Headgear increases protection against acute concussion symptoms in amateur Olympic boxers
DOI:
https://doi.org/10.47197/retos.v60.106894Keywords:
combat sports, boxing, Olympic Games, Concussion, Cognition, sport rulesAbstract
This study compared acute measures of concussion in Olympic boxers undergoing a combat. This is a case-control study where participants were measured in two conditions: a) using headgear (HG) and b) without using headgear (NHG). Thus, 14 athletes (24.9±5.1 yrs.; 77.1±13.9 kg; 1.7±0.1 m; 14.4±6.4 % body fat) completed this protocol. Tests were carried out before and after the combat (3 rounds of 3' with 1' interval) as indicators of concussion (BtrackS concussion test, automatic and controlled executive function, direct and indirect memory). A technical-tactical analysis protocol was also applied to verify the effect of HG on the actions during the combat. The HG condition showed better performance on the BtrackS concussion test (30.3±11.3 vs. 38.5±12.2; p=0.039), automatic executive function (38.0±6.0 vs. 50.4±11.4; p=0.014), and controlled (55.3±8.1 vs. 76.4±11.5; p=0.016). There was a significant difference in the number of punches connected to the head (38.5±12.0 vs. 51.1±14.7 for HG and NHG respectively; p=0.047). Based on our aims and the results obtained, our data support the acute protective effect of using HG in amateur Olympic male boxing against the concussion indicators.
Keywords: Combat sports, Boxing, Olympic Games, Brain concussion, Cognition, Sport rules
References
Alevras, A. J., Fuller, J. T., Mitchell, R., & Lystad, R. P. (2022). Epidemiology of injuries in amateur boxing: A systematic review and meta-analysis. Journal of Science and Medicine in Sport, 25(12), 995-1001.
Arriaza, R., Cierna, D., Regueiro, P., Inman, D., Roman, F., Abarca, B., Barrientos, M., & Saavedra, M. A. (2017). Low risk of concussions in top-level karate competition. British Journal of Sports Medicine, 51(4), 226-230.
Bartsch, A. J., Benzel, E. C., Miele, V. J., Morr, D. R., & Prakash, V. (2012). Boxing and mixed martial arts: preliminary traumatic neuromechanical injury risk analyses from laboratory impact dosage data. Journal of Neurosurgery, 116(5), 1070-1080.
Benedict, S. E., Hinshaw, J. W., Byron-Fields, R., Baweja, H. S., & Goble, D. J. (2017). Effects of fatigue on the BTrackS balance test for concussion management. International Journal of Athletic Therapy and Training, 22(4), 23-28.
Bernick, C., Hansen, T., Ng, W., Williams, V., Goodman, M., Nalepa, B., Shan, G., & Seifert, T. (2021). Concussion occurrence and recognition in professional boxing and MMA matches: toward a concussion protocol in combat sports. The Physician and Sportsmedicine, 49(4), 469-475.
Bleiberg, J., Cernich, A. N., Cameron, K., Sun, W., Peck, K., Ecklund, L. P. J., Reeves, C. D., Uhorchak, C. J., Sparling, M. B., & Warden, D. L. (2004). Duration of cognitive impairment after sports concussion. Neurosurgery, 54(5), 1073-1080.
Bromley, S. J., Drew, M. K., Talpey, S., McIntosh, A. S., & Finch, C. F. (2018). A systematic review of prospective epidemiological research into injury and illness in Olympic combat sport. British Journal of Sports Medicine, 52(1), 8-16.
Brožek, J., Grande, F., Anderson, J. T., & Keys, A. (1963). Densitometric analysis of body composition: revision of some quantitative assumptions. Annals of the New York Academy of Sciences, 110(1), 113-140.
Campos, M. C., Silva, M. L. d., Florêncio, N. C., & Paula, J. J. d. (2016). Confiabilidade do Teste dos Cinco Dígitos em adultos brasileiros. Brazilian Journal of Psychiatry, 65, 135-139.
Davis, P., Waldock, R., Connorton, A., Driver, S., & Anderson, S. (2018). Comparison of amateur boxing before and after the 2013 rules change and the impact on boxers’ safety. British Journal of Sports Medicine, 52(11), 741-746.
deWeber, K., Parlee, L., Nguyen, A., Lenihan, M. W., & Goedecke, L. (2023). Headguard use in combat sports: position statement of the association of ringside physicians. The Physician and Sportsmedicine, 1-10.
Dickinson, P., & Rempel, P. (2016). Prohibiting headgear for safety in amateur boxing? Opinion of the Canadian boxing community: an online poll. Sports Medicine-open, 2, 1-11.
Doan, B. K., Heaton, K. J., Self, B. P., Butler Samuels, M. A., & Adam, G. E. (2022). Quantifying head impacts and neurocognitive performance in collegiate boxers: Head Impacts and Neurocognition in Collegiate Boxers. Journal of Sports Sciences, 40(5), 509-517.
Donnelly, R. R., Ugbolue, U. C., Gao, Y., Gu, Y., Dutheil, F., & Baker, J. S. (2023). A systematic review and meta-analysis investigating head trauma in boxing. Clinical Journal of Sport Medicine, 33(6), 658-674.
Dunn, E. C., Humberstone, C. E., Iredale, K. F., Martin, D. T., & Blazevich, A. J. (2017). Human behaviours associated with dominance in elite amateur boxing bouts: A comparison of winners and losers under the Ten Point Must System. PLoS One, 12(12), e0188675.
Furley, P., Schweizer, G., & Bertrams, A. (2015). The two modes of an athlete: dual-process theories in the field of sport. International Review of Sport and Exercise Psychology, 8(1), 106-124.
Gallo, V., Motley, K., Kemp, S. P., Mian, S., Patel, T., James, L., Pearce, N., & McElvenny, D. (2020). Concussion and long-term cognitive impairment among professional or elite sport-persons: a systematic review. Journal of Neurology, Neurosurgery & Psychiatry, 91(5), 455-468.
Goble, D. J., Manyak, K. A., Abdenour, T. E., Rauh, M. J., & Baweja, H. S. (2016). An initial evaluation of the BTrackS balance plate and sports balance software for concussion diagnosis. International Journal of Sports Physical Therapy, 11(2), 149.
Goble, D. J., Rauh, M. J., & Baweja, H. S. (2019). Normative data for the BTrackS balance test concussion-management tool: results from 10 045 athletes aged 8 to 21 years. Journal of Athletic Training, 54(4), 439-444.
Gutiérrez-Santiago, A., Vázquez-Estévez, C., Muñoz-Rodrigo, S., & Prieto-Lage, I. (2023). The temporal structure of male’s Olympic boxing matches in flyweight, middleweight and super heavyweight categories: a pilot study. International Journal of Performance Analysis in Sport, 23(3), 167-185.
Harmon, K. G., Drezner, J., Gammons, M., Guskiewicz, K., Halstead, M., Herring, S., Kutcher, J., Pana, A., Putukian, M., & Roberts, W. (2013). American Medical Society for Sports Medicine position statement: concussion in sport. Clinical Journal of Sport Medicine, 23(1), 1-18.
Hearn, M. C., Levy, S. S., Baweja, H. S., & Goble, D. J. (2018). BTrackS balance test for concussion management is resistant to practice effects. Clinical Journal of Sport Medicine, 28(2), 177-179.
Herweh, C., Hess, K., Meyding-Lamadé, U., Bartsch, A. J., Stippich, C., Jost, J., Friedmann-Bette, B., Heiland, S., Bendszus, M., & Hähnel, S. (2016). Reduced white matter integrity in amateur boxers. Neuroradiology, 58, 911-920.
Jacobson, J., & Matthaeus, L. (2014). Athletics and executive functioning: How athletic participation and sport type correlate with cognitive performance. Psychology of Sport and Exercise, 15(5), 521-527.
Jordan, B. D., Matser, E. J., Zimmerman, R. D., & Zazula, T. (1996). Sparring and cognitive function in professional boxers. The Physician and Sportsmedicine, 24(5), 87-98.
Lima, C. D., dos Santos, M. H., Barreto, L. B. M., de Brito, M. A., Soto, D. A. S., Miarka, B., & Brito, C. J. (2022). Desenvolvimento e validação de instrumento para análise de tempo-movimento no boxe: software FRAMI. Motricidade, 18(2).
Lohman, T. G. (2002). Body composition. Eating disorders and obesity: A comprehensive handbook, 62.
Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual.
Loosemore, M. P., Butler, C. F., Khadri, A., McDonagh, D., Patel, V. A., & Bailes, J. E. (2017). Use of head guards in AIBA boxing tournaments—a cross-sectional observational study. Clinical Journal of Sport Medicine, 27(1), 86-88.
Lystad, R. P. (2015). Epidemiology of injuries in full-contact combat sports. Australasian Epidemiologist, 22(1), 14-18.
Manley, G., Gardner, A. J., Schneider, K. J., Guskiewicz, K. M., Bailes, J., Cantu, R. C., Castellani, R. J., Turner, M., Jordan, B. D., & Randolph, C. (2017). A systematic review of potential long-term effects of sport-related concussion. British Journal of Sports Medicine, 51(12), 969-977.
McIntosh, A. S., & Patton, D. A. (2015a). Boxing headguard performance in punch machine tests. British Journal of Sports Medicine, 49(17), 1108-1112.
McIntosh, A. S., & Patton, D. A. (2015b). The impact performance of headguards for combat sports. British Journal of Sports Medicine, 49(17), 1113-1117.
Miller, R. A., Rogers, R. R., Williams, T. D., Marshall, M. R., Moody, J. R., Hensarling, R. W., & Ballmann, C. G. (2019). Effects of protective American football headgear on peripheral vision reaction time and visual target detection in Division I NCAA football players. Sports, 7(9), 213.
Moriarity, J., Collie, A., Olson, D., Buchanan, J., Leary, P., McStephen, M., & McCrory, P. (2004). A prospective controlled study of cognitive function during an amateur boxing tournament. Neurology, 62(9), 1497-1502.
Nascimento, E. d. (2004). Adaptação, validação e normatização do WAIS-III para uma amostra brasileira. WAIS-III: manual para administração e avaliação, 1, 161-192.
Očić, M., Bon, I., Ružić, L., Cigrovski, V., & Rupčić, T. (2023). The influence of protective headgear on the peripheral vision reaction time of recreational-level skiers. Applied Sciences, 13(9), 5459.
Puchol, V., Fuentes, J. A. S., Albiol, L. A., & Pons, T. C. (2023). Professional male modern boxing: An analysis of activity profile by category. Retos: nuevas tendencias en educación física, deporte y recreación(50), 987-994.
Razaghi, R., Biglari, H., & Karimi, A. (2018). A comparative study on the mechanical performance of the protective headgear materials to minimize the injury to the boxers' head. International journal of industrial ergonomics, 66, 169-176.
Rhea, C. K., Schleich, K. N., Washington, L., Glass, S. M., Ross, S. E., Etnier, J. L., Wright, W. G., Goble, D. J., & Duffy, D. M. (2019). Neuromotor and neurocognitive performance in female American football players. Athletic Training & Sports Health Care, 11(5), 224-233.
Rydzik, Ł., Wąsacz, W., Ambroży, T., Pałka, T., Sobiło-Rydzik, E., & Kopańska, M. (2023). Comparison of Head Strike Incidence under K1 Rules of Kickboxing with and without Helmet Protection—A Pilot Study. International Journal of Environmental Research and Public Health, 20(6), 4713.
Schneider, D. K., Grandhi, R. K., Bansal, P., Kuntz, G. E., Webster, K. E., Logan, K., Foss, K. D. B., & Myer, G. D. (2017). Current state of concussion prevention strategies: a systematic review and meta-analysis of prospective, controlled studies. British Journal of Sports Medicine, 51(20), 1473-1482.
Slimani, M., Chaabène, H., Davis, P., Franchini, E., Cheour, F., & Chamari, K. (2017). Performance aspects and physiological responses in male amateur boxing competitions: A brief review. The Journal of Strength & Conditioning Research, 31(4), 1132-1141.
Stiller, J. W., Yu, S. S., Brenner, L. A., Langenberg, P., Scrofani, P., Pannella, P., Hsu, E. B., Roberts, D. W., Monsell, R. M., & Binks III, S. W. (2014). Sparring and neurological function in professional boxers. Frontiers in Public Health, 2, 69.
Stojsih, S., Boitano, M., Wilhelm, M., & Bir, C. (2010). A prospective study of punch biomechanics and cognitive function for amateur boxers. British Journal of Sports Medicine, 44(10), 725-730.
Sudo, M., Komiyama, T., Aoyagi, R., Nagamatsu, T., Higaki, Y., & Ando, S. (2017). Executive function after exhaustive exercise. European journal of applied physiology, 117, 2029-2038.
Tjønndal, A., Haudenhuyse, R., de Geus, B., & Buyse, L. (2022). Concussions, cuts and cracked bones: a systematic literature review on protective headgear and head injury prevention in Olympic boxing. European Journal of Sport Science, 22(3), 447-459.
Tosi, S. (2019). TIG-NV–Teste de inteligência geral-não verbal: instrumento para avaliação psicológica e neuropsicológica: manual (8ª ed.). Pearson.
Wilde, E. A., Hunter, J. V., Li, X., Amador, C., Hanten, G., Newsome, M. R., Wu, T. C., McCauley, S. R., Vogt, G. S., & Chu, Z. D. (2016). Chronic effects of boxing: diffusion tensor imaging and cognitive findings. Journal of Neurotrauma, 33(7), 672-680.
Zimmer, P., Binnebößel, S., Bloch, W., Hübner, S. T., Schenk, A., Predel, H.-G., Wright, P., Stritt, C., & Oberste, M. (2017). Exhaustive exercise alters thinking times in a tower of London task in a time-dependent manner. Frontiers in physiology, 7, 694.
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