RESUMO

A pneumothorax is a medical condition characterized by the presence of free air in the pleural cavity. Pneumothorax can be classified as spontaneous, traumatic, or iatrogenic. Spontaneous pneumothorax sustained from a jiu-jitsu-induced blunt trauma has not been described in any sports literature. This case report involves a 26-year-old male athlete who presented to the emergency room complaining of right-sided chest pain in the recumbent position and shortness of breath upon exertion. Breath sounds were diminished on the right with hyper resonance to percussion. Inspection of the chest revealed diffuse erythema on the right side. A chest X-ray revealed a right tension pneumothorax that was treated with a 20-French chest tube. This report aims to highlight the importance of recognizing the possibility of pneumothorax in jiu-jitsu athletes, implementing early treatment, and exploring potential causes of pneumothorax in otherwise healthy individuals.

RESUMO

Successful performance in grappling combat sports (GCS) can be influenced by the fighter's capacity to sustain high-intensity contractions of the handgrip muscles during combat. This study investigated the influence of GCS experience on the critical torque (CT), impulse above CT (W'), tolerance, and neuromuscular fatigue development during severe-intensity handgrip exercise by comparing fighters and untrained individuals. Eleven GCS fighters and twelve untrained individuals participated in three experimental sessions for handgrip muscles: (1) familiarization with the experimental procedures and strength assessment; (2) an all-out test to determine CT and W'; and (3) intermittent exercise performed in the severe-intensity domain (CT + 15%) until task failure. No significant differences were found in CT and neuromuscular fatigue between groups (p > 0.05). However, GCS fighters showed greater W' (GCS fighters 2238.8 ± 581.2 N·m·s vs. untrained 1670.4 ± 680.6 N·m·s, p < 0.05) and exercise tolerance (GCS fighters 8.38 ± 2.93 min vs. untrained 5.36 ± 1.42 min, p < 0.05) than untrained individuals. These results suggest that long-term GCS sports training can promote increased tolerance to severe-intensity handgrip exercise and improved W' without changes in CT or the magnitude of neuromuscular fatigue.

RESUMO

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.

Assuntos

RESUMO

Introduction: Brazilian jiu-jitsu (BJJ) was conceived to be an oppositional sociomotor practice with an emphasis on self-defense, but throughout the 20th century, BJJ gained sporting features, modifying its internal logic (IL). In BJJ, the richness of the motor itineraries can be revealed in the different sociomotor sub-roles. Considering the absence of research that identifies and describes the sub-roles and the Ludogram of BJJ, the following question was asked: how can the Ludogram of sociomotor sub-roles of Brazilian jiu-jitsu be systematized in accordance with its internal logic? Methods: This work is characterized as theoretical research that is dedicated to rebuilding theories and concepts with a view, in immediate terms, to improving theoretical foundations. In this study, a theoretical reconstruction of BJJ's operating dynamics was carried out, identifying roles and sub-roles, culminating in the construction of a Ludogram. The praxeological analysis was divided in two stages: (1) Description of the BJJ sub-roles based on sports rules and video analysis; (2) Systematization of the BJJ Ludogram. Eight public videos with unrestricted access were selected of fights from the 2018 BJJ World Championship. The sample was considered based on the following criteria: convenience, typicality, and saturation. Results and Discussion: The 26 identified and described sub-roles of BJJ indicate the richness of choices and possible paths to be followed by fighters within this itinerary of motor interaction. These different BJJ sub-roles described in this research highlight the importance of the concept of praxis communication, specifically, motor counter-communication, since many of the dynamics between a fighter's subroles refer to the choices that the opponent indicates for the motor dialogue. BJJ requires from fighters incessant activations on aspects related to sociomotor intelligence, such as the need for sociomotor empathy, motor strategy, to anticipate anticipations, pre-acting, developing the capacity to make motor decisions, to recognize the affective, cognitive, relational, and organic loads activated during the fight, and to develop their motor conduct. In this sense, the Ludogram was elaborated, which enables future praxeological analyses of the sub-roles and motor conducts of any subject who wants to assume the sociomotor role of a BJJ fighter according to the rules of this Brazilian combat sport.

RESUMO

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.

RESUMO

Objetivo: Identificar a prevalência de queixas álgicas em praticantes de Brazilian Jiu-Jitsu (BJJ), as queixas que levaram ao afastamento dos treinamentos e as queixas de lesões prévias. Métodos: Trata-se de um estudo transversal, observacional e descritivo que incluiu praticantes regulares de BJJ do sexo masculino, com idades entre 18 e 40 anos. Foi elaborado um questionário para identificar o perfil dos praticantes: idade, graduação, tempo de prática da arte marcial, frequência de treinos, prática de outras atividades física e frequência. Para a investigação das queixas álgicas, foi aplicado o Questionário Nórdico de Sintomas Osteomusculares ­ QNSO, versão em português adaptada. Os dados foram registrados no programa Microsoft Excel 365 e foi realizada estatística descritiva. Resultados: Os 52 participantes da pesquisa possuíam idade média de 32 anos e tempo médio de 9 anos de prática de Jiu-Jitsu, 50% deles possuía graduação de faixa azul. Os praticantes apresentaram 45 relatos de queixas na semana anterior a aplicação do QNSO, 76 relatos no ano anterior, 43 relatos que levaram os praticantes a se afastarem do treinamento e 20 relatos de lesões prévias no ano anterior. Conclusão: A maior prevalência de queixas nos 7 dias prévios a aplicação do QNSO, ocorreu em joelhos, coluna lombar e quadril-coxas, e nos 12 meses prévios ocorreu em joelhos, coluna lombar e ombros. A maior prevalência que levou os praticantes ao afastamento dos treinamentos nos 12 meses prévios ocorreu em joelhos, coluna lombar e tornozelo-pés, e as queixas de lesões prévias ocorreram em joelhos, punhos e ombros.

Objective: To identify the prevalence of pain complaints in Brazilian Jiu- Jitsu (BJJ) practitioners, the complaints that led to withdrawal from training and the complaints of previous injuries. Methods: This is a cross-sectional, observational and descriptive study that included regular male BJJ practitioners aged between 18 and 40 years. A basic questionnaire was created to collect variables: age, graduation, time practicing martial art, frequency of training, practice of other physical activities and frequency. For the investigation of pain complaints, the Nordic Questionnaire of Musculoskeletal Symptoms - NQSO, adapted Portuguese version, was applied. Data were recorded in the Microsoft Excel 365 program and descriptive statistics were performed. Results: The 52 research participants had average an age of 32 years old and average time of 9 years of BJJ practice, 50% of them were blue belt graduation. The practitioners presented 45 reports of complaints in the week before the application of NQSO, 76 reports in previous year, 43 reports that led to withdrawal training and 20 reports of previous injuries in the previous year. Conclusion: The highest prevalence of complaints in the previous 7 days of the application of NQSO occurred in the knees, lumbar spine and hip- thighs, and in the previous 12 months occurred in the knees, lumbar spine and shoulders. The major prevalence that led to withdrawal training in the previous 12 month occurred in the knees, lumbar spine and ankle-foots, and the complaints of previous injuries occurred in the knees, wrists and shoulders.

Objetivo: Identificar la prevalencia de quejas de dolor en practicantes de Brazilian Jiu-Jitsu (BJJ), las quejas que llevaron a la retirada del entrenamiento y las quejas de lesiones anteriores. Métodos: Se trata de un estudio transversal, observacional y descriptivo que incluyó practicantes regulares de BJJ del sexo masculino, con edades entre 18 y 40 años. Se elaboró un cuestionario para identificar el perfil de los practicantes: edad, grado, tiempo de práctica del arte marcial, frecuencia de entrenamiento, práctica de otras actividades físicas y frecuencia. Para la investigación de las quejas de dolor, se aplicó el Cuestionario Nórdico de Síntomas Musculoesqueléticos ­ CNSO, versión portuguesa adaptada. Los datos se registraron en el programa Microsoft Excel 365 y se realizó estadística descriptiva. Resultados: Los 52 participantes de la investigación tenían una edad promedio de 32 años y un tiempo promedio de práctica de BJJ de 9 años, el 50% de ellos tenían graduación de cinturón azul. Los practicantes presentaron 45 reportes de denuncias en la semana anterior a la aplicación de la CNSO, 76 reportes en el año anterior, 43 reportes que llevaron a los practicantes a retirarse del entrenamiento y 20 reportes de lesiones anteriores en el año anterior. Conclusión: La mayor prevalencia de quejas en los 7 días previos a la aplicación de la CNSO se presentó en rodillas, columna lumbar y cadera-muslos, y en los 12 meses anteriores se presentó en rodillas, columna lumbar y hombros. La prevalencia más alta que llevó a los practicantes a retirarse del entrenamiento en los 12 meses anteriores ocurrió en rodillas, columna lumbar y tobillo-pie, y las quejas de lesiones previas ocurrieron en rodillas, muñecas y hombros.

RESUMO

Background: Body weight is an important aspect in the development of components of physical fitness that can affect athletic performance. The purpose of this study was to examine the differences in body balance of Brazilian Jiu-Jitsu (BJJ) athletes according to body mass classification: underweight/normal weight (UW/NW); overweight/obese (OW/OB). Material and Methods: The study was conducted among 69 BJJ athletes (age 23.26 ± 3.53) and 93 non-practicing adults (age 21.73 ± 2.32). This study was based on a quantitative assessment of body balance on the Zebris PDM platform during two tests, i.e., with eyes open and closed. Results: The total path of the center of pressure (COP TTL) was significantly higher in participants with UW/NW compared to those with OW/OB, both in participants from the study group and control group (p < 0.001). COP TTL was significantly lower in UW/NW BJJ athletes than in participants in the control group with the same BMI category (987.4 mm vs. 1238.5 mm and 1080.59 mm vs. 1280.70 mm, respectively) (p < 0.001). Conclusions. BJJ training is associated with a better balance in terms of COP TTL in the case of people with normal or underweight. The presence of excess body weight has a positive effect on lower COP TTL values in both practicing and non-practicing people.

Assuntos

RESUMO

BACKGROUND: In combat sports, successful competition and training require comprehensive motor fitness. The aim of this study was to diagnose the level of physical fitness and to determine the level of differences between athletes of combat sports characterized by stand-up fighting, such as Muay Thai; and ground fighting, such as Brazilian jiu-jitsu. METHODS: The study examined and compared 30 participants divided into two equal groups: Muay Thai athletes (n = 15; age: 24.24 ± 3.24; body height: 174.91 ± 5.19; body weight: 77.56 ± 7.3), and Brazilian jiu-jitsu (BJJ) (n = 15; age: 22.82 ± 1.81; body height: 175.72 ± 7.03; body weight: 77.11 ± 8.12). Basic characteristics of the somatic build were measured. Selected manifestations of the motor potential of motor skills were also evaluated using selected tests from the EUROFIT test battery, the International Test of Physical Fitness, and computer tests of coordination skills. Relative strength and maximal anaerobic work (MAW) indices were calculated. The strength of the relationship between the effect of motor fitness and training experience was also assessed. RESULTS: The athletes of both groups (Muay Thai and BJJ) presented similar levels of basic characteristics of the somatic build. Motor fitness in the tested groups showed significant differences between the athletes of these sports in static strength (p = 0.010), relative strength (p = 0.006), arm muscle strength in pull-ups (p = 0.035), and functional strength in bent arm hanging (p = 0.023). Higher levels of these components of motor fitness were found for the athletes in the BJJ athletes. In the Muay Thai group, significant very high strength of association was found between training experience and five strength tests. Furthermore, a significantly high strength of association was found in two tests. In the BJJ group, significant relationships with very high correlation were found between the variables in five strength tests. CONCLUSIONS: Brazilian jiu-jitsu athletes performed better in strength tests (static strength, relative strength, shoulder girdle strength, functional strength). High correlations between the training load and the level of physical fitness were found in flexibility and strength tests in BJJ athletes and most strength tests in Muay Thai athletes.

Assuntos

RESUMO

Pre-competition anxiety is very prevalent in novice athletes, causing stress and drastic decreases in their performances. Cortisol plays a central role in the psychosomatic responses to stress and also in the physiology of strenuous exercise. Growing evidence links uric acid, an endogenous antioxidant, with oxidative stress and anxiety, as observed in many depressive-related disorders. We here compared anxiety inventory scores (BAI and CSAI-2), cortisol and biomarkers of oxidative stress in the plasma of novice combat athletes (white and blue belts) before and after their first official national competition, when levels of stress are presumably high. Although the novice fighters did not reveal high indexes of anxiety on questionnaires, significant correlations were confirmed between cortisol and cognitive anxiety (Pearson's r = 0.766, p-value = 0.002, and a 'strong' Bayesian inference; BF10 = 22.17) and between pre-post changes of plasmatic uric acid and somatic anxiety (r = 0.804, p < 0.001, and 'very strong' inference; BF10 = 46.52). To our knowledge, this is the first study to report such strong correlations between uric acid and pre-competition anxiety in novice combat athletes. The cause-consequence association between these indexes cannot be directly inferred here, although the interplay between uric acid and anxiety deserves further investigation.

RESUMO

Brazilian Jiu-Jitsu (BJJ) is a popular martial art that exposes participants to recurrent intermittent asphyxiation due to controlled application of neck chokes. To what extent the sport impacts the regulation of cerebral blood flow (CBF) and cognition has not been examined. This study compared eleven elite Brazilian Jiu-Jitsu athletes (aged 30 ± 8 y) who trained 12 ± 6 hours/week for 8 ± 4 years against eleven cardiorespiratory fitness (CRF)- and age-matched controls. Internal carotid (ICA) and vertebral artery (VA) blood flow were measured via duplex ultrasound to determine global cerebral blood flow (gCBF). Mild cognitive impairment and sub-domains of memory, attention/concentration/visual motor coordination, and executive function were determined by psychometric testing. There was no evidence of mild cognitive impairment in the athletes, and cognitive function was comparable between groups (all p > 0.05). In contrast, resting gCBF was selectively elevated in the athletes (741 ± 186 mL∙min-1 vs. 573 ± 166 mL∙min-1 , p = 0.037) due to combined differences in ICA (+65 mL∙min-1 , p = 0.079) and VA (+19 mL∙min-1 , p = 0.277) flow. In conclusion, the sustained elevation in resting cerebral perfusion provides preliminary evidence for adaptive neuroprotection that is independent of CRF and likely mediated by choke-induced cerebral preconditioning and/or lifelong exposure to BJJ-specific high-intensity interval training.

Assuntos

RESUMO

Visto somente como um meio de proteção e autodefesa, o Brazilian Jiu-jítsu passou a integrar diferentes materiais pedagógicos referentes à Educação Física. Entretanto, seu processo de ensino-aprendizagem-treinamento tem pouca fundamentação teórica. Nessa perspectiva, a presente pesquisa tem como objetivo refletir a respeito da Lógica Interna de interação do Brazilian Jiu-jítsu, sob as lentes da Praxiologia Motriz, a fim de apresentar suas contribuições para o processo de ensino-aprendizagem-treinamento. Para isso, foi realizada uma pesquisa bibliográfica, de cunho exploratório, com o intuito compreender a lógica sociomotriz de oposição e as comunicações práxicas pertinentes a essa prática corporal, possibilitando ao professor novas possibilidades para o ensino desta.

Viewed only as a means of protection and self-defense, the Brazilian Jiu-jitsu began to integrate different pedagogical materials related to Physical Education. However, its teaching-learningtraining process has little theoretical foundation. In this perspective, the present research aims to reflect on the Internal Logic of Brazilian Jiu-jitsu interaction, under the lenses of the Motory Praxiology, in order to present its contributions to the teaching-learning-training process. For this, a bibliographic research was carried out, with an exploratory character, in order to understand the sociomotor logic of opposition and the praxical communications pertinent to this corporal practice, allowing the teacher new possibilities for his teaching.

En el caso de la educación física, el brasileño Jiu-jitsu pasó a integrar diferentes materiales pedagógicos referentes a la Educación Física. Sin embargo, su proceso de enseñanza-aprendizajeentrenamiento tiene poca fundamentación teórica. En esta perspectiva, la presente investigación tiene como objetivo reflexionar sobre la Lógica Interna de interacción del Brazilian Jiu-jitsu, bajo las lentes de la Praxiología Motriz, a fin de presentar sus contribuciones al proceso de enseñanzaaprendizaje-entrenamiento. Para ello, se realizó una investigación bibliográfica, de cuño exploratorio, con el intuito comprender la lógica sociomotriz de oposición y las comunicaciones práxicas pertinentes a esa práctica corporal posibilitando al profesor nuevas posibilidades para su enseñanza.

RESUMO

INTRODUCTION: The rationale for this case report was to identify the strengths and weaknesses associated with prescribing the Turkish Get-Up as an isometric shoulder and neck exercise. The Turkish getup is an effective tool for isometrically loading the cervical spine and shoulder and can be used with minimal space and equipment. DISCUSSION: The Turkish Get-Up was selectively applied as a therapeutic corrective intervention to a patient suffering a mild to moderate cervical, acromio-clavicular and sterno-clavicular joint sprain with associated facet syndrome and muscle spasm. There were concerns that initially gave a guarded prognosis with the realization that further imaging may be warranted after an initial trial. CONCLUSION: The Turkish getup is an effective tool for isometrically loading the cervical spine and shoulder and can be used with minimal space and equipment. This exercise allowed the injured patient to integrate full body movement and conditioning with an emphasis on pain free isometric shoulder and cervical spine contractions to re-establish strength and motor control. The patient now has the ability to add to his training and rehabilitation an exercise that can be endlessly progressed to build continuous strength, endurance and motor control.

Assuntos

RESUMO

BACKGROUND: Brazilian jiu-jitsu (BJJ) is a grappling-based martial art that can lead to injuries both in training and in competition. There is a paucity of data regarding injuries sustained while training in BJJ, in both competitive and noncompetitive jiu-jitsu athletes. HYPOTHESIS: We hypothesize that most BJJ practitioners sustain injuries to various body locations while in training and in competition. Our primary objective was to describe injuries sustained while training for BJJ, both in practice and in competition. Our secondary objectives were to classify injury type and to explore participant and injury characteristics associated with wanting to quit jiu-jitsu after injury. STUDY DESIGN: Descriptive epidemiology study. METHODS: We conducted a survey of all BJJ participants at a single club in Hamilton, Ontario, Canada. We developed a questionnaire including questions on demographics, injuries in competition and/or training, treatment received, and whether the participant considered discontinuing BJJ after injury. RESULTS: A total of 70 BJJ athletes participated in this study (response rate, 85%). Ninety-one percent of participants were injured in training and 60% of competitive athletes were injured in competitions. Significantly more injuries were sustained overall for each body region in training in comparison with competition (P < 0.001). Two-thirds of injured participants required medical attention, with 15% requiring surgery. Participants requiring surgical treatment were 6.5 times more likely to consider quitting compared with those requiring other treatments, including no treatment (odds ratio [OR], 6.50; 95% CI, 1.53-27.60). Participants required to take more than 4 months off training were 5.5 times more likely to consider quitting compared with those who took less time off (OR, 5.48; 95% CI, 2.25-13.38). CONCLUSION: The prevalence of injury is very high among BJJ practitioners, with 9 of 10 practitioners sustaining at least 1 injury, commonly during training. Injuries were primarily sprains and strains to fingers, the upper extremity, and neck. Potential participants in BJJ should be informed regarding significant risk of injury and instructed regarding appropriate precautions and safety protocols. CLINICAL RELEVANCE: Clinicians should be aware of the substantial risk of injury among BJJ practitioners and the epidemiology of the injuries as outlined in this article.

Assuntos

RESUMO

INTRODUCTION: The United States has been actively involved in major armed conflicts over the last 15 years. As a result, a significant proportion of active duty service personnel and returning veterans have endured combat, putting them at risk for developing post-traumatic stress disorder (PTSD), a disabling disorder that may occur after exposure to a traumatic event. Current therapies often require long-term, time-intensive and costly commitment from the patient and have variable degrees of success. There remains an ongoing need for better therapies, including complementary medicine approaches that can effectively reduce PTSD symptoms. While anecdotal evidence suggests that routine practice of Brazilian Jiu Jitsu (BJJ) can reduce symptoms of PTSD, there have been no formal studies to address this. MATERIALS AND METHODS: This study was approved by the University of South Florida Institutional Review Board (#PRO00019430). Male US active duty service members and veterans from the Tampa area participated in a 5-month (40 sessions) BJJ training program. Before beginning and again midway through and upon completion of training the participants completed several validated self-report measures that addressed symptoms of PTSD and other co-morbid conditions. Effect size and 95% confidence intervals were determined using a within-person single-group pretest-posttest design. RESULTS: Study participants demonstrated clinically meaningful improvements in their PTSD symptoms as well as decreased symptoms of major depressive disorder, generalized anxiety and decreased alcohol use; effect sizes varied from 0.80 to 1.85. CONCLUSIONS: The results from this first-of-kind pilot study suggest that including BJJ as a complementary treatment to standard therapy for PTSD may be of value. It will be necessary to validate these promising results with a larger subject cohort and a more rigorous experimental design before routinely recommending this complementary therapy.

Assuntos

RESUMO

Brazilian Jiu-Jitsu (BJJ) is a rapidly growing grappling sport with a wide spectrum of participants. This cross-sectional study examined the lifetime prevalence of concussion in adult BJJ practitioners in the United States using a 17-item survey. A total of 778 (11.4% female) BJJ practitioners with a median age of 31 years completed the survey. Overall, the lifetime prevalence of the self-reported BJJ-related concussion was 25.2%. However, the prevalence was higher among females than males (43.0% versus 22.9%; X²(1,740) = 15.129; p < 0.001). Factors independently associated with significantly increased odds of having sustained a BJJ-related concussion included a prior history of concussion (OR 1.76, 95% CI 1.14⁻2.74; p = 0.011) and female gender (OR 1.95, 95% CI 1.04⁻3.65; p = 0.037). The median return to sports time was three days, with 30.3% of participants returning on the same day as being concussed. The present study represents the first epidemiological research examining the concussions in BJJ. The results underscore the need for increased education on concussions and return to sports guidelines among BJJ coaches and practitioners.

RESUMO

BACKGROUND: Combined partial lateral collateral and complete anterolateral ligament (PLCCALL) injuries are a specific injury pattern seen in Brazilian jiu-jitsu (BJJ) because of the knee varus-flexion mechanism that frequently occurs during grappling. PURPOSE/HYPOTHESIS: The purpose of this study was to evaluate the incidence of this injury pattern in a series of BJJ athletes with an acute knee injury and to evaluate clinical and functional outcomes after nonoperative management at a minimum follow-up of 1 year. Our hypotheses were that PLCCALL injuries are common in BJJ and that nonoperative treatment is associated with excellent clinical outcomes and return to the preinjury level of sport. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: All BJJ athletes who presented with an acute knee injury between July 2013 and June 2017 and who underwent magnetic resonance imaging (MRI) of the knee were included. A specific emphasis was placed on identifying those whose imaging demonstrated PLCCALL injury. Clinical evaluation included physical examination as well as Lysholm and International Knee Documentation Committee (IKDC) scores. RESULTS: Of the 27 patients analyzed, 7 (25.9%) had MRI-proven PLCCALL injuries. The mean follow-up after nonoperative management was 41.3 months. The mean IKDC and Lysholm scores were 94 and 92 before the injury, 26 and 36 at the initial assessment after the injury, and 83 and 78 at 12-month follow-up, respectively (P < .00001). All 7 patients had returned to their preinjury level of sports by the 12-month follow-up. The mean time between injury and return to competition level was 4.7 months (range, 4-6 months). CONCLUSION: PLCCALL injury is a specific but infrequent injury pattern in BJJ. The prognosis of this injury after nonoperative treatment appears to be excellent. Improved functional scores (IKDC and Lysholm) and changes on MRI demonstrated that the anterolateral ligament has intrinsic healing potential, as the images showed complete healing of the previously documented rupture of the anterolateral ligament from its proximal attachment.

RESUMO

Objetivo: O estudo de delineamento transversal objetivou in-vestigar a flexibilidade de adolescentes praticantes de jiu-jitsu e judô participantes de projetos sociais. Metodologia: Partici-param 74 adolescentes de ambos os sexos, com idade entre 10 e 17 anos, que responderam um questionário em forma de entrevista: a) informações gerais e b) flexibilidade. Resultados:A frequência de treino de 3 a 4 vezes por semana teve diferença significativa sendo os praticantes de judô com maior porcen-tagem (82%) quando comparados com os de jiu-jitsu (30%). A maioria dos adolescentes encontram-se em condição de risco para a flexibilidade de quadril. Conclusão: Concluiu-se que em ambas as modalidades os adolescentes encontram-se em condições atléticas para flexibilidade de ombros, no entanto, para a flexibilidade de quadril parece haver a necessidade de uma maior prática nas aulas para o aumento da mesma. (AU)

Objective: The cross-sectional study aimed at investigating the flexibility of jiu-jitsu and judo students participating in social projects. Methods: Participants were 74 adolescents of both sexes, aged between 10 and 17 years. They answered a ques-tionnaire in the form of an interview: a) general information and b) flexibility. Results: The training frequency of 3 to 4 times a week had a significant difference in relation to judo practitioners with a greater percentage (82%) when compared to jiu-jitsu (30%). Most children are at risk for hip flexibility. Conclusion: It was concluded that in both modalities the adolescents found the conditions for shoulder flexibility, but for hip flexibility there seems to be a need for greater practice in the classes for its increase. (AU)

Assuntos

RESUMO

O objetivo deste trabalho foi analisar e descrever a produção científica relacionada ao jiu-jítsu, de modo a identificar tendências, lacunas e possibilidades de desenvolvimento de pesquisa. Através de busca nas bases de dados digitais Web of Science, SciELO, Scopus, PubMed, Bireme, LILACS e Redalyc, além do banco de teses e dissertações da Capes, e análise temática de 105 artigos, duas teses e 23 dissertações, tem-se como principais resultados: a) desigualdade numérica entre diferentes abordagens e subáreas de pesquisa, bem como disciplinas de estudo; b) característica heterogênea dos participantes destes estudos, sendo a maioria homens adultos não competidores; c)destaque do Brasil na produção científica sobre o jiu-jítsu; d) crescimento quantitativo e qualitativo de pesquisas; e) processo de internacionalização de pesquisas. Conclui-se que, assim como no âmbito esportivo mais amplo, a pesquisa sobre jiu-jítsu se encontra em franca expansão, principalmente no Brasil, com lacunas que representam potenciais áreas de interesse para investigações futuras

The aim of this article was to analyse and describe the scientific production related to jiu-jitsu, in order to identify trends, gaps and research possibilities. Searches on the digital data basis Web of Science, SciELO, Scopus, PubMed, Bireme, LILACS and Redalyc, besides Capes's digital thesis library, and thematic analysis on 105 articles, 2 theses and 23 dissertations, yielded the following main results: a) numerical inequality between different research approaches and subareas, as well as study subjects; b) the profiles of participants in those studies are highly diverse, and most are male non-competitors; c) Brazil stands out in academic production on jiu-jitsu; d) increasing quantitative and qualitative research; e) process of internationalization of research. The study found that, just as in the sports field as a whole, research on jiu-jitsu is in full expansion, mainly in Brazil, with gaps that are potential areas of interest for future investigation

El objetivo de este trabajo fue analizar y describir la producción científica relacionada con el jiu-jitsu, para identificar tendencias, lagunas y posibilidades de desarrollo de investigación. A través de la búsqueda en las bases de datos digitales Web of Science, SciELO, Scopus, PubMed, Bireme, LILACS y Redalyc, además del banco de tesis y disertaciones de Capes, y del análisis temático de 105 artículos, dos tesis y 23 disertaciones, se tienen como principales resultados: a) desigualdad numérica entre diferentes aproximaciones y subáreas de investigación, así como disciplinas de estudio; b) característica heterogénea de los participantes en estos estudios, donde la mayoría es de hombres adultos no competidores; c) destaque de Brasil en la producción científica sobre el jiu-jitsu; d) crecimiento cuantitativo y cualitativo de investigaciones; e) proceso de internacionalización de investigaciones. Se concluye que, así como en el ámbito deportivo más amplio, la investigación sobre jiu-jitsu se encuentra en expansión, principalmente en Brasil, con lagunas que representan potenciales áreas de interés para investigaciones futuras

Assuntos

RESUMO

Limited research has systematically examined injuries resulting from Brazilian Jiu Jitsu (BJJ), Judo, and mixed martial arts (MMA), especially when compared to more well-known or -established martial arts. These three combative sports differ substantially regarding their rules and techniques. BJJ emphasizes ground positioning and submission, Judo rewards throwing an opponent on their back with submission ending the match, and MMA emphasizes knocking out or forcing the submission of one's opponent. We examined injuries, among people of any age, experienced from participation in BJJ, Judo, and MMA. We analyzed data from the United States (U.S.) Consumer Product Safety Commission National Electronic Injury Surveillance System to create estimates of injuries presenting to U.S. emergency departments (EDs). We compared injury profiles between sports, including estimated numbers of injuries, their site, type, and mechanism. Participation in BJJ, Judo, and MMA resulted in an estimated 39,181 injuries presenting to U.S. EDs from 2008 through 2015. Strains and sprains were the most common diagnoses for BJJ and Judo participants, whereas abrasions/contusions were the most commonly diagnosed MMA injury. Being struck resulted in the majority of injuries for all three sports. The head was the most injured body region for BJJ and MMA, whereas the leg was the most injured body region for Judo. Finally, the majority of BJJ and Judo injuries occurred during noncompetitive grappling, whereas most MMA injuries occurred during competition. Our study adds to the limited literature examining injuries from BJJ, Judo, and MMA using data from a probability sample and is an initial step towards understanding the national burden of injury from participation in these sports. Given the quantity and severity of injuries sustained by participants, additional research is needed to assess the riskiness of participation and the effectiveness of interventions, such as improved personal protective gear and mats, as a means to prevent commonly occurring injuries.

Assuntos

RESUMO

The ergogenic effect of beetroot on the exercise performance of trained cyclists, runners, kayakers, and swimmers has been demonstrated. However, whether or not beetroot supplementation presents a beneficial effect on the exercise performance of jiu-jitsu athletes remains inconclusive. Therefore, the present study assessed the effect of beetroot-based gel (BG) supplementation on maximal voluntary contraction (MVC), exercise time until fatigue (ETF), muscle O2 saturation (SmO2), blood volume (tHb), and plasma nitrate and lactate in response to handgrip isotonic exercise (HIE) in jiu-jitsu athletes. In a randomized, crossover, double-blind design, 12 jiu-jitsu athletes performed 3 sets of HIE at 40% of the MVC until fatigue after 8 days (the eighth dose was offered 120 min previous exercise) of BG supplementation or a nitrate-depleted gel (PLA), and forearm SmO2 and tHb were continuously monitored by using near-infrared spectroscopy. Blood samples were taken before, immediately after exercise, and 20 min after exercise recovery in the PLA and BG conditions. MVC was evaluated at baseline and 20 min after HIE. There was a significant reduction in ΔMVC decline after HIE in the BG condition. Forearm SmO2 during exercise recovery was significantly greater only after BG supplementation. No significant difference in ETF and tHb were observed between both BG and PLA in response to HIE. Plasma nitrate increased only after BG, whereas the exercise-induced increase in plasma lactate was significantly lower in BG when compared with PLA. In conclusion, BG supplementation may be a good nutritional strategy to improve forearm SmO2 and prevent force decline in response to exercise in jiu-jitsu athletes.

Assuntos