Search Results (51)

Background: This study examines the long-term cognitive consequences of repetitive head impact on executive functions in mixed martial arts (MMA) fighters over two years. Methods: Neuropsychological tests assessed executive functions in two groups: competitive (CG; n = 26) and recreational groups (RG; n = 26). Results: A significant interaction between time and group was observed. The CG experienced greater declines in Mental Processing Speed (MPS) after 1 year [4.6 s (3.1; 6.1); p ≤ 0.001] and 2 years [14.6 s (5.1; 24.0); p = 0.003]. Inhibitory control (IC) also declined after 1 year [4.7 a.u. (3.0; 6.2); p ≤ 0.001] and 2 years [10.0 a.u. (11.6; 11.4); p ≤ 0.001]. Cognitive flexibility (CF) showed a pronounced reduction after 1 year [4.8 a.u. (3.0; 6.7); p ≤ 0.001] and 2 years [7.5 a.u. (5.9; 9.1); p ≤ 0.001]. Automatic (AP) and controlled processes (CP), as well as direct (DM) and indirect memory (IM), also showed significant impairments in CG. Conclusions: These findings highlight the detrimental effects of MMA competitions on cognitive function, emphasizing the need for monitoring and interventions to preserve fighters’ health and performance. Full article

Background: Personality traits, particularly Conscientiousness, are recognised as crucial psychological factors contributing to success in elite-level athletes. Emerging evidence suggests that individual differences in these traits are influenced by environmental exposure and genetic variation, especially within the dopaminergic system. The DRD2 promoter polymorphism rs1799732, which affects dopamine D2 receptor expression, may modulate goal-directed behaviour and self-regulation traits. Methods: This study included 323 participants (141 elite mixed martial arts (MMA) athletes and 182 non-athlete controls). Participants completed the NEO Five-Factor Inventory (NEO-FFI). Genotyping for the DRD2 rs1799732 polymorphism was conducted using real-time PCR. Group comparisons and two-way ANOVA were used to assess genotype–phenotype associations and gene × environment interactions. Results: Athletes scored significantly higher on Conscientiousness than controls. A significant main effect of the DRD2 rs1799732 genotype and a genotype × group interaction were observed for Conscientiousness. Specifically, athletes with the ins/ins genotype exhibited the highest levels of Conscientiousness, whereas individuals with the del/del genotype showed the lowest scores. No significant associations were found for other personality traits. Conclusions: These findings suggest that the DRD2 promoter polymorphism rs1799732 moderates the expression of Conscientiousness, particularly under the structured and demanding conditions experienced by elite athletes. Our results support a gene × environment interaction model, highlighting the importance of considering genetic predispositions in high-performance environments. These insights may inform personalised psychological support strategies tailored to athletes’ genetic profiles, enhancing motivation, self-regulation and long-term athletic development. Full article

Introduction: Combat sport athletes are exposed to repetitive head impacts yet also develop distinct performance-related brain adaptations. Electroencephalography (EEG) provides millisecond-level insight into both processes; however, findings are dispersed across decades of heterogeneous studies. This mechanistic review consolidates and interprets EEG evidence to elucidate how participation in combat sports shapes brain function and to identify research gaps that impede clinical translation. Methods: A structured search was conducted in March 2025 across PubMed/MEDLINE, Scopus, Cochrane Library, ResearchGate, Google Scholar, and related databases for English-language clinical studies published between January 1980 and March 2025. Eligible studies recorded raw resting or task-related EEG in athletes engaged in boxing, wrestling, judo, karate, taekwondo, kickboxing, or mixed martial arts. Titles, abstracts, and full texts were independently screened by two reviewers. Twenty-three studies, encompassing approximately 650 combat sport athletes and 430 controls, met the inclusion criteria and were included in the qualitative synthesis. Results: Early visual EEG and perfusion studies linked prolonged competitive exposure in professional boxers to focal hypoperfusion and low-frequency slowing. More recent quantitative studies refined these findings: across boxing, wrestling, and kickboxing cohorts, chronic participation was associated with reduced alpha and theta power, excess slow-wave activity, and disrupted small-world network topology—alterations that often preceded cognitive or structural impairments. In contrast, elite athletes in karate, fencing, and kickboxing consistently demonstrated neural efficiency patterns, including elevated resting alpha power, reduced task-related event-related desynchronization (ERD), and streamlined cortico-muscular coupling during cognitive and motor tasks. Acute bouts elicited transient increases in frontal–occipital delta and high beta power proportional to head impact count and cortisol elevation, while brief judo chokes triggered short-lived slow-wave bursts without lasting dysfunction. Methodological heterogeneity—including variations in channel count (1 to 64), reference schemes, and frequency band definitions—limited cross-study comparability. Conclusions: EEG effectively captures both the adverse effects of repetitive head trauma and the cortical adaptations associated with high-level combat sport training, underscoring its potential as a rapid, portable tool for brain monitoring. Standardizing acquisition protocols, integrating EEG into longitudinal multimodal studies, and establishing sex- and age-specific normative data are essential for translating these insights into practical applications in concussion management, performance monitoring, and regulatory policy. Full article

Objectives: The purpose of this study is to quantitatively evaluate the combined effects of sports massage, blood flow restriction (BFR), and cold therapy on quadriceps recovery in mixed martial arts (MMA) athletes following eccentric exercise, focusing on muscle biomechanical properties, pain, and strength. Methods: This randomized, single-blind clinical trial involved 36 men and women MMA-trained participants, divided into three groups: massage (n = 12) received massage, BFR/cool (n = 12) received combined BFR and cooling, and control (n = 12) received passive rest as a control. The fatigue protocol involved MMA fighters performing five sets of plyometric jumps on a 50 cm box until exhaustion, with 1-min breaks between sets. After that, the massage group received a 20-min massage overall using standardized techniques; BFR/cool underwent a 20-min alternating blood flow restriction (200 mmHg) and cooling treatment with ice bags on the quadriceps; and the final group served as the control group with passive rest and no intervention. Participants were assessed four times—before exercise, immediately after exercise, 24 h post-exercise (after two recovery sessions), and 48 h post-exercise (after four recovery sessions)—for perfusion unit (PU), muscle elasticity, pressure pain threshold (PPT), reactive strength index (RSI), and total quality recovery (TQR). Results: The statistical analysis revealed significant effects of both massage and BFR/cooling interventions across key recovery outcomes, with large effect sizes for time-related changes in RSI (p < 0.0001; η² = 0.87), elasticity (p < 0.0001; η² = 0.84), and PPT (p < 0.0001; η² = 0.66). Notably, post-exercise 48 h values for RSI, elasticity, PU, and TQR were significantly improved in both the massage and BFR/cool groups compared to control (p < 0.05)), while no significant group differences were observed for PPT. Conclusions: The study concludes that both massage and combined blood flow restriction with cooling interventions significantly enhance post-exercise recovery—improving muscle perfusion, elasticity, reactive strength, and perceived recovery—compared to passive rest. Full article

Background/Objectives: Mixed martial arts (MMA) is a combat sport which heavily involves upper limb strength, mobility, and stability. Shoulder injuries, given their impact on striking and grappling, may significantly hinder performance and career longevity. However, their specific effects on competitive outcomes remain poorly defined. This study evaluates return-to-sport rates, fight performance, and long-term success in professional MMA athletes following shoulder injuries. Methods: A retrospective cohort study was conducted using publicly available databases to identify professional MMA fighters from the UFC, Bellator, and Strikeforce who sustained shoulder injuries requiring withdrawal from scheduled bouts. Fighter demographics, injury characteristics, and treatment approaches were recorded. Performance metrics—including winning percentage, takedown (TD), knockdown (KD), and significant strike (SS) rates—were compared before and after injury. Independent t-tests were used, and significance was set at p < 0.05. Results: A total of 27 fighters with 34 documented shoulder injuries were included. The most common injury was a torn labrum (41.2%), with 76.5% requiring surgical intervention. Aggregate winning rates significantly declined from 81.96% pre-injury to 54.7% post-injury (p < 0.001). Aggregate KD rates also dropped significantly (p < 0.001), while TD rates trended downward without reaching statistical significance. SS rates remained stable, suggesting potential compensatory mechanisms. Injury recurrence was observed in 22.2% of cases. Conclusions: Shoulder injuries in MMA are associated with a substantial decline in competitive success, particularly in knockout capability, emphasizing the critical role of shoulder integrity in fight performance. The high recurrence rate suggests the need for optimized rehabilitation protocols and stricter return-to-sport guidelines to enhance fighter longevity. Full article

Mixed Martial Arts (MMA) is a highly dynamic combat sport that requires precise motor coordination and technical execution. Video-based motion analysis, including two-dimensional (2D) and three-dimensional (3D) motion capture systems, plays a critical role in optimizing movement patterns, enhancing training efficiency, and reducing injury risk. However, the comparative validity of 2D and 3D systems for evaluating punching mechanics under external stressors remains unclear. This study aimed to first validate the measurement agreement between 2D and 3D motion analyses during sagittal-plane punches, and second, to examine the impact of fatigue and balance disruption on arm kinematics and punch dynamics in elite MMA athletes. Twenty-one male MMA fighters (mean age: 24.85 ± 7.24 years) performed standardized straight right punches (SRPs) and swing punches (SPs) under three experimental conditions: normal, balance-disrupted, and fatigued. Participants were instructed to deliver maximal-effort punches targeting a designated striking pad placed at a consistent height and distance. Each punch type was executed three times per condition. Kinematic data were collected using the my Dartfish Express(version 7.2.0) app (2D system) and MaxPRO infrared motion capture system (3D system). Statistical analyses included Pearson’s correlation coefficients, one-way analysis of variance (ANOVA), and linear mixed models (LMMs). Strong correlations (r = 0.964–0.999) and high intraclass correlation coefficient (ICC) values (0.81–0.99) confirmed the high reliability of 2D analysis for sagittal-plane techniques. Fatigue significantly decreased punch velocity and impact force (p < 0.01), while increasing joint angle variability (p < 0.01). These findings highlight the complementary use of 2D and 3D motion capture methods, supporting individualized monitoring, adaptive technique evaluation, and performance optimization in combat sports. Full article

Background: Recreational participation in Mixed Martial Arts (MMA) has rapidly increased. Despite consistent evidence of a high injury prevalence in MMA athletes, the neuromuscular implications of regular MMA training remain underexplored. The cervical spine is particularly vulnerable to trauma due to repetitive impacts and high mechanical demands in combat sports. Methods: This case-control study compared cervical spine function and self-reported symptoms between 25 recreational MMA athletes and 25 matched individuals who engaged in general fitness training. Outcome measures included Neck Disability Index (NDI), Post-Concussion Symptom Scale (PCSS), pain and headache reports, cervical range of motion (ROM), proprioception, isometric strength, and endurance. Multivariate logistic regression analysis was used to identify the predictors of group classification. Results: The MMA group exhibited significantly higher values for post-concussion symptoms (p = 0.012), cervical flexor endurance (p = 0.031), and the number of concussions (p = 0.001) but lower flexion ROM (p = 0.031). No significant differences were observed in strength, proprioception, or NDI scores. Logistic regression identified the number of concussions, age, total cervical ROM, and average rotation strength as significant predictors of group membership (model AUC = 0.96; Nagelkerke R² = 0.797). Conclusions: Recreational MMA athletes demonstrated higher rates of concussion-related symptoms and reduced cervical flexion ROM than noncontact exercisers despite no statistically significant differences in strength and proprioception. These findings suggest that cumulative exposure to amateur MMA is associated with alterations in cervical neuromuscular characteristics. These results support the implementation of targeted mobility, endurance, and injury prevention programs in recreational MMA training. Full article

Youth violence is a pressing social issue. Many well-informed interventions to reduce youth violence fail due to low uptake. Combat sports—such as boxing, judo, and mixed martial arts—appear to encourage aggression, making them appealing to individuals prone to violent behavior. However, rather than reinforcing violence, these sports instill discipline, goal-directed behavior, and self-control. This paper argues that combat sports align with the values of at-risk youth, increasing their participation, while simultaneously teaching them emotional regulation and resilience. I propose that structured combat training provides a sustainable intervention by fostering self-awareness, cognitive control, and respect within a rule-governed environment. Furthermore, training combat instructors in emotion regulation strategies could enhance these benefits. By providing motivation, capability, and opportunity, combat sports present a viable pathway to reducing violent behavior among youth. Full article

This study investigates the rapid weight loss (RWL) and rapid weight gain (RWG) of contest winners and losers from Muay Thai (MT) and mixed martial arts (MMA) events. The relationship between rapid weight change variables of males and females, and competitive success is also examined. Data from a weight management questionnaire was collected one day post-competition from 185 participants across 24 fight events, resulting in 263 responses (MMA: n = 78, MT: n = 185). Official and secondary weigh-in data were provided by the Combat Sports Commission. The results show that in MT, contest winners compared to losers had significantly greater RWL–7 days (5.9 ± 2.6% vs. 4.6 ± 2.7%, p = 0.01), RWG (6.2 ± 2.9% vs. 4.7 ± 2.8%, p = 0.003), and RWG/RWL ratio (108% [86–132%] vs. 86% [60–119%], p = 0.038), while no significant differences were observed for MMA. Mixed logistic regression models that controlled for age showed that a 1% increase in female RWL–24 h ([OR = 1.57, R² = 0.105, p = 0.001]) was associated with a 1.6 times higher likelihood of winning compared to female athletes without this increase. We emphasise that associations do not imply causation, and it is possible that other factors which align with rapid weight change practices may impact the observed relationship. Nonetheless, MT contest winners show greater RWL, RWG, and RWG/RWL ratio than losers, and female rapid weight changes appear to be associated with competitive success in this cohort. Full article

Medieval combat sport is a form of mixed martial art in which combatants engage in fighting using offensive and defensive equipment while dressed in full armor. The sport is considered extremely taxing, making it nearly impossible to maintain the same level of performance. However, this form of sport has not been thoroughly analyzed, and its impact on human physical response is largely unknown. To address this gap, the study reported here aimed to introduce and test a procedure for analyzing human physical responses within the framework of the sport. To accomplish this, two experienced combatants were asked to engage in a series of strikes, performed in the form of a set duel simulating a professional fight competition. The kinematic aspect of the procedure was examined using motion analysis with the help of an IMU suit, while the physiological aspect was evaluated based on blood lactate levels and heart rate measurements. Furthermore, an ergometer test conducted in a laboratory setting aimed to determine the lactate threshold. The duel results showed noticeable decreases in the kinematic aspects of the strikes, such as the velocity of impact, and a dramatic rise in physiological aspects, such as heart rate and blood lactate levels. During the duel sets, the blood lactate surpassed the threshold level, and at the end, the heart rate exceeded the maximum age-related level. Practicing medieval combat sport has been shown to impose an extreme physical load on the bodies of combatants, noticeably affecting their performance levels. Full article

Kicking strikes are fundamental in combat sports such as Taekwondo, karate, kickboxing, Muay Thai, and mixed martial arts. This review aimed to explore the measurement methods, kinematics such as velocities, kinetics such as impact force, determinants, and injury potential of kicking strikes in combat sports. Searches of Academic Search Premier, The Allied and Complementary Medicine Database, CINAHL Plus, MEDLINE, SPORTDiscus, Scopus, and Web of Science databases were conducted for studies that measured kicking velocity and impact force. A total of 88 studies were included in the review. Studies most frequently involved only male participants (49%) aged between 18 and 30 years of age (68%). Studies measuring velocity predominantly implemented camera-based motion capture systems (96%), whereas studies measuring impact force displayed considerable heterogeneity in their measurement methods. Five primary strikes were identified for which foot velocities ranged from 5.2 to 18.3 m/s and mean impact force ranged from 122.6 to 9015 N. Among the techniques analysed, the roundhouse kick exhibited the highest kicking velocity at 18.3 m/s, whilst the side kick produced the highest impact force at 9015 N. Diverse investigation methodologies contributed to a wide value range for kicking velocities and impact forces being reported, making direct comparisons difficult. Kicking strikes can be categorised into throw-style or push-style kicks, which modulate impact through different mechanisms. Kicking velocity and impact force are determined by several factors, including technical proficiency, lower body strength and flexibility, effective mass, and target factors. The impact force generated by kicking strikes is sufficient to cause injury, including fracture. Protective equipment can partially attenuate these forces, although more research is required in this area. Athletes and coaches are advised to carefully consider the properties and potential limitations of measurement devices used to assess impact force. Full article

Mixed martial arts (MMA) fighters use their arms and hands for striking with the fists, grappling, and defensive techniques, which puts a high load on the forearms and hand muscles. New methods are needed to decrease the risk of injury and increase the effectiveness of regeneration. This study aimed to assess the effectiveness of cryo-compression (CC) therapy of different times (3 and 6 min) on forearm muscles in MMA fighters by investigating muscle pain, stiffness, tension, elasticity strength, and perfusion. Twenty professional male MMA fighters aged 26.5 ± 4.5 years, with training experience of 10.3 ± 5.0 years, were enrolled on an experimental within-group study design. The participants underwent CC therapy at a temperature of 3 °C and compression of 75 mmHg for 3 min and, in the second session, for 6 min. The investigated parameters were in the following order: (1) perfusion in non-reference units (PU), (2) muscle tone (T—[Hz]), (3) stiffness (S—[N/m]), (4) elasticity (E—[arb]), (5) pressure pain threshold (PPT—[N/cm]), and (6) maximum isometric force (Fmax [kgf]) at two time points: (1) at rest—2 min before CC therapy (pre) and (2) 2 min after CC therapy (post). There were significant differences between 3 and 6 min of CC therapy for PU and T. Meanwhile, F, E, PPT, and S were significantly different when comparing pre- to post-conditions. These results provide evidence that CC therapy is a stimulus that significantly affects parameters characterizing muscle biomechanical properties, pain threshold, strength, and tissue perfusion. Full article

Karate can be both a martial art and a combat sport. Male and female karate athletes attended the Tokyo Olympic Games 2020 (2021). Elite sport often portrays female athletes through the sexualization of their bodies, while the martial environment leaves them open to accusations of masculinization. In the process of constructing themselves as fighters, karateka women do produce new ways of performing femininities and masculinities, which is a hard-work process of negotiations, leading them to the construction of a particular habitus strictly linked to their performativity within the environment. They take part in a contested terrain that mixes several elements that are often contrasting. In this article, we aim to present factors identified with the women athletes of the Spanish Olympic karate team that affect the construction of their embodied subjectivities. We focus on two main topics, authenticity as the real deal to belonging, and a possible gendered habitus struggling with the achievement of the condition of a warrior. We carried out an ethnographic study with the Spanish Olympic karate squad supported by autoethnographic elements from the first author. We focus here on the data from double interviews with 14 women athletes and their four male coaches. Embodied subjectivity as a process of subject construction to disrupt objectification and forms of othering showed to be a challenge, a complex task, and embedded in contradictions. Karate women’s embodied subjectivities are built in the transit between resisting and giving in. Despite several difficulties, through awareness and reflection on limitations, karateka may occupy their place as subjects, exerting agency, feeling empowered, and fighting consciously against the naturalized ‘tide’. Full article

Background: Although there is much literature demonstrating weight changes in professional mixed martial arts (MMA) athletes, there is minimal data comparing male and female MMA athletes. Therefore, the purpose of the current study was to compare weight changes between professional male and female MMA athletes leading up to competition. Methods: One hundred and three professional flyweight MMA athletes competing for the Ultimate Fighting Championship (UFC) were used for the study. Weight was obtained at multiple time points leading up to the competition. Two-way ANOVAs and post hoc t-tests were used, and significance was set at p ≤ 0.05. Results: ANOVA revealed there was a significant main effect of condition for weight changes (p < 0.001) and a significant main effect of sex on weight changes (p = 0.002) prior to competition. Post hoc analysis revealed that males lost more weight prior to the official weigh-in and gained more weight prior to competition when compared to females (p ≤ 0.05). Conclusion: MMA athletes lose weight prior to the official weigh-in and gain weight prior to competition. Moreover, male MMA athletes lose more weight prior to and gain more weight after when compared to female MMA athletes competing in the UFC’s flyweight division. Full article

Automated pupil light reflex (PLR) is a valid indicator of dysfunctional autonomic brain function following traumatic brain injury. PLR’s use in identifying disturbed autonomic brain function following repeated head impacts without outwardly visible symptoms has not yet been examined. As a combat sport featuring repeated ‘sub-concussive’ head impacts, mixed martial arts (MMA) sparring may provide a model to understand such changes. The aim of this pilot study was to explore which, if any, PLR variables are affected by MMA sparring. A cohort of n = 7 MMA athletes (age = 24 ± 3 years; mass = 76.5 ± 9 kg; stature = 176.4 ± 8.5 cm) took part in their regular sparring sessions (eight rounds × 3 min: 1 min recovery). PLR of both eyes was measured immediately pre- and post-sparring using a Neuroptic NPi-200. Bayesian paired samples t-tests (BF₁₀ ≥ 3) revealed decreased maximum pupil size (BF₁₀ = 3), decreased minimum pupil size (BF₁₀ = 4) and reduced PLR latency (BF₁₀ = 3) post-sparring. Anisocoria was present prior to sparring and increased post-sparring, with both eyes having different minimum and maximum pupil sizes (BF₁₀ = 3–4) and constriction velocities post-sparring (BF₁₀ = 3). These pilot data suggest repeated head impacts may cause disturbances to autonomic brain function in the absence of outwardly visible symptoms. These results provide direction for cohort-controlled studies to formally investigate the potential changes observed. Full article