1
|
Kirk C. A 5-Year Analysis of Age, Stature and Armspan in Mixed Martial Arts. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024; 95:450-457. [PMID: 37826856 DOI: 10.1080/02701367.2023.2252473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 06/25/2023] [Indexed: 10/14/2023]
Abstract
Purpose: Athlete stature and armspan is anecdotally assumed to provide an advantage in mixed martial arts (MMA), despite an absence of supporting data. In contrast, winners of MMA bouts have been shown to be younger than bouts losers. Whilst absolute measurements of stature, armspan and armspan:stature scale (A:S) have been shown to not distinguish between winners and losers of MMA bouts, relative differences between competitors have not been analysed. This study aimed to analyse 5 years of athlete age and morphological data to replicate and expand previous studies to determine whether absolute and/or relative age and morphological variables effect winning and losing in MMA. Methods and Results: Bayes factor (BF>3) inferential analyses conducted on the cohort overall (n = 2,229 professional bouts), each year sampled and each individual body mass division found that only absolute (winners = 29.8 ± 4 years; losers = 30.7 ± 4.2 years) and relative age (winners = 0.82 ± 5.3 years younger than losers) differentiates between winners and losers across the whole cohort, in 4 of the 5 years, and in 4 of the 13 divisions sampled. Armspan appears to provide an advantage in heavyweight only (winners = 198.4 ± 6.6cm; losers = 196.1 ± 7.7cm), with greater A:S being a disadvantage (winners = 1.003 ± 0.022cm∙cm-1; losers = 1.010 ± 0.023 cm∙cm-1) in women's strawweight only. No variables had any effect on how bouts were won. Conclusions: These results confirm previous reports that the effect of athlete morphology is greatly overstated in MMA, appearing to be irrelevant in most divisions. Bout winners tend to be younger than losers, particularly in divisions displaying more diverse skill requirements.
Collapse
|
2
|
Finlay MJ, Greig M, Bridge CA, Page RM. Post-Activation Performance Enhancement of Punch Force and Neuromuscular Performance in Amateur Boxing: Toward a More Individualized and "Real-World" Approach. J Strength Cond Res 2024; 38:1063-1071. [PMID: 38349345 DOI: 10.1519/jsc.0000000000004740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
ABSTRACT Finlay, MJ, Greig, M, Bridge, CA, and Page, RM. Post-activation performance enhancement of punch force and neuromuscular performance in amateur boxing: Toward a more individualized and "real-world" approach. J Strength Cond Res 38(6): 1063-1071, 2024-Previous research on post-activation performance enhancement has been applied in several sporting settings, although this is lacking in a boxing setting. This study explored the effectiveness of 2 upper-body conditioning activities in improving punch-specific performance during an amateur boxing-simulated bout. On 3 separate occasions, 10 male senior elite amateur boxers performed the following conditioning activities before a boxing-specific simulation protocol: isometric (ISO) punch, elastic resistance (ER) punch, and a control trial. Boxers performed maximal punches against a vertically mounted force plate, and countermovement jumps (CMJ) at baseline, before round 1, after each round, and 4 minutes after the simulation. Both conditioning activities, but not the control trial, produced small worthwhile increases (effect size ≥ 0.20; equal to or greater than the smallest worthwhile change) in punch force, although worthwhile increases in rate of force development were limited to the cross during the ISO trial. No group-based improvements in CMJ performance were observed. Individual analysis revealed that 6 boxers improved punch-specific performance to the greatest extent in the ISO trial; in contrast, only 1 boxer did so in the ER trial. Three boxers exhibited similar performance increases across trials. In conclusion, both conditioning activities may be applied to an amateur boxer's warm-up to acutely enhance punch-specific performance. The ISO conditioning activity seems most effective; however, the interindividual variability suggests a need for protocols to be individualized to each athlete. The conditioning activities in the present study may be applied to sparring, competitive bouts, or to other combat sports.
Collapse
Affiliation(s)
- Mitchell James Finlay
- Sport Department, University Academy 92, Old Trafford, Manchester, United Kingdom; and
- Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Matt Greig
- Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Craig Alan Bridge
- Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Richard Michael Page
- Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| |
Collapse
|
3
|
Finlay MJ, Page RM, Greig M, Bridge CA. Test-retest reliability and sensitivity of senior elite amateur boxers maximal punch force, as quantified by a vertically mounted force plate. PLoS One 2023; 18:e0289791. [PMID: 37561692 PMCID: PMC10414587 DOI: 10.1371/journal.pone.0289791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 07/26/2023] [Indexed: 08/12/2023] Open
Abstract
An ecologically valid, reliable and sensitive method of quantifying punch force variables would be useful for coaches and practitioners monitoring combat-specific performance. The present study utilised a vertically mounted force plate to quantify the peak punch force and rate of force development (RFD) of amateur boxers. Ten male senior elite amateur boxers performed maximal jab, cross, and hook punches across two separate days. The force plate showed excellent within-day and good-to-excellent between-day reliability for peak punch impact force and RFD (ICC 0.89-0.99). The CV% for all punch force variables were similar on day 1 (3-9%) and day 2 (4-10%). Standard error of measurement (SEM) and smallest worthwhile changes (SWC) revealed the force plate can detect small-to-moderate changes in punch performance. The greatest impact forces and RFD were found in the rear hook (2624 ± 581 N, 296448 ± 101823 N.s-1), followed by the lead hook (2524 ± 532 N, 256813 ± 81735 N.s-1), cross 2425 ± 545 N, 193004 ± 62671 N.s-1) and jab (1645 ± 537 N, 116675 ± 41577 N.s-1). The vertically mounted force plate is a reliable and sensitive test of punch performance, thus may be useful in determining the efficacy of training interventions.
Collapse
Affiliation(s)
- Mitchell James Finlay
- Sports Performance Research Group, Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
- Sport Department, University Academy 92 (UA92), Manchester, United Kingdom
| | - Richard Michael Page
- Sports Performance Research Group, Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Matt Greig
- Sports Performance Research Group, Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Craig Alan Bridge
- Sports Performance Research Group, Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| |
Collapse
|
4
|
Postactivation Performance Enhancement of Amateur Boxers’ Punch Force and Neuromuscular Performance Following 2 Upper-Body Conditioning Activities. Int J Sports Physiol Perform 2022; 17:1621-1633. [DOI: 10.1123/ijspp.2022-0159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/17/2022] [Accepted: 07/27/2022] [Indexed: 11/18/2022]
Abstract
Purpose: The purpose of this study was to assess the efficacy of upper-body punch-specific isometric (ISO) and elastic resistance (ER) conditioning activities (CAs) on the punch force and neuromuscular performance of amateur boxers. Methods: Ten male senior elite amateur boxers (19.7 [1.2]| y; height 180.9 [7.0] cm; mass 78.7 [9.6] kg) visited the laboratory on 4 separate occasions. Initially, the participants performed baseline physical tests comprising bench-press 1-repetition maximum and countermovement jumps. On the other 3 occasions, the boxers performed maximal punches against a vertically mounted force plate and maximal countermovement jumps prior to and following an ISO or ER CA, as well as a control trial. Results: No interactions between CA × time were found in all performance variables. As observed by mean changes, effect sizes, and signal:noise ratio, both the ISO and ER, but not the control trial, consistently produced small to moderate, worthwhile increases in punch force and rate of force development, with the greatest increases in performance typically observed in the ISO trial. No meaningful improvements were observed in countermovement jump performance in all trials, indicative of a localized postactivation performance enhancement effect. Conclusion: In conclusion, the ISO and ER CAs may be implemented in an amateur boxers’ warm-up to acutely enhance punch-force variables, although the ISO punch appears to be the superior CA to improve punch-specific performance. The CAs used in the present study may also be relevant to other combat sports inclusive of a striking element.
Collapse
|
5
|
Finlay MJ, Page RM, Greig M, Bridge CA. The prevalence of pre-conditioning and recovery strategies in senior elite and non-elite amateur boxing. PHYSICIAN SPORTSMED 2022; 50:323-331. [PMID: 34003715 DOI: 10.1080/00913847.2021.1931525] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES A variety of acute strategies around competition are used to prepare and promote physical and mental restoration in athletes. However, to date, no research exists on the prevalence of such methods in amateur boxing. Therefore, this study aimed to 1) examine the prevalence of pre-conditioning and recovery strategies in amateur boxing; 2) ascertain whether this was discriminated against at competitor level. METHODS This study surveyed 101 senior amateur boxers (Senior Elite SEB n = 59; Senior Development SDB n = 42), on their application and perceptions of pre-conditioning and recovery strategies. RESULTS The reported findings determined a significantly greater number of SEB performed resistance priming activity up to 48 hours prior to competition (11, 19% vs 2, 5%; P = 0.040), and post-activation performance enhancement (PAPE) activity in the pre-competition warm-up (18, 31% vs 1, 2%; P < 0.001), compared to SDB. Likewise, SEB reported they were also significantly more likely to utilize massage (SEB 35, 59%, SDB 11, 29%, P = 0.001) and cold-water immersion (CWI) (SEB 28, 47%, SDB 10, 29%, P = 0.016) as recovery modes, compared to their SDB counterparts. CONCLUSIONS This study was the first to provide data on the use of PAPE, priming and recovery methods around amateur boxing bouts. Increased access to multi-disciplinary staff could be expected in SEB, possibly explaining the greater prevalence of evidence-based methods around competition. Once athlete responsiveness to PAPEand longer-term priming methods are initially assessed, these strategies could be implemented to improve punch-specific performance, though more research is needed on their efficacy. Likewise, boxers could utilize evidence-based recovery modes where possible, with increased importance during repeat-bout scenarios, such as domestic tournaments. Coaches and practitioners may use this data to implement pre-conditioning and recovery strategies, to optimize performance and reduce the risk of injury of amateur boxers.
Collapse
Affiliation(s)
- Mitchell James Finlay
- Sports Injury Research Group, Sport and Physical Activity Department, Edge Hill University, Ormskirk, Lancashire, UK
| | - Richard Michael Page
- Sports Injury Research Group, Sport and Physical Activity Department, Edge Hill University, Ormskirk, Lancashire, UK
| | - Matt Greig
- Sports Injury Research Group, Sport and Physical Activity Department, Edge Hill University, Ormskirk, Lancashire, UK
| | - Craig Alan Bridge
- Sports Injury Research Group, Sport and Physical Activity Department, Edge Hill University, Ormskirk, Lancashire, UK
| |
Collapse
|
6
|
Abstract
ABSTRACT Beattie, K and Ruddock, AD. The role of strength on punch impact force in boxing. J Strength Cond Res XX(X): 000-000, 2022-The ability to punch with a high impact force is beneficial to boxers as there is an increased likelihood of success. Punch impact force differentiates between performance level, weight class, gender, and punch type in competitive boxers. Although technique is likely to play a major role in punch impact force, the capabilities of the neuromuscular system may also be a limiting factor. This review examines the role of strength on punch impact force in amateur and professional boxers. The maximal strength qualities of the lower body, as well as explosive strength qualities of both the upper and lower body, are largely associated with punch impact force in elite amateur boxers. Specifically, elite amateur boxers who punch with "high" impact forces have greater levels of lower-body maximal strength and explosive strength when compared with elite amateurs who punch with "low" impact forces. However, the maximal strength capabilities of the upper body are not associated with punch impact force and does not differentiate between elite boxers who punch with "high" and "low" impact forces. Therefore, based off the present evidence, this review recommends that for boxers who aim to develop their punch impact force, it may be advantageous to emphasize both maximal and explosive strength development of the legs, with only an explosive strength focus in the upper body. However, it is important to highlight that, to date, there are a lack of experimental studies in both elite amateur and professional boxing. Furthermore, there is a dearth of research in female boxing. Future experimental studies are needed to infer causality regarding the role that strength training has on punch impact force in both elite amateur and professional boxers.
Collapse
Affiliation(s)
- Kris Beattie
- Department of Sport & Health Sciences, Technological University of the Shannon, Athlone, Co. Westmeath, Ireland; and
| | - Alan D Ruddock
- Sport and Physical Activity Research Centre, Sheffield Hallam University, Sheffield, United Kingdom
| |
Collapse
|
7
|
Validity and reliability of impact forces from a commercially instrumented water-filled punching bag. SPORTS ENGINEERING 2022. [DOI: 10.1007/s12283-022-00368-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AbstractMeasuring striking forces is important to provide actionable insight for training and performance enhancement for combat sport athletes. Recent technology may provide a low-cost solution to an otherwise complicated kinetic assessment. The aim was to assess the reliability and validity of a water-filled training bag and integrated sensor for measuring peak impact force. A pendulum design was used to swing a range of known mass loads (kettlebells) from various heights to impact a stationary 21″ Aqua Training Bag®. For each condition, the momentum of the mass at impact was calculated and compared with the measured impact force from a pressure sensor affixed to the side of the water-filled bag. Peak impact force was strongly associated with calculated momentum (r(18) = 0.96 [0.91, 0.99], p < 0.001), with a high degree of shared variance (92.7%, F(1,18) = 229.9, p < 0.001). There was almost perfect agreement for all reliability loading conditions (ICC = 0.995–0.999) and typical error was ≤ 5% (CV = 3.3–5.1). Impact kinetics from the sensor appear to be reliable and valid and may be integrated into practice and research. However, the utility of the instrumented bag for striking kinetics of athletes, and thus practical utility when used in the field, requires further investigation.
Collapse
|
8
|
Finlay MJ. World Heavyweight Championship boxing: The past 30+ years of the male division. PLoS One 2022; 17:e0263038. [PMID: 35073382 PMCID: PMC8786172 DOI: 10.1371/journal.pone.0263038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 01/11/2022] [Indexed: 11/18/2022] Open
Abstract
Data from the past 30+ years of the male boxing World Heavyweight Championship (n = 182 bouts) was obtained. The USA were the most represented and produced more champions than any other nation, followed by the UK, Ukraine and Russia. Denmark (100%), Ukraine (85.4%) and the UK (67.3%) produced the greatest ‘success rates’ in World Heavyweight Championship contests. Where possible, comparisons between bout winners and losers were also made. Winners were significantly taller (p < 0.001, d = 0.35) and had a greater reach (p = 0.003, d = 0.23) when compared to losers. Championship bouts were settled by the following methods: a form of knockout (101), points decision (57), retirement (14), draw (3), disqualification (3), technical decision (1), whilst 3 no contests were omitted from the analysis. Total punches thrown and landed, and jabs and power punches thrown and landed were consistently significantly greater (p < 0.005, d = 0.27–0.73) in winners, compared to losers. Winners were more accurate compared to their losing counterparts by ~ 8 percentage points. The data presented in the present study clearly show some anthropometric advantages of championship bout winners, compared to their unsuccessful counterparts, and that winners are more active and accurate when compared to losers. The punch output data, albeit very basic, may be useful in informing tactical strategy and preparation of heavyweight prospects. Likewise, the data in the present study may be an interesting resource for professional boxing enthusiasts. Future research should seek to replicate the analysis in the present study across other weight divisions to explore any potential differences between weight classes. Additionally, extending the analysis to female boxing may provide interesting comparisons.
Collapse
Affiliation(s)
- Mitchell James Finlay
- Sports Injury Research Group, Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
- * E-mail:
| |
Collapse
|
9
|
High-Intensity Conditioning for Combat Athletes: Practical Recommendations. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app112210658] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Combat sports have been practiced for millennia and today are predominant sports at the Olympic games, with international organizations that host world, continental and national championships at amateur standard. There are also an increasing number of professional combat sports with global audiences. The growing popularity of professional combat sports and their importance at the Olympic games have led to an increase in scientific studies that characterize the physical, physiological, nutritional, biomechanical and training strategies of combat sports athletes. These studies characterize combat sports as high-intensity sports which require training strategies to develop the high-intensity capabilities of athletes. Therefore, the aim of this article is to (i) summarize the physiological demands of combat sports; (ii) present the primary considerations required to program high-intensity conditioning for athletes; (iii) define and present key high-intensity conditioning methods; and (iv) provide guidance for scientists and coaches to help prepare athletes under common but differing circumstances.
Collapse
|
10
|
Collins KS, Klawitter LA, Waldera RW, Mahoney SJ, Christensen BK. Differences in Muscle Activity and Kinetics Between the Goblet Squat and Landmine Squat in Men and Women. J Strength Cond Res 2021; 35:2661-2668. [PMID: 34341315 DOI: 10.1519/jsc.0000000000004094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
ABSTRACT Collins, KS, Klawitter, LA, Waldera, RW, Mahoney, SJ, and Christensen, BK. Differences in muscle activity and kinetics between the goblet squat and landmine squat in men and women. J Strength Cond Res 35(10): 2661-2668, 2021-Squat exercise variations are widely used and extensively researched. However, little information exists on the goblet squat (GBS) and landmine squat (LMS) and differences between men and women. This study investigated the differences in muscle activity and kinetics between the GBS and the LMS in 16 men and 16 women. Five repetitions of each squat type were performed loaded at 30% of their body mass. Vertical and anteroposterior ground reaction forces for the eccentric and concentric phases and peak vertical force were recorded with a force plate. Electromyographic (EMG) signals were recorded for the vastus medialis (VM), vastus lateralis (VL), semitendinosus (ST), and biceps femoris (BF). Normalized mean EMG values and ground reaction forces were analyzed with repeated measures analysis of variance (p < 0.05). Significant main effects for squat condition and sex were found. The LMS reduced activity in the quadriceps (VM and VL) muscles and vertical forces, while increasing posterior horizontal forces. In the LMS, men showed decreased ST activity, whereas women had decreased BF activity. Women exhibited greater quadriceps activity in both the GBS and LMS and greater ST in the LMS. Women also produced greater eccentric vertical force in both the GBS and LMS and less posterior horizontal forces in the LMS. The LMS may be useful to balance hamstring to quadriceps activity, increase horizontal loading, and reduce vertical loading. Conversely, the GBS can better target quadriceps activity and increase vertical loading. Sex differences should be considered for training programs that include the GBS and LMS.
Collapse
Affiliation(s)
- Kyle S Collins
- Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, North Dakota
| | | | | | | | | |
Collapse
|
11
|
Finlay MJ, Page RM, Greig M, Bridge CA. The association between competitor level and the physical preparation practices of amateur boxers. PLoS One 2021; 16:e0257907. [PMID: 34570828 PMCID: PMC8475992 DOI: 10.1371/journal.pone.0257907] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2021] [Accepted: 09/13/2021] [Indexed: 01/10/2023] Open
Abstract
Physical training, testing, and monitoring are three key constitutes of athlete physical performance; however, there is a currently a lack of information on the prevalence of such methods in amateur boxing. This study aimed to explore the physical preparation practices of senior elite (SEB) and senior development (SDB) amateur boxers, and to determine whether these practices were discriminated by competitor level. One hundred and one amateur boxers (SEB n = 59, SDB n = 42) were surveyed on their understanding, perceptions and application of physical training, monitoring, and testing practices. SEB were associated with strength/power training (SEB 78%, SDB 50%, P = 0.005), monitor of training intensities (SEB 68%, SDB 40%, P = 0.006), and performing regular fitness testing (SEB 76%, SDB 50%, P = 0.006), compared to SDB. Likewise, SEB were twice as likely (56%) to have their physical preparation managed by a strength and conditioning (S&C) coach or sport scientist, compared to SDB (26%; P = 0.005). For the first time, these data demonstrate the extent to which competitor level is associated with preparatory practices in amateur boxing. Cost was identified as the main barrier in implementing several forms of scientific support in SDB. These data serve as a framework to enhance preparatory practices across different competitor levels in amateur boxing. This might include boxer and coach education on the benefits to a more scientific approach, and the use of cost-effective methods to develop, monitor and assess amateur boxers physical performance. This may be of particular importance where boxers are not funded, such as the SDB in the current study. However, this work may also be used to emphasise the importance of strength/power training, physical fitness testing and monitoring at the elite level of amateur boxing.
Collapse
Affiliation(s)
- Mitchell James Finlay
- Department of Sport & Physical Activity, Sports Injury Research Group, Edge Hill University, Ormskirk, Lancashire, United Kingdom
- * E-mail:
| | - Richard Michael Page
- Department of Sport & Physical Activity, Sports Injury Research Group, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Matt Greig
- Department of Sport & Physical Activity, Sports Injury Research Group, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Craig Alan Bridge
- Department of Sport & Physical Activity, Sports Injury Research Group, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| |
Collapse
|
12
|
Ersoy C, Iyigun G. Boxing training in patients with stroke causes improvement of upper extremity, balance, and cognitive functions but should it be applied as virtual or real? Top Stroke Rehabil 2020; 28:112-126. [PMID: 32574096 DOI: 10.1080/10749357.2020.1783918] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Background: Upper extremity hemiparesis is one of the most common post-stroke disabilities requiring rehabilitation. Objective: To compare the effects of virtual and real boxing training in addition to neurodevelopmental treatment on the upper extremity, balance, and cognitive functions in hemiparetic stroke patients. Methods: Forty hemiparetic stroke patients were assigned to either real boxing group-RBG (n=20) or virtual boxing group-VBG (n=20), for a total of 24 sessions (3 sessions/week for 8 weeks). The primary outcome was upper extremity motor ability (Wolf Motor Function Test-WMFT). The secondary outcomes were arm-hand dexterity (Manual Dexterity Test-MMDT), goal-oriented performance (Video Boxing Analysis-VBA), balance functions (Fullerton Advanced Balance Scale-FAB-T), and cognitive functions (Addenbrooke's Cognitive Examination-Revised-ACE-R). Results: There was small treatment effect on ACE-R, small-medium effect for WFMT and MMDT and large effect on bilateral punching time [VBA (Cohen's d- VBG=0.83; RBG=0.95)] and balance [FAB-T (Cohen's d - VBG=0.89; RBG=0.82)] after treatment in both groups. No significant differences were found for training effects between the groups for upper extremity functions [WMFT (p=0.799; Cohen's d=-0.07), MMDT-PT (p=0.327; Cohen's d=-0.10), MMDT-THTPT (p=0.779; Cohen's d=-0.17) and VBA bilateral punch number (p=0.068; Cohen's d=0.15)], balance functions [FAB-T (p=0.602; Cohen's d=-0.19)] and cognitive functions [ACE-R total (p=0.947, Cohen's d=0.09)]. Conclusion: The study showed that virtual and real boxing training methods, in addition to neurodevelopmental treatment, are effective in improving upper extremity, balance, and cognitive functions in patients with hemiparetic stroke. The training effects were higher on bilateral punching time and balance functions for both groups. There was no superiority of either approach.
Collapse
Affiliation(s)
- Ceren Ersoy
- Department of Physiotherapy and Rehabilitation, Eastern Mediterranean University Faculty of Health Sciences , Famagusta, Turkey
| | - Gozde Iyigun
- Department of Physiotherapy and Rehabilitation, Eastern Mediterranean University Faculty of Health Sciences , Famagusta, Turkey
| |
Collapse
|