.8 years) but train more days per week (4.03 times per week vs 3.76 time per week), drill for a longer amount of time (46.8 minutes per class vs 38.3 minutes per class), attend longer classes (81.12 minutes vs 72.3 minutes), and train for a longer period of time per week (338.5 minutes vs 274.6 minutes) than athletes over 37 years. All previously mentioned variables were analyzed using a one sample t-test and were significant at the α = 0.05 level. The lone qualitative question regarding the term "train brain" revealed that of those who experienced it, 84.1% (58) described it as a cognitive/physical impairing event. Conclusion Jiujitsu athletes train multiple times per week and are frequently exposed to choke holds. There is no literature to examine the long-term effects of these chokes on the athlete's cervical vasculature. Additional studies should be conducted to evaluate the effects of the repetitive stress placed on these vessels.
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Affiliation(s)
- William B Harrington
- Medical School, Liberty University College of Osteopathic Medicine, Lynchburg, USA
| | - Patrick R Fugler
- Emergency Medicine, Liberty University College of Osteopathic Medicine, Lynchburg, USA
| | - Tatiana Midkiff
- Physiology, Liberty University College of Osteopathic Medicine, Lynchburg, USA
| | | | - Eric Miller
- Surgery, Centra Bedford Memorial Hospital, Bedford, USA
- Surgery, Liberty University College of Osteopathic Medicine, Lynchburg, USA
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Hasegawa ME, Obana KK, Ishikawa KM, Tamate TM, Chang SB, Crawford SN. Increasing trend in Brazilian Jiu Jitsu injuries presenting to U.S. emergency departments - a 10-year analysis and injury profile. PHYSICIAN SPORTSMED 2024; 52:167-174. [PMID: 36995123 DOI: 10.1080/00913847.2023.2197898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Accepted: 03/28/2023] [Indexed: 03/31/2023]
Abstract
OBJECTIVE Evaluate injury trends in Brazilian Jiu Jitsu (BJJ) participation by presenting to U.S. emergency departments over a 10-year period and formulate an injury profile. METHODS The U.S. Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS) database was queried for martial arts related injuries from 1 January 2012 to 31 December 2021. Codes and narratives were examined to compile data for patients sustaining BJJ-related injuries. RESULTS From 1 January 2012 to 31 December 2021 there were 7,722 (NE = 282,315) ED-diagnosed martial arts related injuries with 911 (NE = 36,023) BJJ-related injuries identified. Regression analysis demonstrated an increasing trend in the annual incidence of Brazilian Jiu Jitsu injuries presenting to the ED (R2 = 0.934; SE = 2.069: p < .0001). Average age was 25.68 years of age (range 4-83). The most common injury diagnoses were sprains/strains and other/not listed at 27.68% and 26.39%. The most commonly injured body parts were the upper trunk, and the shoulder comprising 13.66% and 12.14% of injured body parts, respectively. The most commonly fractured region was toes, at 14.15% of all fractures. The most common dislocations occurred at the shoulder and knee, at 32.49% and 28.45% of dislocations, respectively. The most common mechanisms of injury specifically identified were indeterminate contact between players, fall onto ground, or fall onto another player comprising 18.62% and 17.17%, of injuries, respectively. CONCLUSION There was an increasing trend of BJJ-related injuries presenting to U.S. Emergency Departments. The most common diagnoses and body parts injured were sprains/strains and upper trunk and shoulder, respectively. The most commonly fractured and dislocated regions were toes and shoulder, respectively. The most common mechanisms of injury were indeterminate contact or falling. This study provides novel information concerning trends in injury and injury profiles for Brazilian Jiu Jitsu related injuries.
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Affiliation(s)
- Morgan E Hasegawa
- University of Hawai'i, Division of Orthopaedics- Department of Surgery, Honolulu, HI, USA
| | - Kyle K Obana
- John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA
| | - Kyle M Ishikawa
- John A. Burns School of Medicine Department of Quantitative Health Sciences, University of Hawai'i, Honolulu, HI, USA
| | - Trent M Tamate
- University of Hawai'i, Division of Orthopaedics- Department of Surgery, Honolulu, HI, USA
| | - Shaun B Chang
- University of Washington Department of Orthopaedics, Seattle, WA, USA
| | - Scott N Crawford
- University of Hawai'i, Division of Orthopaedics- Department of Surgery, Honolulu, HI, USA
- Straub Medical Center, Department of Orthopaedics, Bone and Joint Centers, Hawai'i Pacific Health, Honolulu, HI, USA
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Ferretti F, Iocca O, Gallesio C, Quaglia P, Ramieri G. Cranio-Maxillofacial Injuries in Mixed Martial Arts. J Craniofac Surg 2024:00001665-990000000-01299. [PMID: 38270445 DOI: 10.1097/scs.0000000000009930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Accepted: 11/06/2023] [Indexed: 01/26/2024] Open
Abstract
PURPOSE To describe a case of a maxillofacial trauma that occurred during a mixed martial arts (MMA) match and to perform a literature review of maxillofacial injuries related to MMA match to determine whether preventive models are applicable. METHODS The authors described a maxillofacial injury with orbital and optic nerve involvement that happened during a professional MMA match. A literature review on maxillofacial trauma in MMA was conducted on Scopus and Pubmed with specific keywords. RESULTS Open reduction and internal fixation of the maxillofacial complex fractures with right eye optic neuropathy following an MMA match is described. Six articles were selected for the description of trauma in the maxillofacial complex associated with MMA fights. DISCUSSION Literature has paid little attention to injuries during MMA matches. The most common injury locations that emerged from the literature review were the head, face, and neck. Middle facial third injuries were the most common type. Frequently the injury involved the ophthalmic area. CONCLUSIONS The timing of maxillofacial trauma in MMA is critical. Protective devices should be strongly promoted to prevent catastrophic consequences.
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Affiliation(s)
- Fabrizio Ferretti
- Department of Surgical Sciences, Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin
| | - Oreste Iocca
- Department of Surgical Sciences, Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin
| | - Cesare Gallesio
- Department of Surgical Sciences, Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin
| | - Paolo Quaglia
- Department of Radiology, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy
| | - Guglielmo Ramieri
- Department of Surgical Sciences, Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin
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Merino J, Whelan BM, Finch E. Examining the occurrence and outcomes of concussion and mTBI in mixed martial arts athletes: a systematic review. PHYSICIAN SPORTSMED 2023; 51:394-404. [PMID: 35377825 DOI: 10.1080/00913847.2022.2061836] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 03/30/2022] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Mixed martial arts (MMA) is a sport growing in popularity around the world. However, many individuals participate in the sport with little understanding of the potential short- and long-term consequences of injuries sustained while participating. Specifically, individuals are placed at a high risk of minor traumatic brain injury (mTBI) and concussive episodes as a result of head injuries incurred during training and competition. AIMS The current review aimed to examine the literature surrounding the occurrence and outcomes of mTBI in MMA athletes to gain a better understanding of these consequences. METHODS Twenty-five studies were identified within the current review, of which 14 examined occurrence of mTBI within the sport setting, and elevenidentified outcomes of injury. RESULTS Overall, studies found that MMA athletes experienced mTBI and concussion to a greater extent than athletes in other sports. Deficits in memory, reaction time and processing speed were identified following occurrence of mTBI; however, several gaps in outcome measurement were identified within the current literature, including a lack of focus on speech and language outcomes. CONCLUSION Future research should examine a wider variety of outcomes to provide a clearer understanding of the consequences of participating in the sport.
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Affiliation(s)
- Joanne Merino
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Brooke-Mai Whelan
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Emma Finch
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Speech Pathology Department, Princess Alexandra Hospital, Metro South Health, Brisbane, QLD, Australia
- Centre for Functioning and Health Research, Metro South Health, Brisbane, QLD, Australia
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Jeong JH, Kim YK. Association of Scapular Dyskinesis with Neck and Shoulder Function and Training Period in Brazilian Ju-Jitsu Athletes. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1481. [PMID: 37629771 PMCID: PMC10456877 DOI: 10.3390/medicina59081481] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Revised: 08/07/2023] [Accepted: 08/15/2023] [Indexed: 08/27/2023]
Abstract
Background and Objectives: Neck and shoulder injuries are common in Brazilian ju-jitsu (BJJ) athletes, and scapular dyskinesis (SD) is associated with these injuries. This study aimed to investigate the prevalence of SD in BJJ athletes, their neck and shoulder function and strength, and the BJJ training period. Materials and Methods: Forty-eight BJJ athletes participated in the study. Years of experience with BJJ, belt, shoulder internal and external rotation strength, neck strength, neck disability index (NDI), and SD were measured. Results: Approximately 31 BJJ athletes (64.6%) showed SD, and the nondominant arm showed a more obvious SD (n = 22, 45.8%) than the dominant arm (n = 18, 37.5%). Those with over five years of BJJ training experience showed a significantly higher rate of SD (p = 0.006) than those with less than five years of experience. Shoulder isometric internal rotation strength was significantly weaker in the obvious SD group than in the normal SD group (p = 0.014). Neck isometric strength and NDI did not differ significantly between individuals with or without SD. Conclusions: SD was common among BJJ athletes, and more experienced BJJ athletes exhibited higher rates of SD. Shoulder rotational strength was weaker with SD. Further studies are necessary on the neck and shoulders of BJJ athletes with SD.
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Affiliation(s)
| | - Young Kyun Kim
- Graduate School of Sports Medicine, CHA University, Seongnam 13496, Republic of Korea;
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Hunker JJ, Tarpada SP, Khoury J, Goch A, Kahn M. Injuries Common to the Brazilian Jiu-Jitsu Practitioner. Cureus 2023; 15:e37502. [PMID: 37187642 PMCID: PMC10181877 DOI: 10.7759/cureus.37502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2023] [Indexed: 05/17/2023] Open
Abstract
BACKGROUND Brazilian jiu-jitsu (BJJ) is a martial art that focuses on ground combat, emphasizing skill over strength and submission over striking. The purpose of this study is to evaluate the nature of injuries affecting practitioners of BJJ in the settings of competition, training, and conditioning. METHODS An online survey was created to collect demographic and injury-specific information. This survey was distributed to the 234 schools in the United States registered with the International Brazilian Jiu-Jitsu Federation (IBJJF). The survey was also distributed to local BJJ schools and at local tournaments in the Greater New York City area. Data from a total of N=56 participants were recorded for this survey. RESULTS The majority of participants were male (n=44, 78.6%) and amateur competitors (n=29, 51.8%) with an average duration of BJJ training of 6.9 ± 5.9 years. The majority of participants (82.1%) train at least six hours per week and compete in an average of 4.6 ± 2.5 competitions per year. The most common injuries were to the finger/hand (78.6%) and knee (61.5%). The most commonly reported fracture was of the hand/fingers (n=6). Of the 156 total injuries reported, 133 (85.3%) occurred during practice or training rather than in competition and 76 (48.7%) required medical attention. Few injuries required surgical intervention. CONCLUSIONS This study provides novel information regarding injury characteristics of BJJ practitioners with respect to the level of training and use of protective equipment that can guide expectations and management for this unique group of athletes. Amateur BJJ practitioners are the most commonly injured, and largely experience injuries of the upper extremities during training or conditioning rather than during competition.
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Affiliation(s)
- James J Hunker
- Surgery, New York Presbyterian - Weill Cornell Medical Center, New York City, USA
| | - Sandip P Tarpada
- Department of Orthopaedic Surgery, Montefiore Medical Center, Wakefield Campus, Bronx, USA
| | - Joseph Khoury
- Medicine, Albert Einstein College of Medicine, New York City, USA
| | - Abraham Goch
- Department of Orthopaedic Surgery, Inova Medical Group, Church Falls, USA
| | - Mani Kahn
- Department of Orthopaedic Surgery, Montefiore Medical Center, Wakefield Campus, Bronx, USA
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Epidemiology of musculoskeletal injuries in combat sports practitioners. BIOMEDICAL HUMAN KINETICS 2023. [DOI: 10.2478/bhk-2023-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
Abstract
Study aim: The purpose of this study was to determine the impact of the type of combat sport and the degree of athletic proficiency on the specificity of musculoskeletal injuries suffered by Muay Thai and Mixed Martial Arts practitioners.
Material and methods: The study involved 64 practitioners of two combat sports, MT (age 26.9 ± 8.1, experience 7.4 ± 5.8 years) or MMA (age 26.2 ± 6.4 years, experience 6.6 ± 4.1 years). The research was conducted using a Google Forms survey.
Results: The groups did not differ significantly (p < 0.05) in terms of risk of injury (average 3.1 in MT, 2.6 in MMA). Injuries (mainly fractures 21% and 7% of practitioners) affected the lower limb (44% and 33% practitioners) and were significantly higher in MT, p < 0.05. There were significant (p < 0.05) correlations between training experience and the number of training hours per week compared to the frequency and severity of injuries in both groups.
Conclusion: Injuries to athletes who mainly use striking techniques are more common in the lower limbs and they are more likely to be fractures. Longer training experience, more training hours and a higher level of athletic proficiency significantly increase the risk of injuries and their severity among people practicing both types of combat sports.
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Ifrach J, Neavling NB, Yocom SS, Tonetti DA. Cervical spine Flexion-Distraction fracture in a Brazilian Jiu-Jitsu athlete: A case report and literature review. INTERDISCIPLINARY NEUROSURGERY 2022. [DOI: 10.1016/j.inat.2022.101640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Stellpflug SJ, Dummer MF, Martin CD, Vera JA, LeFevere RC. Cervical Artery Dissections and Ischemic Strokes Associated with Vascular Neck Compression Techniques (Sportive Chokes). J Emerg Med 2022; 63:49-57. [PMID: 35934648 DOI: 10.1016/j.jemermed.2022.04.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 01/03/2022] [Accepted: 04/25/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Strangulation as a fight-finishing maneuver in combat sports, termed "choking" in that context, occurs worldwide millions of times yearly. This activity can be trained safely, but devastating injuries can occur. OBJECTIVE Our aim was to present a case series of cervical artery dissections and ischemic strokes associated with sportive choking. Sharing these cases is meant to draw awareness, to assist emergency physicians in caring for these athletes, and to provide a platform for further research. METHODS Institutional Review Board approval was obtained. Participants consented for medical information transfer and anonymous academic reproduction. The minimum medical record information necessary for inclusion was a report of diagnosis-confirming advanced imaging. Participants were contacted for primary information in addition to what the medical records could provide and to confirm some information in the record (e.g., pertinent medical history, demographic characteristics, choking event description, medical care, and commentary on their current health). Medical records and additional first-hand information were reviewed and participants were included if they had a diagnosed dissection or stroke likely associated with a sportive choke. RESULTS Ten cases met all criteria for inclusion. There were 5 cases of carotid artery dissection, 3 cases of vertebral artery dissection, and 2 cases of ischemic stroke without dissection. Nine of 10 participants survived and 3 of 10 have returned to submission grappling training. CONCLUSIONS Cervical artery dissections and ischemic strokes can occur in association with sportive choking. Emergency physicians must be aware of the widespread nature of this activity and must be vigilant in approaching management of patients with symptoms consistent with these injuries.
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Affiliation(s)
| | - Matthew F Dummer
- Department of Emergency Medicine, Regions Hospital, Saint Paul, Minnesota
| | | | - Joshua A Vera
- Hazel Hawkins Memorial Hospital, Hollister, California
| | - Robert C LeFevere
- Department of Emergency Medicine, Regions Hospital, Saint Paul, Minnesota
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Thompson K, Chang G, Alaia M, Jazrawi L, Gonzalez-Lomas G. Lower extremity injuries in U.S. national fencing team members and U.S. fencing Olympians. PHYSICIAN SPORTSMED 2022; 50:212-217. [PMID: 33625317 DOI: 10.1080/00913847.2021.1895693] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Fencing is growing rapidly in popularity and competitiveness with fencers beginning at a younger age and competing in more tournaments. Even though fencing has a low risk of time-loss injury, fencers are inevitably going to experience injuries if proper athletic training and prevention does not occur. We aim to describe and compare the lower extremity injuries experienced by fencers that have trained at the highest level in the sport. We hypothesized that athletes who fenced longer would suffer more knee and hip injuries and report lower IKDC and HOS scores. METHODS This is an epidemiology study distributed to members of the U.S. national team and Olympic team from 1980 to 2018. The electronic survey included questions regarding age, weapon, number of years fencing, number of national and Olympic teams, injuries on the dominant and nondominant hip and knee, time missed due to injury, and methods for treatment. The survey also included the International Knee Demographic Committee (IKDC) and Hip Outcome Score (HOS). RESULTS There were 153 national team members between July 1980 and July 2018, 110 with contact information. A total of 77 athletes submitted the survey, consisting of 30 females and 47 males. Female fencers had more hip injuries and lower IKDC and HOS scores than their male counterparts. In total, there were 71 injuries to the dominant (front) knee and 28 injuries to the nondominant (back) knee. There were 32 dominant hip injuries and 5 nondominant hip injuries. Saber fencers reported the most dominant and nondominant hip and knee injuries. CONCLUSION The intense, repetitive and asymmetrical movements involved in fencing affect the weight bearing leg and the nondominant leg in all weapons. Special attention should be paid to female fencers as they experience more hip and knee injuries resulting in impaired joint function.
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Affiliation(s)
- Kamali Thompson
- Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA
| | - Gregory Chang
- Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA
| | - Michael Alaia
- Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA
| | - Laith Jazrawi
- Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA
| | - Guillem Gonzalez-Lomas
- Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA
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14
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Bueno JCA, Faro H, Lenetsky S, Gonçalves AF, Dias SBCD, Ribeiro ALB, da Silva BVC, Filho CAC, de Vasconcelos BM, Serrão JC, Andrade A, Souza-Junior TP, Claudino JG. Exploratory Systematic Review of Mixed Martial Arts: An Overview of Performance of Importance Factors with over 20,000 Athletes. Sports (Basel) 2022; 10:80. [PMID: 35736820 PMCID: PMC9227211 DOI: 10.3390/sports10060080] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/03/2022] [Accepted: 04/28/2022] [Indexed: 02/01/2023] Open
Abstract
This review aimed to analyze the findings in the literature related to Mixed Martial Arts (MMA) through an exploratory systematic review and to present the state of the art from a multifactorial perspective. The review was conducted in accordance with the PRISMA statement, with a search performed in the Scopus, PubMed, and Web of Science databases. Participants were competitive athletes (amateurs or professionals) of regional, national, or international levels. Of the 2763 registries identified, 112 studies met the eligibility criteria. The pooled sample size and age were 20,784 participants, with a mean age of 27.7 ± 6 years for male and 28.9 ± 3 years for female, with the vast majority of athletes being male (94.9%). MMA athletes were 17.2% amateurs, 73.8% professionals, and 9% were not reported. The scientific literature related to MMA reported injuries (n = 28), weight loss (n = 21), technical and tactical analysis (n = 23), physical fitness (n = 8), physiological responses and training characteristics (n = 13), psychobiological parameters (n = 12), and interventions applied to MMA athletes (n = 7). Therefore, this exploratory systematic review presents practitioners and researchers with seven broad summaries of each facet of performance of importance in this population of athletes.
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Affiliation(s)
- João C. A. Bueno
- Research Group on Metabolism, Nutrition and Strength Training, Department of Physical Education, Jardim Botânico Campus, Federal University of Paraná, Curitiba 80210-132, PR, Brazil;
- Sciences Center of Health and Sport, Laboratory of Sport and Exercise Psychology, Physical Education Department, State University of Santa, Catarina 88080-350, FLN, Brazil;
| | - Heloiana Faro
- Associate Graduate Program in Physical Education, Federal University of Paraíba, João Pessoa 58059-900, PB, Brazil;
| | - Seth Lenetsky
- Sport Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland 1010, New Zealand;
- Canadian Sport Institute Pacific, Victoria, BC V9E 2C5, Canada;
| | - Aleksandro F. Gonçalves
- Laboratory of Psychophysiology and Performance in Sports & Combats, School of Physical Education and Sport, Federal University of Rio de Janeiro, Rio de Janeiro 21941-599, RDJ, Brazil;
| | - Stefane B. C. D. Dias
- Exercise and Sport Science Laboratory, Keiser University Orlando, Sports Medicine & Fitness Tech/Exercise Science, 5600 Lake Underhill Road Orlando, Florida, FL 32807, USA;
| | - André L. B. Ribeiro
- Department of Physiology and Product Development Limber Software, Balsam 15140-000, SP, Brazil;
| | - Bruno V. C. da Silva
- Department of Physical Education, University of Itaúna, Highway MG 431-Km 45, Itaúna 35680-142, MG, Brazil;
| | - Carlos A. Cardoso Filho
- Laboratory of Biomechanics, School of Physical Education and Sport, Campus São Paulo, Universidade de São Paulo, São Paulo 05508-030, SAO, Brazil; (C.A.C.F.); (J.C.S.); or (J.G.C.)
- Research and Development Department, LOAD CONTROL, Contagem 32000-000, MG, Brazil
| | | | - Júlio C. Serrão
- Laboratory of Biomechanics, School of Physical Education and Sport, Campus São Paulo, Universidade de São Paulo, São Paulo 05508-030, SAO, Brazil; (C.A.C.F.); (J.C.S.); or (J.G.C.)
| | - Alexandro Andrade
- Sciences Center of Health and Sport, Laboratory of Sport and Exercise Psychology, Physical Education Department, State University of Santa, Catarina 88080-350, FLN, Brazil;
| | - Tácito P. Souza-Junior
- Research Group on Metabolism, Nutrition and Strength Training, Department of Physical Education, Jardim Botânico Campus, Federal University of Paraná, Curitiba 80210-132, PR, Brazil;
| | - João G. Claudino
- Laboratory of Biomechanics, School of Physical Education and Sport, Campus São Paulo, Universidade de São Paulo, São Paulo 05508-030, SAO, Brazil; (C.A.C.F.); (J.C.S.); or (J.G.C.)
- Research and Development Department, LOAD CONTROL, Contagem 32000-000, MG, Brazil
- Center for Health Sciences, Group of Research, Innovation and Technology Applied to Sport (GSporTech), Department of Physical Education, Federal University of Piauí, Teresina 64000-850, PI, Brazil
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15
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Hinz M, Kleim BD, Berthold DP, Geyer S, Lambert C, Imhoff AB, Mehl J. Injury Patterns, Risk Factors, and Return to Sport in Brazilian Jiu Jitsu: A Cross-sectional Survey of 1140 Athletes. Orthop J Sports Med 2022; 9:23259671211062568. [PMID: 34988235 PMCID: PMC8721390 DOI: 10.1177/23259671211062568] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 09/03/2021] [Indexed: 11/16/2022] Open
Abstract
Background Brazilian jiu jitsu (BJJ) is a growing martial art that focuses on grappling techniques. Purpose To quantify the 3-year incidence of BJJ-related injuries and detect common injury patterns as well as risk factors among those practicing BJJ. It was hypothesized that there would be a high incidence of injuries, they would be caused by submissions in sparring situations, and they would occur predominantly at the extremities. Study Design Descriptive epidemiology study. Methods Active BJJ athletes were invited to take an English-language online survey developed by orthopaedic surgeons together with BJJ athletes and a sports scientist. Data were recorded regarding athlete demographics, sporting activity level, injuries within the past 3 years that caused at least a 2-week time loss, injury mechanisms, and return to sport. Results Overall, 1140 responses were received from 62 different countries; 88.9% of all athletes were male, and 63.9% were regular competitors. Within the investigated cohort, 1052 injuries were recorded in 784 athletes, for an injury incidence of 308 per 1000 athletes per year. The lower extremity (45.7%) and upper extremity (30.2%) were predominant sites of injury, with injuries to the knee (27.1%) being the most common. The most frequent knee injuries were meniscal injuries (n = 65), anterior cruciate ligament (ACL) tears (n = 36), and medial collateral ligament injuries (n = 36). ACL tears were especially associated with long time frames for return to sport. Most injuries occurred during sparring (77.6%) and were caused by submissions (29.7%) and takedowns (26.4%). Competing regularly (P = .003), older age (P < .001), and higher belt rank (P = .003) were significant risk factors for injury. Conclusion Injury incidence was high among BJJ athletes surveyed, with 2 out of 3 athletes reporting at least 1 injury within a 3-year period that caused a 2-week absence from training. Most injuries occurred during sparring, and we believe that a high potential for injury reduction lies in drawing awareness to common injury patterns and sites in athletes.
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Affiliation(s)
- Maximilian Hinz
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Benjamin D Kleim
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Daniel P Berthold
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Stephanie Geyer
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Christophe Lambert
- Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Center, Cologne, Germany
| | - Andreas B Imhoff
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Julian Mehl
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
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16
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Stanbouly D, Richardson J, Lee KC, Zeng Q, Perrino MA, Chuang SK. A Comparison of 2,845 Head and Neck Injuries in Various Martial Arts. J Oral Maxillofac Surg 2021; 80:682-690. [PMID: 34973164 DOI: 10.1016/j.joms.2021.12.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 12/02/2021] [Accepted: 12/02/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE The primary purpose of this study is to estimate and compare the frequencies, types, and hospital admission rates of head and neck injuries in subjects who practice different martial art fighting styles, including karate, kung fu, kickboxing, taekwondo, judo, and jiu jitsu. METHODS The investigators designed and implemented a 20-year cross-sectional study using the National Electronic Injury Surveillance System database. Information related to head and neck martial art injuries from January 2000 through December 2019 was included in this study. Study variables were obtained from both patient demographics and injury characteristics (date of injury, diagnosis, body part, type of martial art, and disposition). Patient and injury characteristics were compared through χ2 and independent sample tests. RESULTS Taekwondo was the most likely type of martial art to lead to a head injury (P < .01), whereas jiu jitsu (P < .01) and judo (P < .01) were most likely to cause neck injuries. The type of martial art was not significantly associated with admission rates (P = .190); however, patients with head injuries were more likely to be admitted relative to patients who did not suffer head injuries (P < .05). Moreover, injuries secondary to judo were more likely to result in admissions relative to that of all other martial arts (P < .05). CONCLUSIONS Judo was the most severe martial art during this time period as it led to the highest rate of hospital admissions. Karate injuries are most likely to occur in younger populations of fighters under the age of 18 years.
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Affiliation(s)
- Dani Stanbouly
- Dental Student, Columbia University College of Dental Medicine, New York, NY.
| | - Jordan Richardson
- Medical Student, Michigan State College of Osteopathic Medicine, East Lansing, MI
| | - Kevin C Lee
- Resident, Division of Oral and Maxillofacial Surgery, New York-Presbyterian/Columbia University, Irving Medical Center, New York, NY
| | - Qingcong Zeng
- Resident, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham School of Dentistry, Birmingham, AL
| | | | - Sung-Kiang Chuang
- Clinical Professor, Department of Oral and Maxillofacial Surgery, University of Pennsylvania, School of Dental Medicine, Philadelphia, PA; Private Practice, Brockton Oral and Maxillofacial Surgery Inc.; Attending, Department of Oral and Maxillofacial Surgery, Good Samaritan Medical Center, Brockton, MA; and Visiting Professor, Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University, School of Dentistry, Kaohsiung, Taiwan
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17
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Juliano Eustaquio JM, Fontoura Borges AM, Vilela LS, Carvalho Gouveia MP, Rabelo AL, Kaleka CC, Debieux P, Barbosa Neto O. Does the Fight Profile Interfere with Orthopedic Injuries in Brazilian Jiu-Jitsu? Open Access J Sports Med 2021; 12:171-178. [PMID: 34803410 PMCID: PMC8594892 DOI: 10.2147/oajsm.s337912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 11/03/2021] [Indexed: 01/10/2023] Open
Abstract
Purpose To evaluate the prevalence and characteristics of orthopedic injuries associated with the technical-tactical profiles of Brazilian Jiu-Jitsu (BJJ) fighters, according to the fighters’ graduation level (beginner and advanced). Patients and Methods Cross-sectional study, which included the participation of amateur and professional BJJ athletes, aged between 18 and 60 years and practitioners of the sport for at least six months. All answered a mixed self-reported morbidity questionnaire. Participants were divided into four groups, according to the technical-tactical profile in the fight (keeper and passer) and the fighter’s graduation level (beginner and advanced), and also into four subgroups, divided by joining the groups in pairs above. Descriptive and analytical statistical procedures were used, with a level of statistical significance set at 5% (p < 0.05). Results A total of 198 participants were included in the study. There was a higher prevalence of musculoskeletal injuries in advanced fighters (p<0.001), with no significant difference between the profiles of guard and passer fighters. Sprains were the most common type of injury in all studied groups and subgroups. The anatomical segments knee and shoulder, respectively, were the most affected in all groups, and both segments showed significant associations of the athletes in the advanced and guard groups. Conclusion The study showed important data for creation of specifics injury prevention protocols, through the higher prevalence of injuries in athletes of the advanced profile and in the segments of the knee and shoulder, with emphasis on the guard fighters.
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Affiliation(s)
- José Martins Juliano Eustaquio
- Exercise Science, Health and Human Performance Research Group, Graduate Program in Physical Education, Federal University of Triângulo Mineiro (UFTM - Universidade Federal do Triângulo Mineiro), Uberaba, MG, Brazil.,Department of Orthopedics and Traumatology, Mário Palmerio Hospital, University of Uberaba (UNIUBE - Universidade de Uberaba), Uberaba, MG, Brazil
| | - Alberto Martins Fontoura Borges
- Department of Orthopedics and Traumatology, Mário Palmerio Hospital, University of Uberaba (UNIUBE - Universidade de Uberaba), Uberaba, MG, Brazil
| | - Lorena Souza Vilela
- Department of Orthopedics and Traumatology, Mário Palmerio Hospital, University of Uberaba (UNIUBE - Universidade de Uberaba), Uberaba, MG, Brazil
| | - Matheus Pizarro Carvalho Gouveia
- Department of Orthopedics and Traumatology, Mário Palmerio Hospital, University of Uberaba (UNIUBE - Universidade de Uberaba), Uberaba, MG, Brazil
| | - Amanda Laruzo Rabelo
- Department of Orthopedics and Traumatology, Mário Palmerio Hospital, University of Uberaba (UNIUBE - Universidade de Uberaba), Uberaba, MG, Brazil
| | - Camila Cohen Kaleka
- Knee Surgery Group, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| | - Pedro Debieux
- Knee Surgery Group, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.,Knee Surgery and Arthroscopy Group, Federal University of São Paulo (UNIFESP - Universidade Federal de São Paulo), São Paulo, SP, Brazil
| | - Octávio Barbosa Neto
- Exercise Science, Health and Human Performance Research Group, Graduate Program in Physical Education, Federal University of Triângulo Mineiro (UFTM - Universidade Federal do Triângulo Mineiro), Uberaba, MG, Brazil
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18
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Eustaquio JMJ, Rabelo AL, Debieux P, Kaleka CC, Barbosa O. KNEE INJURIES PREVALENCE IN BRAZILIAN JIU-JITSU: EPIDEMIOLOGICAL STUDY. ACTA ORTOPEDICA BRASILEIRA 2021; 29:327-330. [PMID: 34849099 PMCID: PMC8601382 DOI: 10.1590/1413-785220212906240726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 10/15/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To evaluate the epidemiological and clinical characteristics of knee injuries in Brazilian Jiu-Jitsu (BJJ) practitioners. METHODS Cross-sectional study, using a mixed questionnaire, based on the Referred Morbidity Index. RESULTS 198 amateur and professional BJJ fighters, of both sexes, aged between 18 and 60 years, participated in the study. The majority (88%) of the fighters had only one knee injury (p < 0.001). In total, 29.8% proportion of knee injuries (p < 0.001) was identified, which were mainly from the medial collateral ligament (38%), caused by a sprain mechanism (86%) and conservative treatment (65%). CONCLUSION A high prevalence of knee injuries in JJB fighters was found, compared to other sports that also perform rotational movements and have great body contact, such as mixed martial arts (MMA), judo, soccer, basketball and handball. Some JJB strikes, such as the key and the projection, can cause greater knee joint stress, both in the attacking fighter and in the opponent. The knowledge of the epidemiological characteristics of sports injuries is important in the elaboration of prevention and training protocols more specific to the sport and for the understanding of the complex mechanisms involved with this outcome in sport. Level of Evidence IV, Case Series.
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Affiliation(s)
- José Martins Juliano Eustaquio
- Federal University of Triângulo Mineiro, Research Group on Human Performance and Sport, Graduate Program in Physical Education, Uberaba, MG, Brazil
- University of Uberaba, Mário Palmério Hospital, Uberaba, MG, Brazil
| | | | - Pedro Debieux
- Federal University of São Paulo, Knee Surgery and Arthroscopy Group, São Paulo, SP, Brazil
- Albert Einstein Israelite Hospital, São Paulo, SP, Brazil
| | - Camila Cohen Kaleka
- Albert Einstein Israelite Hospital, São Paulo, SP, Brazil
- Cohen Institute of Orthopedics, Sports Medicine and Rehabilitation, São Paulo, SP, Brazil
| | - Octávio Barbosa
- Federal University of Triângulo Mineiro, Research Group on Human Performance and Sport, Graduate Program in Physical Education, Uberaba, MG, Brazil
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19
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Lopes J, Monteiro de Magalhães Neto A, Ferreira G, Castilho de Almeida A, Andrade C. Etiology, prevalence, and severity of reported acute sports injuries in Brazilian Jiu-Jitsu Paradesports: An observational study. Sci Sports 2021. [DOI: 10.1016/j.scispo.2020.03.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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20
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Brown DA, Grant G, Evans K, Leung FT, Hides JA. The association of concussion history and symptom presentation in combat sport athletes. Phys Ther Sport 2021; 48:101-108. [PMID: 33406456 DOI: 10.1016/j.ptsp.2020.12.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 12/21/2020] [Accepted: 12/23/2020] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The purpose of this study was to describe the concussion-related symptoms reported among combat sport athletes with and without a history of concussion, and a history of neck injury. DESIGN Cross-sectional survey. SETTING Data were collected using an online survey instrument. PARTICIPANTS Three hundred and nine adult combat sport athletes. MAIN OUTCOME MEASURES Self-reported 12-month concussion history and neck injury history and a 22-item symptom checklist. RESULTS A history of concussion was reported by 19.1% of athletes, a history of neck injury was reported by 23.0%, and 13.6% reported both injuries. Neck pain was the most frequently reported symptom. Athletes with a history of injury had significantly greater proportions of 'high' total symptoms and symptom severity scores compared with athletes with no history of injury. Athletes with a history of concussion had 2.35 times higher odds of reporting 'high' total symptoms and symptoms severity scores. CONCLUSION Athletes with a history of concussion or neck injury have greater odds of presenting with higher symptom scores. The presence of high total symptom scores and high symptom severity scores may indicate a need for further investigation into domains commonly associated with concussion.
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Affiliation(s)
- Daniel A Brown
- School of Allied Health Science, 170 Kessels Rd, Nathan, Griffith University, Brisbane, QLD, 4111, Australia.
| | - Gary Grant
- School of Pharmacy and Pharmacology, 1 Parklands Dr, Southport, Griffith University, Gold Coast, QLD, 4215, Australia.
| | - Kerrie Evans
- Faculty of Medicine and Health, 75 East Street, Lidcombe, The University of Sydney, NSW, 2141, Australia; Healthia Limited, Australia, 25 Montpelier Road, Bowen Hills, QLD, 4006, Australia.
| | - Felix T Leung
- School of Allied Health Science, 170 Kessels Rd, Nathan, Griffith University, Brisbane, QLD, 4111, Australia.
| | - Julie A Hides
- School of Allied Health Science, 170 Kessels Rd, Nathan, Griffith University, Brisbane, QLD, 4111, Australia.
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21
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Nicolini AP, Penna NA, Oliveira GTDE, Cohen M. EPIDEMIOLOGY OF ORTHOPEDIC INJURIES IN JIU-JITSU ATHLETES. ACTA ORTOPEDICA BRASILEIRA 2021; 29:49-53. [PMID: 33795970 PMCID: PMC7976864 DOI: 10.1590/1413-785220212901236466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Accepted: 06/24/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVE This study aims to identify the epidemiology of orthopedic injuries in jiu-jitsu practitioners. METHODS Ninety-six jiu-jitsu practitioners aged between 18 and 45 years, male and female, answered a questionnaire addressing personal data and history of injuries related to the sport during the last 24 months. RESULTS In the period cover, 85% of the sample presented injuries related to the practice of jiu-jitsu, with an average of 60 days of absenteeism from sports practice. Fingers, shoulders, and knees were the joints most affected by orthopedic injuries. CONCLUSION Orthopedic injuries are quite prevalent among jiu-jitsu practitioners, often distancing athletes from the sport. Level of Evidence IV, case series / cross sectional study.
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Affiliation(s)
- Alexandre Pedro Nicolini
- Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil
| | - Nathália Abolis Penna
- Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil
| | - Gabriel Taniguti DE Oliveira
- Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil
| | - Moises Cohen
- Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil
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22
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Miarka B, Pérez DIV, Aedo-Muñoz E, da Costa LOF, Brito CJ. Technical-Tactical Behaviors Analysis of Male and Female Judo Cadets' Combats. Front Psychol 2020; 11:1389. [PMID: 32636789 PMCID: PMC7317020 DOI: 10.3389/fpsyg.2020.01389] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Accepted: 05/25/2020] [Indexed: 11/13/2022] Open
Abstract
This brief research report showed technical-tactical behaviors of male and female judo cadets during combats, comparing the frequency and time of judo combat actions, techniques and penalties. The data was composed for 3,240 sequential technical-tactical behavior analysis from 108 female and 300 male cadet combats recorded of public judo championships. Combat, standing combat moments, approach action, gripping action, attack, groundwork actions and pause moment were observed and determinant technical-tactical behaviors (frequencies of actions, penalties and type of attacks) analysis were done with FRAMI software, followed by Mann-Whitney and Student's t-test, p ≤ 0.05. Our main results indicated that male cadets with 58.66s ± 50.26s demonstrated longer gripping action than female with 38.44s ± 30.44s, as standing combat (tachi-waza) had differences between male with 96.8s ± 72s and female athletes with 75.85s ± 56.97s. Moreover, male cadets had higher sacrifice techniques (sutemi-waza) actions than female athletes. This information could be used to a best performance associated with "psyching-up" as much as it could be used on physical training and technical-tactical ability of female and male cadets.
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Affiliation(s)
- Bianca Miarka
- Laboratory of Psychophysiology and Performance in Sports & Combats, School of Physical Education and Sport, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Laboratory of Physiological and Motor Analysis in Health and Performance of the Physical Education Department, Federal University of Juiz de Fora, Governador Valadares, Brazil
| | | | - Esteban Aedo-Muñoz
- Laboratory of Physiological and Motor Analysis in Health and Performance of the Physical Education Department, Federal University of Juiz de Fora, Governador Valadares, Brazil.,Biomechanics Laboratory, Chilean High-Performance Center, Physical Activity, Sport and Health Sciences Laboratory, Universidad de Santiago de Chile, Santiago, Chile.,Physical Education Department, Universidad Metropolitana de Ciencias de la Educación, Santiago, Chile
| | - Lucas Oliveira Fernandes da Costa
- Laboratory of Psychophysiology and Performance in Sports & Combats, School of Physical Education and Sport, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ciro José Brito
- Laboratory of Physiological and Motor Analysis in Health and Performance of the Physical Education Department, Federal University of Juiz de Fora, Governador Valadares, Brazil
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23
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Perspective of United States Judo Coaches on Concussion: A National Survey. INTERNATIONAL JOURNAL OF ATHLETIC THERAPY AND TRAINING 2020. [DOI: 10.1123/ijatt.2019-0026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Concussions among athletes in contact sports are a prevalent health concern in the United States. There are few studies that have assessed concussion from the perspective of judo coaches. This is a descriptive study of a survey sent to 1,056 United States judo coaches assessing their attitudes, knowledge, and practices toward concussion. The survey had a response rate of 21%, with 215 total responses. Though most coaches could accurately identify common symptoms of concussion from a case presentation, many also misidentified nonconcussion and red flags (e.g., facial droop) as symptoms of concussion. A minority of coaches reported any formal training in concussion management. USA Judo coaches are receptive to and would benefit from a sport-specific standardized concussion training program.
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Bruggesser S, Kühl S, Solakoglu Ö, Filippi A. The prevalence of orofacial injuries in judo: A cross‐sectional study. Dent Traumatol 2020; 36:411-416. [DOI: 10.1111/edt.12547] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 01/19/2020] [Accepted: 01/21/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Susanne Bruggesser
- Department of Oral Surgery and Center of Dental Traumatology University Center for Dental Medicine Basel University of Basel Basel Switzerland
| | - Sebastian Kühl
- Department of Oral Surgery and Center of Dental Traumatology University Center for Dental Medicine Basel University of Basel Basel Switzerland
| | - Önder Solakoglu
- Dental Department of the University Medical Center Hamburg‐Eppendorf Hamburg Germany
- Private Practice for Parodontology and Implantology Hamburg Germany
| | - Andreas Filippi
- Department of Oral Surgery and Center of Dental Traumatology University Center for Dental Medicine Basel University of Basel Basel Switzerland
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Fagher K, Hassan Ahmed O, Pernheim N, Varkey E. Prevalence of sports-related injuries in paralympic judo: An exploratory study. J Sci Med Sport 2019; 22:902-906. [DOI: 10.1016/j.jsams.2019.03.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 03/07/2019] [Accepted: 03/12/2019] [Indexed: 01/09/2023]
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Rossheim ME, Livingston MD, Soule EK, Zeraye HA, Thombs DL. Electronic cigarette explosion and burn injuries, US Emergency Departments 2015-2017. Tob Control 2018; 28:472-474. [PMID: 30219795 DOI: 10.1136/tobaccocontrol-2018-054518] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 07/25/2018] [Accepted: 08/17/2018] [Indexed: 12/15/2022]
Abstract
BACKGROUND Electronic cigarette (e-cigarette) battery failure can result in explosions and burn injuries. Previous attempts to quantify these events has been limited to compilations of case studies, federal agency reports and media reports. Although e-cigarette explosions and burn injuries are thought to be rare, current surveillance methods likely underestimate actual occurrences. METHODS Analyses were conducted on cross-sectional data from the US Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS). A keyword search of case narrative text was used to identify e-cigarette-related explosion and burn injuries presenting to US emergency departments from 2015 to 2017. Sampling weights were applied to make conservative national incidence estimates. RESULTS From 2015 to 2017, there were an estimated 2035 e-cigarette explosion and burn injuries presenting to US hospital emergency departments (95% CI 1107 to 2964). CONCLUSIONS There are more e-cigarette explosion and burn injuries in the USA than estimated in the past reports. Improved surveillance of e-cigarette injuries and regulation of e-cigarette devices is urgently needed. NEISS could be a valuable resource for e-cigarette injury surveillance.
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Affiliation(s)
- Matthew E Rossheim
- Department of Global and Community Health, George Mason University, Fairfax, Virginia, USA
| | - Melvin D Livingston
- Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Eric K Soule
- Department of Psychology, Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Helen A Zeraye
- Department of Global and Community Health, George Mason University, Fairfax, Virginia, USA
| | - Dennis L Thombs
- Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA
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