{"id":5296,"date":"2013-09-13T05:06:45","date_gmt":"2013-09-13T04:06:45","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=5296"},"modified":"2013-09-13T05:06:45","modified_gmt":"2013-09-13T04:06:45","slug":"mixed-martial-arts-elite-athletes-or-just-street-brawlers","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2013\/09\/13\/mixed-martial-arts-elite-athletes-or-just-street-brawlers\/","title":{"rendered":"Mixed martial arts: elite athletes or just street brawlers?"},"content":{"rendered":"

Sport and Exercise Medicine: The UK trainee perspective<\/span>\u00a0(A BJSM blog series)<\/span><\/strong><\/em><\/h4>\n

By Dr Dinesh Sirisena<\/b><\/h2>\n

\"Mixed<\/p>\n

Since the first Ultimate Fighting Championships in the early 1990s, Mixed Martial Arts (MMA) has gained popularity with regular national and international tournaments [1<\/a>]. For some it remains barbaric, taking us back to our primal instincts of fight vs. flight. This has led to calls from medical groups for the sport to be banned [2<\/a>].<\/p>\n

As the name implies MMA involves a variety of disciplines, ranging from wrestling to jujitsu. \u00a0Fighters employ whichever form they feel comfortable with in three round contests with weight and skill matched opponents. Victory is achieved by submission, achieving a score from the judges or if one\u2019s opponent is disqualified due to an illegal maneuver or if deemed unfit to continue.\u00a0 The latter can often involve fight-medics when judging fitness to compete or treating those who may be unconscious.<\/p>\n

To the skeptics, fighters may be perceived as brawlers who have accepted MMA rather than choosing other sports.\u00a0 In reality, the overwhelming majority are well-conditioned, all-round athletes who endure intense training with aerobic, resistance, flexibility and skill-based programs.\u00a0 Without this conditioning, fighters would not be able to keep pace with high intensity rounds nor withstand the repeated impact from opponents.\u00a0 Equally, the technical elements play a significant role; with many fighters analyzing a fight long after it has ended.\u00a0 Thus, although they do not compete in a conventional setting, MMA fighters are far removed from \u2018just brawlers\u2019 as many consider them.<\/p>\n

When providing medical care as the \u201cfight-medic\u201d, responsibilities involve pre-fight medicals, being present at the ringside for clinical decisions and post-fight medicals or treatments. \u00a0Common injuries include contusions and lacerations, but one may be faced with more serious problems such as the unconscious athlete or dealing with acute exhaustion [3<\/a>]. \u00a0One case report describes a vertebral artery dissection in a fighter and interestingly, it appears that professional fighters may encounter more injuries than their amateur counterparts [4<\/a>, 5<\/a>].<\/p>\n

Presently, guidance exists regarding suspension from competition following knockouts or other significant injuries [6<\/a>].\u00a0 However, for MMA to progress, medical professionals must review injury patterns and seek methods by which these can be limited.\u00a0 Although seemingly contrary to the essence of full-contact sport, fighters are athletes and deserve the same consideration from medical professionals as those in other sports.\u00a0 Equally, with increasing number of female fighters, it is important that we are aware of how injury patterns may differ and thus further work is needed to support these athletes in their chosen sport.<\/p>\n

References:<\/b><\/p>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Howe, A. The History<\/i>. MMA Facts; Available from: http:\/\/www.mmafacts.com\/index.cfm?fa=main.history<\/a>.<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 White, C., Mixed martial arts and boxing should be banned, says BMA.<\/i> BMJ, 2007. 335<\/b>(7618): p. 469.<\/p>\n

3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ngai, K.M., F. Levy, and E.B. Hsu, Injury trends in sanctioned mixed martial arts competition: a 5-year review from 2002 to \u00a0<\/i><\/p>\n

2007.<\/i> Br J Sports Med, 2008. 42<\/b>(8): p. 686-9.<\/p>\n

4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Slowey, M., G. Maw, and J. Furyk, Case report on vertebral artery dissection in mixed martial arts.<\/i> Emerg Med Australas, \u00a02012. 24<\/b>(2): p. 203-6.<\/p>\n

5.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Walrod, B., Current review of injuries sustained in mixed martial arts competition.<\/i> Curr Sports Med Rep, 2011. 10<\/b>(5): p. 288-9.<\/p>\n

6.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 MMA, S., ABOUT SAFE MMA : Q & A<\/i>, S. MMA, Editor 2013: London. p. 1-27.<\/p>\n

**************************************************<\/p>\n

Dr Dinesh Sirisena<\/b> is a Sports and Exercise Medicine Registrar in London.\u00a0 He is\u00a0the Team Doctor to AFC Wimbledon and the FA Partially-Sighted Development Squad.<\/p>\n

 <\/p>\n

Dr James Thing<\/b> co-ordinates \u201cSport and Exercise Medicine: The UK trainee perspective\u201d monthly blog series.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Sport and Exercise Medicine: The UK trainee perspective\u00a0(A BJSM blog series) By Dr Dinesh Sirisena Since the first Ultimate Fighting Championships in the early 1990s, Mixed Martial Arts (MMA) has gained popularity with regular national and international tournaments [1]. For some it remains barbaric, taking us back to our primal instincts of fight vs. flight. […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1399],"class_list":["post-5296","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-injury"],"yoast_head":"\nMixed martial arts: elite athletes or just street brawlers? - BJSM blog - social media's leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2013\/09\/13\/mixed-martial-arts-elite-athletes-or-just-street-brawlers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mixed martial arts: elite athletes or just street brawlers? - BJSM blog - social media's leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Sport and Exercise Medicine: The UK trainee perspective\u00a0(A BJSM blog series) By Dr Dinesh Sirisena Since the first Ultimate Fighting Championships in the early 1990s, Mixed Martial Arts (MMA) has gained popularity with regular national and international tournaments [1]. For some it remains barbaric, taking us back to our primal instincts of fight vs. flight. 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