Could current factors be associated with retrospective sports injuries in Brazilian jiu-jitsu? A cross-sectional study

Dayana das Graças1,2, Letícia Nakamura3,2, Fernando Sérgio Silva Barbosa1,2, Paula Felippe Martinez1,3,2, Filipe Abdalla Reis4, Silvio Assis de Oliveira-Junior1,3,2
1Postgraduate Program in Health and Development, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
2Laboratoty of Striated Muscle Study (LEME/ CEI), Federal University of Mato Grosso do Sul, Campo Grande, Brazil
3School of Physical Therapy, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
4School of Physical Therapy, Anhanguera University – UNIDERP, Campo Grande, Brazil

Tóm tắt

Brazilian jiu-jitsu is characterized by musculoskeletal disorders and high occurrence of sports injuries. The present study was aimed to analyze some internal factors, as well as to describe occurrence and characteristics of retrospective musculoskeletal injuries in different age groups of Brazilian jiu-jitsu practitioners. One hundred ninety-three Brazilian jiu-jitsu practitioners, which were divided into three age groups: Adolescent, Adult, and Master. Besides anthropometric characterization, standard clinical tests were conducted to analyze the global and segmental joint flexibility, lumbar spine range of motion, and handgrip strength. Sports injury occurrence and total physical activity were obtained from an adapted morbidity survey and International Physical Activity Questionnaire - Short Form (IPAQ-SF), respectively. A total of 247 cases of retrospective injuries was registered (1.27 injury/ participant). Occurrence of rectus femoral muscle retraction in the right leg was increased within Master. Adult and Master have exhibited higher occurrence of sports injuries than Adolescent group (p < 0.05). Joint injuries were the most common sports-related injuries by all Brazilian jiu-jitsu practitioners. While female gender and exposure time constituted the most predictive variables for sports injury occurrence in Adolescent, graduation level was more associated with sports injuries occurrence in Adult. Joint injuries derived from combat demands were the main sports injury in all age categories of Brazilian jiu-jitsu. Master subjects presented a higher occurrence of clinical changes and retrospective musculoskeletal injuries in relation to other age groups. Female gender and exposure time constituted the main predictive factors in adolescent subjects, while graduation category was more directly associated with retrospective injury onset in the Adult group.

Tài liệu tham khảo

Reis FJ, Dias MD, Newlands F, Meziat-Filho N, Macedo AR. Chronic low back pain and disability in Brazilian jiu-jitsu athletes. Phys Ther Sport. 2015;16(4):340–3. da Silva BVC, Ide BN, Simim MAM, Marocolo M, Mota GR. Neuromuscular responses to simulated Brazilian Jiu-Jitsu fights. J Hum Kinet. 2014;44(1):249–57. Andreato LV, Julio UF, Panissa VL, Esteves JV, Hardt F, de Moraes SM, et al. Brazilian jiu-jitsu simulated competition part I: metabolic, hormonal, cellular damage, and heart rate responses. J Strength Cond Res. 2015;29(9):2538–49. Andreato LV, Julio UF, Gonçalves Panissa VL, Del Conti Esteves JV, Hardt F, Franzói de Moraes SM, et al. Brazilian jiu-jitsu simulated competition part II: physical performance, time-motion, technical-tactical analyses, and perceptual responses. J Strength Cond Res. 2015;29(7):2015–25. da Silva BV, Simim MA, Marocolo M, Franchini E, da Mota GR. Optimal load for the peak power and maximal strength of the upper body in Brazilian Jiu-Jitsu athletes. J Strength Cond Res. 2015;29(6):1616–21. Bahr R, Krosshaug T. Understanding injury mechanism: a key component of injury prevention in sport. Brit J Sports Med. 2005;39(6):324–9. Bledsoe GH, Hsu EB, Grabowski JG, Brill JD, Li G. Incidence of injury in professional mixed martial arts competitions. J Sports Sci Med. 2006;5(CSSI):136–42. Scoggin JF, Brusovanik G, Izuka BH, Zandee van Rilland E, Geling O, Tokumura S. Assessment of injuries during Brazilian Jiu-Jitsu competition. Orthop J Sports Med. 2014;2(2):2325967114522184. Kreiswirth EM, Myer GD, Rauh MJ. Incidence of injury among male Brazilian Jiu-Jitsu fighters at the world Jiu-Jitsu no-Gi championship 2009. J Athl Train. 2014;49(1):89–94. Folscher LL, Grant CC, Fletcher L, Rensberg DCJV. Ultra-marathon athletes at risk for the female athlete triad. Sports Med. 2015;1(29):2–8. Vanderlei FM, Bastos FN, Tsutsumi GY, Vanderlei LC, Netto Júnior J, Pastre CM. Characteristics and contributing factors related to sports injuries in young volleyball players. BMC Res Notes. 2013;6:415. Hagglund M, Walden M. Risk factors for acute knee injury in female youth football. Knee Surg Sports Traumatol Arthrosc. 2016;24(3):737–46. Kim KS, Park KJ, Lee J, Kang BY. Injuries in national Olympic level judo athletes: an epidemiological study. Brit J Sports Med. 2015;49(1):1–7. Silveira KP, Assunção VHS, Guimarães NP Jr, Barbosa SRM, Santos MLM, Carregaro RL, Oliveira-Júnior SA. Nosographic profile of soccer injuries according to the age group. Rev Bras Cineantropom Desempenho Hum. 2013;15(4):476–85. Schweich LC, Gimelli AM, Elosta MB, Matos WSW, Martinez PF, Oliveira Júnior SA. Epidemiology of athletic injuries in classic ballet practitioners. Fisioter Pesq. 2014;21(4):353–8. International Brazilian Jiu-Jitsu Federation (IBJJF). General system of graduation. Rio de Janeiro: IBJJF; 2012. p. 18. Pardini R, Matsudo S, Araujo T, Matsudo V, Andrade E, Braggion G, et al. Validação do questionário internacional de nível de atividade física (IPAQ- versão 6): estudo piloto em adultos jovens brasileiros. Rev Bras Cien e Mov. 2001;9(3):45–51. Pastre CM, Carvalho Filho G, Monteiro HL, Neto Junior J, Padovani CR. Lesões desportivas no atletismo: comparação entre informações obtidas em prontuários e inquéritos de morbidade referida. Rev Bras Med Esporte. 2004;10(1):1–8. Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scand J Med Sci Sports. 2006;16(2):83–92. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain (fifth ed.) Lippincott, Williams, & Wilkins, Baltimore, MD (2005). Neto Junior J, Pastre CM, Monteiro HL. Alterações posturais em atletas brasileiros do sexo masculino que participaram de provas de potência muscular em competições internacionais. Rev Bras Med Esporte. 2004;10(3):195–8. Wells KE, Dillon EK. The sit-and-reach test of back and leg flexibility. Res Quart. 1952;23:115–8. López-Miñarro PA, Andújar PSB, Rodríguez-García PL. A comparison of the sit-and-reach test and the back-saver sit-and-reach test in university students. J Sports Sci Med. 2009;8(1):116–22. Macedo CSG, Souza PR, Alves PM, Cardoso JR. Estudo da validade e confiabilidade intra e interobservador da versão modificada do teste de Schöber modificado em indivíduos com lombalgia. Fisioter Pesq. 2009;16(3):233–8. Peeler J, Anderson JE. Reliability of the Thomas test for assessing range of motion about the hip. Phys Ther Sport. 2007;8:14–21. Fess EE. Grip strength. In: Casanova JS, editor. Clinical 22. assessment recommendations. 2nd ed. Chicago: American Society of Hand Therapists; 1992. p. 41–5. Vanderburgh PM, Mahar MT, Chou CH. Allometric scaling of grip strength by body mass in college-age men and women. Res Q Exerc Sport. 1995;66(1):80–4. Rodrigues MF, Crosato EM, Cardoso JR, Traebert J. Psychometric properties and cross-cultural adaptation of the Brazilian Quebec back pain disability scale questionnaire. Spine. 2009;34(13):459–64. McClain R, Wassermen J, Mayfield C, Berry AC, Grenier G, Suminski RR, et al. Injury profile of mixed martial arts competitors. Clin J Sport Med. 2014;24(6):497–501. Abidin NZ, Adam MB. Prediction of vertical jump height from anthropometric factors in male and female martial arts athletes. Malays J Med Sci. 2013;20(1):39–45. Oliveira KMS, Filho IS, Santos LBF, Brito CJ. Alongamento estático e facilitação neuromuscular proprioceptiva não afetam o desempenho de força máxima em lutadores de Brazilian jiu-jitsu. Arq Cien Esporte. 2014;1(1):28–32. Arriaza R, Inman D, Arriaza A, Saavedra MA. Low risk of injuries in young adolescents participation in top-level karate competition. Am J Sports Med. 2016;44(2):305–8. Noh JW, Park BS, Kim MY, Lee LK, Yang SM, Lee WD, et al. Analysis of combat sports players’ injuries according to playing style for sports physiotherapy research. J Phys Ther Sci. 2015;27(8):2425–30. Souza JMC, Faim FT, Nakashima IY, Altruda CR, Medeiros WM, Silva LR. Lesões no Karate Shotokan e no Jiu-Jitsu: trauma direto versus indireto. Rev Bras Med Esporte. 2011;17(2):107–10.