Five weeks of Yuishinkai karate training improves balance and neuromuscular function in older adults: a preliminary study.

BACKGROUND: Martial arts training has shown positive impacts on balance and physiological measurements. Further investigation of the contents and feasibility of an effective therapeutic assessment of martial arts is needed in older adults, mainly for future applications and real-world implementation. METHODS: Sixteen older adults (8 male, 8 female, age 59-90 years), with or without chronic conditions, participated in a preliminary study using 5-weeks of karate training and a triple baseline control procedure. Group and single subject data analyses were conducted for dynamic balance, Timed Up and Go (TUG), hand grip, ankle plantarflexion force, and spinal cord excitability (via the soleus H-reflex) pre- and post-training. RESULTS: On average, participants completed a total of 2437 steps, 1762 turns, 3585 stance changes, 2047 punches, 2757 blocks, and 1253 strikes. Karate training improved dynamic balance performance such that the group average time was reduced (time to target (-13.6%, p = 0.020) and time to center (-8.3%, p = 0.010)). TUG was unchanged when considering the entire group (p = 0.779), but six participants displayed significant changes. Left handgrip (7.9%, p = 0.037), and plantarflexion force in the right (28.8%, p = 0.045) and left leg (13.3%, p = 0.024) increased for the group. Spinal cord excitability remained unchanged in group data analysis but 5 individuals had modulated Hmax/Mmax ratios. CONCLUSION: 5-weeks of karate training delivered in a fashion to mimic generally accessible community-level programs improved balance and strength in older adults. Whole-body movement embodied in karate training enhanced neuromuscular function and postural control. We met the overriding goal of this preliminary study to emphasize and assess feasibility and safety for the generalizability of martial arts interventions to real-world communities to impact health outcomes. Further quantitative work should explore threshold dose and development of martial arts training interventions as potential "exercise is medicine" functional fitness for older adults.

Brazilian Jiu-Jitsu fighters present greatest rapid and maximal strength imbalances at extreme elbow angles.

BACKGROUND: The performance of Brazilian jiu-jitsu (BJJ) fighters is dependent on rapid and maximal elbow strength actions. Appropriate strength balance between elbow flexors (F) and extensors (E) across the full joint range of motion may be required to decrease risk of injuries. AIM: To compare rapid and maximal elbow F/E strength balance through full range of motion in BJJ fighters. MATERIALS AND METHODS: Twenty-three male BJJ fighters (27.9 ± 4.6 years, 82.9 ± 10.9 kg, 174.5 ± 6.8 cm, and 15.3 ± 6.8% body fat) with 8.2 ± 6.5 years of practice volunteered to participate. Participants were tested for rate of torque development (RTD) and peak torque (PT) of elbow F and E at six angles (45°, 60°, 75°, 90°, 105°, and 120°; 0° = full extension). Rapid (F RTD/E RTD) and maximal (F PT/E PT) angle-specific torque (AST) ratios were calculated. RESULTS: Rapid AST ratio at 45° (0.66 ± 0.18) and maximal AST ratio at 45° (0.91 ± 0.16) and 120° (0.88 ± 0.20) were significantly less than all other AST ratios at mid-point angles of elbow range of motion (p < 0.05). Individual data demonstrates that both beginners and advanced BJJ fighters present overall similar rapid and maximal F/E AST imbalances. CONCLUSION: BJJ fighters present greater rapid and maximal strength imbalances at extreme-compared to mid-point angles of range of motion. Results may benefit coaches to develop strength exercises focusing on these specific angles to potentially reduce the risk of elbow injury and improve performance of BJJ fighters.

Validity of judo-specific tests to assess neuromuscular performance of judo athletes.

Uchi-komi Fitness Test (UFT) is a specific judo test that evaluates physiological fitness of judo athletes in similar conditions to judo matches. Neuromuscular parameters obtained by generic and judo-specific tests would aid to get more information about its criterion validity. This study aimed to analyse the relationship between UFT and shoulder external (PTEX) and internal (PTINT) rotation torque, handgrip strength (HGS) and vertical jumps (VJs) performance. The relationship between UFT and Judogi grip strength test (JGST) was also investigated. Eighteen male judo athletes participated in this study. Athletes performed neuromuscular tests (VJ, PTEX, PTINT and HGS) and judo-specific tests (JGST and UFT). Pearson's correlation was used with the level set at p < 0.05. Significant correlation was found between UFT and all VJ variables (r = 0.50-0.72, p < 0.004), UFT a + b (two first series of UFT) and PTEX (r = 0.49, p = 0.033), UFT and PTINT (r = 0.47, p = 0.044). Also, UFT was correlated to JGST (r = 0.50-0.72, p < 0.044, respectively). We conclude that muscle power of lower limbs, PTEX and PTINT was related to UFT. Strength-endurance in the upper limbs (JGST) was also related to the UFT performance.

Exposure to impacts across a competitive rugby season impairs balance and neuromuscular function in female rugby athletes.

OBJECTIVES: We used objective assessment tools to detect subtle neurological deficits that accompany repetitive and mild head impacts in contact sport across a season. METHODS: Female participants (n=13, 21±1.8 years old; 167.6±6.7 cm; 72.8±6.1 kg) completed assessments pre and post the varsity rugby season. A commercial balance board was used to assess static balance and response to dynamic postural challenge. Spinal cord excitability via the soleus H-reflex was assessed in both legs. Video analysis was used to identify head impact exposures. RESULTS: A total of 172 potential concussive events were verified across 11 athletes (15.6±11; 95% CI: 6.5 to 19.8). Balance performance was worse at post-season for total centre of pressure which increased by 26% in the double stance on a stable surface (t(12)=-2.33; p=0.03; d=0.6) and by 140% in the tandem stance on a foam surface (t(12)=-3.43; p<0.01; d=0.9). Despite that, dynamic postural performance was improved after the season (p<0.01). Spinal cord excitability in rugby athletes did not change across the season but deviated from normative values at baseline. CONCLUSION: Quantitative measures revealed that exposure to impacts across a competitive rugby season impair balance in two specific stances in female rugby athletes. Tandem-leg stance on an unstable surface and double-leg stance on firm surface are useful assessment conditions when performed over a low-cost balance board, even without clinically diagnosed concussion.

The influence of age and overweight or obesity on foot sensitivity and postural control: A systematic review.

OBJECTIVE: To perform a systematic review on the influence of age and overweight-or obesity-on foot sensitivity, as well as its relationship with balance and postural control. METHODS: Publications in the following databases were searched up to December 2018: Cochrane Library, PubMed, Scopus, SPORTDiscus and Web of Science. Both randomised controlled and non-randomised trials, plus cross-sectional studies that evaluated foot sensitivity and balance in adults and/or older people, were investigated. RESULTS: A total of 152 studies were found, 14 studies were included and 506 people of both sexes were involved in the included studies. CONCLUSIONS: Increased age represented a detrimental effect on foot sensitivity. Most studies showed that decreased foot sensitivity was related to worse balance and/or postural stability. Overweight or obesity was associated with plantar sensitivity, with lower sensitivity and decreased postural stability observed in obese people.

Understanding concussion knowledge and behavior among mixed martial arts, boxing, kickboxing, and Muay Thai athletes and coaches.

Objectives: In combat sports, strikes to the head are not just incidental but a deliberate and clear determinant of success. Concussion is a complex injury that is poorly understood and inappropriate practices are often observed among athletes and coaches. The purpose of this study was to investigate concussion knowledge and behavior as well as address recommendations for combat sports athletes and coaches. Methods: 70 athletes and 35 coaches from combat sports disciplines completed an online-validated survey and a personal questionnaire about concussion knowledge, training experience, and knowledge translation. Athletes were divided into subgroups for analysis according to sex (male n = 55, female n = 15), skill level (amateur n = 52, professional n = 18), and weight classes (<66.2 kg: n = 25, 66.6 to 77.5 kg: n = 30, and >78 kg: n = 15). Results: The likely absence of health-care professionals during training was confirmed by 68.5% of coaches, and athletes declared that self-diagnosis (79%) and coaches' diagnosis (43.3%) were the most used method of suspected concussion assessment. Merely 5.7% of coaches properly recognized the level of traumatic brain injury a concussion represents, 68.8% were unfamiliar with any sideline assessment tools, and only 14.3% often seek out concussion knowledge. Athletes who were aware of the level of brain injury a concussion represents performed fewer sparring sessions per week (mild: 1.27 ± 1.1; severe: 3.17 ± 2.81; p = .05, d = .89) and had a greater likelihood of reporting concussive episodes. Most professional (55.5%), female (54.5%), and under 66.2 kg (50%) athletes returned to full practice within 1 week following a concussion diagnosis. Conclusions: Relevant key gaps of knowledge and behavior were verified in combat sports athletes and coaches. The awareness of basic concepts may improve injury reporting and safer behavior in athletes. Knowledge translation strategies with accessible language are recommended for coaches, in particular on how to identify acute symptoms and perform basic assessment.

Head Trauma Exposure in Mixed Martial Arts Varies According to Sex and Weight Class.

BACKGROUND: Brain injury arising from head trauma is a major concern in mixed martial arts (MMA) because knockout (KO) and technical knockout (TKO) are frequent fight outcomes. Previous studies have shown a high incidence of matches ending due to strikes to the head but did not consider weight categories and female fights. This study aimed at analyzing match stoppages in MMA and the exposure to head trauma distinguished by sex and weight categories. HYPOTHESIS: The heavier the weight class, the greater the risk and incidence of head trauma will be, regardless of sex. STUDY DESIGN: Descriptive epidemiology study. LEVEL OF EVIDENCE: Level 3. METHODS: Publicly available data of 167 MMA events from 1903 fights between 2014 and 2017 were assessed, comprising 8 male and 2 female weight categories. RESULTS: The combined KO/TKO rates per 100 athlete-exposures in the middleweight (19.53), light heavyweight (20.8), and heavyweight (26.09) divisions were greater than previously reported for MMA. While stoppage via KO/TKO occurred in 7.9% of combats in the female strawweight division, it occurred in 52.1% of the male heavyweight fights. The male middleweight ( P = 0.001), light heavyweight ( P < 0.001), and heavyweight divisions ( P < 0.001) had an increased risk of KO/TKO due to strikes to the head by 80%, 100%, and 206%, respectively. The risk in the flyweight division decreased 62% ( P = 0.001). All categories were compared with the lightweight division. The female bantamweight category presented a 221% increased risk in matches ending due to KO/TKO compared with the strawweight division ( P = 0.012). Punches to the head were the major technique used to end a combat via KO/TKO, regardless of sex and weight class. CONCLUSION: Head injury risk and incidence varies considerably according to sex and weight category in MMA. CLINICAL RELEVANCE: The analysis of head trauma exposure in MMA athletes should be distinguished according to sex and weight category.

Physical fitness predicts technical-tactical and time-motion profile in simulated Judo and Brazilian Jiu-Jitsu matches.

BACKGROUND: Among combat sports, Judo and Brazilian Jiu-Jitsu (BJJ) present elevated physical fitness demands from the high-intensity intermittent efforts. However, information regarding how metabolic and neuromuscular physical fitness is associated with technical-tactical performance in Judo and BJJ fights is not available. This study aimed to relate indicators of physical fitness with combat performance variables in Judo and BJJ. METHODS: The sample consisted of Judo (n = 16) and BJJ (n = 24) male athletes. At the first meeting, the physical tests were applied and, in the second, simulated fights were performed for later notational analysis. RESULTS: The main findings indicate: (i) high reproducibility of the proposed instrument and protocol used for notational analysis in a mobile device; (ii) differences in the technical-tactical and time-motion patterns between modalities; (iii) performance-related variables are different in Judo and BJJ; and (iv) regression models based on metabolic fitness variables may account for up to 53% of the variances in technical-tactical and/or time-motion variables in Judo and up to 31% in BJJ, whereas neuromuscular fitness models can reach values up to 44 and 73% of prediction in Judo and BJJ, respectively. When all components are combined, they can explain up to 90% of high intensity actions in Judo. DISCUSSION: In conclusion, performance prediction models in simulated combat indicate that anaerobic, aerobic and neuromuscular fitness variables contribute to explain time-motion variables associated with high intensity and technical-tactical variables in Judo and BJJ fights.

Is respiratory exchange ratio an alternative to estimate anaerobic threshold in trained runners? / A razão de troca respiratória é uma alternativa para estimar o limiar anaeróbio em corredores treinados?

Abstract Several studies showed that respiratory exchange ratio (RER) have been used as an alternative to evaluate the aerobic capacity in a single incremental test. However, few studies have investigated trained runners. The aim of this study was to verify if the respiratory exchange ratio (RER) could be used as an alternative criterion for estimating anaerobic threshold (AT) in long-distance runners. Nineteen male long-distance runners volunteered to participate in the study. An incremental treadmill test was performed with initial speed of 10 km∙h-1 with increments of 1 km∙h-1 every 1 min until voluntary exhaustion. The variables measured were oxygen uptake (VO2), first and second ventilatory thresholds (VT1 and VT2, respectively), intensity corresponding to RER level of 1.0 (iRER1.0), peak velocity (PV), heart rate (HR), and rate of perceived exertion (RPE). One-way repeated measure analysis variance was used, following Bonferroni post hoc test. Agreement between parameters was evaluated by Pearson correlation and dispersion error. There were no significant differences between iRER1.0 and VT2 parameters. The correlations were significant between iRER1.0 and VT2 parameters for absolute and relative VO2, speed, and HR (r=0.95; r=0.60; r=0.72; r=0.81, respectively). A small mean error (-0.2 km∙h-1) was observed between iRER1.0 and VT2. However, it was also observed an overestimation trend for high speeds. In conclusion, iRER1.0 can be used as an alternative method to detect AT in long distance runners. However, its use is limited in runners with high aerobic capacity.

Resumo Diversos estudos demonstram que a razão de troca respiratória (RER) tem sido utilizada como uma alternativa para estimar a capacidade aeróbia em único teste incremental. No entanto, poucos estudos foram realizados com corredores treinados. Sendo assim, o objetivo do estudo foi avaliar a utilização do RER como uma alternativa para estimar o limiar anaeróbio (AT) em corredores de longa distância. Dezenove corredores de longa distância do sexo masculino participaram do estudo. Foi realizado um teste incremental com velocidade inicial de 10 km∙h-1 com incrementos de 1 km∙h-1 a cada minuto até a exaustão voluntária. As variáveis mensuradas foram consumo de oxigênio (VO2), limiares ventilatórios (VT1 e VT2), intensidade correspondente ao RER no valor igual a 1,0 (iRER1.0), pico de velocidade (PV), frequência cardíaca (HR) e percepção subjetiva de esforço (RPE). Foi realizada a análise de variância de medidas repetidas do tipo one-way, seguido do teste post hoc de Bonferroni. A relação entre as variáveis foi verificada pela correlação de Pearson e a concordância por meio da medida de dispersão dos erros. Não houve diferença significativa entre as variáveis iRER1.0 e VT2. Foram encontradas correlações significativas entre as variáveis iRER1.0 e VT2 para os valores absolutos e relativos de VO2, velocidade e HR (r=0,95; r=0,60; r=0,72; r=0,81, respectivamente). Um pequeno erro médio (-0,2 km∙h-1) foi observado entre iRER1.0 e VT2, bem como uma tendência de superestimação em altas velocidade. Em conclusão, iRER1.0 pode ser utilizado como um método alternativo para detectar o AT em corredores de longa distância, entretanto, seu uso é limitado em corredores com alta capacidade aeróbia.

Analysis of elbow muscle strength parameters in Brazilian jiu-jitsu practitioners.

Upper-body dynamic and isometric maximum strength are essential components for success in Brazilian jiu-jitsu (BJJ). This study was aimed at analysing strength parameters in the elbow flexor and extensor muscles of BJJ practitioners. Participants (n = 28) performed maximum isometric contractions of elbow flexors and extensors to determine peak torque (PT), rate of force development (RFD), and the torque-angle (T-A) relationship at elbow angles of 45°, 60°, 75°, 90°, 105°, and 120°. Additionally, concentric and eccentric PTs were measured at 1.04 rad·s-1. Student t-test and ANOVA were performed using α = 0.05. Elbow flexors were stronger isometrically (P < 0.001, ES = 1.23) but weaker concentrically (P < 0.05, ES = 0.54) than extensor muscles, possibly because of the extensive grip disputes and pushing of opponents in BJJ. The T-A relationship had an inverted "U"-shape. Torque differences across elbow angles were moderate (ES = 0.62) for the extensor and large (ES = 0.92) for the flexor muscles. Isometric torque was greatest for elbow angles of 105° and 75° and smallest for 45° and 120° for extensor and flexor muscles, respectively. Elbow flexors had a greater RFD than extensors, regardless of elbow angle. The present study provides comprehensive results for elbow muscle strength in BJJ practitioners.

Relationship of kimono grip strength tests with isokinetic parameters in jiu-jitsu athletes / Relação entre testes de resistência de força com o kimono com parâmetros isocinéticos em atletas de jiu jitsu

Abstract The aim of the present study was to correlate two specific kimono grip strength tests (KGST) with elbow flexors and extensors isokinetic parameters in Jiu Jitsu (JJ) athletes. Fifteen male JJ athletes, from blue to black belt, participated in the study. The two KGST were: maximum static lift (MSL), and maximum number of repetitions (MNR), both gripping a kimono wrapped around a bar. Isokinetic tests consisted of three sets of 5 s elbow flexion-extension maximum voluntary isometric contraction (MVIC) in three different elbow angles (45, 90 and 120°), and two sets of five concentric-eccentric elbow flexion-extension maximum dynamic contractions at 60°∙s-1, to determine peak torque (PT). Absolute values of MSL and MNR were 41.4 ± 16.2 s and 10 ± 5 reps, respectively, and tests presented a nearly perfect correlation among them (r=0.91; p<0.001). Significant correlations were reported between MNR and PT during MVIC for elbow flexors at 45° and 90°, elbow extensors at 120°, and during concentric and eccentric dynamic contractions for both flexors and extensors. Therefore, KGST were highly correlated with isokinetic parameters, and were nearly perfect correlated among them, supporting that one of the tests could be chosen to evaluate strength in JJ athletes. The MNR test presented apparently higher levels of relation than MSL, and provided significant information about muscle strength endurance in JJ athletes.

Resumo O objetivo do presente estudo foi correlacionar dois testes de força (Kimono Grip Strength Tests - KGST) com parâmetros isocinéticos de flexores e extensores do cotovelo em atletas de Jiu Jitsu (JJ). Quinze praticantes do sexo masculino, faixa azul à preta, participaram do estudo. Os dois KGST foram: máximo tempo de sustentação (MTS), e o máximo número de repetições (MNR), ambos com a pegada no kimono enrolado em uma barra fixa. O protocolo isocinético consistiu em três séries de 5 s de contração voluntária isométrica máxima (CVIM) para flexores e extensores do cotovelo, em três ângulos articulares (45, 90 e 120°), e duas séries de cinco contrações dinâmicas no modo concêntrico-excêntrico a 60°∙s-1, para determinação do pico de torque (PT). Os valores absolutos do MTS e MNR foram 41,4 ± 16,2 s e 10 ± 5 repetições, respectivamente, e apresentaram uma correlação quase perfeita (r=0.91; p<0.001). Correlações significativas foram encontradas entre MNR e PT durante a CVIM de flexores a 45° e 90°, extensores a 120° e em contrações concêntricas e excêntricas para flexores e extensores. Portanto, os KGST foram altamente correlacionados com parâmetros isocinéticos, e com correlação quase perfeita entre si, concluindo que apenas um dos testes pode ser utilizado para avaliar força em atletas de JJ. O teste MNR parece apresentar maiores correlações quando comparado ao MTS e fornecer informações significantes sobre força muscular em atletas de JJ.

Oxygen consumption and heart rate responses to isolated ballet exercise sets.

Ballet stage performances are associated with higher cardiorespiratory demand than rehearsals and classes. Hence, new interest is emerging to create periodized training that enhances dancers' fitness while minimizing delayed exercise-induced fatigue and possible injuries. Finding out in what zones of intensity dancers work during different ballet movements may support the use of supplemental training adjusted to the needs of the individual dancer. Therefore, the main purpose of this study was to describe dancers' oxygen consumption (VO2) and heart rate (HR) responses during the performance of nine isolated ballet exercise sets, as correlated with their first and second ventilatory thresholds (VT1 and VT2). Twelve female ballet dancers volunteered for the study. Their maximum oxygen consumption (VO2max), VT1, and VT2 were determined by use of an incremental treadmill test. Nine sets of ballet movements were assessed: pliés, tendus, jetés, rond de jambes, fondus, grand adage (adage), grand battements, temps levés, and sautés. The sets were randomly executed and separated by 5 minute rest periods. ANOVA for repeated measurements followed by the Bonferroni Post-hoc test were applied (p < 0.05). VO2 responses were as follows: pliés (17.6 ± 1.6 ml·kg(-1)·min(-1)); tendus and adage were not significantly greater than VT1; rond de jambes (21.8 ± 3.1 ml·kg(-1) ·min(-1)); fondus and jetés were higher than VT1 and the previous exercises; grand battements (25.8 ± 2.9 ml·kg(-1)·min(-1)) was greater than all the other exercises and VT1; and VT2 was significantly higher than all ballet sets. This stratification followed closely, but not exactly, the variation in HR. For example, rond de jambes (156.8 ± 19 b·min(-1)) did not show any significant difference from all the other ballet sets, nor VT1 or VT2. It is concluded that the workloads of isolated ballet sets, based on VO2 responses, vary between low and moderate aerobic intensity in relation to dancers' VT1 and VT2. However, ballet set workloads may be higher when based on HR responses, due to the intermittent and isometric components of dance.