Physio working on an athlete's neck

Combat Sports and Neck Injuries: A Focus on Prevention and Management

September 05, 20244 min read

Combat Sports and Neck Injuries: A Focus on Prevention and Management

Introduction:

Combat sports, such as mixed martial arts (MMA), boxing, and wrestling, demand intense physical engagement and expose athletes to high risks of injury, particularly to the neck. The dynamic nature of these sports involves maneuvers that can strain the cervical spine and associated musculature, leading to acute and chronic injuries.

Physiotherapist works on athletes neck with manual therapy

Common Neck Injuries in Combat Sports Neck injuries in combat sports can range from minor muscle strains to more severe injuries like cervical spine fractures or nerve impingement. These injuries often occur during impacts such as strikes, takedowns, clinch and grapples. Preventative measures and effective management are crucial to ensure athlete safety and longevity in the sport.

Preventative Strategies

  1. Proper Technique: Training athletes in proper form and technique is crucial to minimize undue stress on the neck. Coaches and trainers play a key role in correcting posture and movement patterns during combat and training sessions. As well as an athlete learning to tap at appropriate times. 

  2. Strength Training: Strengthening the neck and upper body muscles can provide better stability and reduce the risk of neck injuries. Exercises specifically designed to enhance the muscular support around the cervical spine are recommended.

  3. Protective Gear: Using appropriate gear during training and sparring sessions can absorb some impact and reduce the likelihood of neck injuries. One example of this is having a good quality mouth guard fitted to the athlete. 

Treatment and Rehabilitation When neck injuries occur, immediate and appropriate management is crucial. Treatment protocols often include:

  1. Rest or Reduction of Impact: Initial management of acute neck injuries may involve rest and avoiding repetitive impact to reduce inflammation.

  2. Rehabilitation Exercises: As recovery progresses, specific rehabilitation exercises are introduced to restore mobility and strength. These exercises might include gentle stretching and strengthening routines tailored to the individual's specific needs.

  3. Manual Therapy: In some cases, manual therapy techniques performed by a physiotherapist can aid in alleviating pain and improving function. Techniques such as massage, mobilization, and sometimes manipulation are used based on the athlete’s condition.

Progressive Interventions For athletes recovering from neck injuries or looking to prevent them, progressive interventions include:

  • Advanced strengthening exercises that incorporate full body movements which simulate the sport-specific demands.

  • Neuromuscular training to improve proprioception and muscular coordination, which are crucial for injury prevention.

  • Continuous reassessment of technique and training loads to ensure that athletes are not over-training or engaging in activities that could predispose them to reinjury.

Conclusion The integration of preventive and rehabilitative strategies into the training regimen of combat athletes is essential to mitigate the risk of neck injuries. Education on the risks and symptoms associated with neck injuries should also be a priority to empower athletes to report issues early and receive appropriate care.

Citations

Research on neck injuries in combat sports highlights the importance of comprehensive preventive measures and targeted rehabilitation protocols to manage and reduce these injuries effectively. 

Brown DA, Leung FT, Evans K, Grant G, Hides JA. Cervical spine characteristics differ in competitive combat athletes compared with active control participants. Musculoskelet Sci Pract. 2022 Oct;61:102614. doi: 10.1016/j.msksp.2022.102614. Epub 2022 Jun 22. PMID: 35763910.

Stellpflug SJ, Dummer MF, Martin CD, Vera JA, LeFevere RC. Cervical Artery Dissections and Ischemic Strokes Associated with Vascular Neck Compression Techniques (Sportive Chokes). J Emerg Med. 2022 Jul;63(1):49-57. doi: 10.1016/j.jemermed.2022.04.015. Epub 2022 Aug 4. PMID: 35934648.

King JA, Nelson LD, Cheever K, Brett B, Gliedt J, Szabo A, Dong H, Huber DL, Broglio SP, McAllister TW, McCrea M, Pasquina P, Feigenbaum LA, Hoy A, Mihalik JP, Duma SM, Buckley T, Kelly LA, Miles C, Goldman JT, Benjamin HJ, Master CL, Ortega J, Kontos A, Clugston JR, Cameron KL, Kaminski TW, Chrisman SP, Eckner JT, Port N, McGinty G. The Prevalence and Influence of New or Worsened Neck Pain After a Sport-Related Concussion in Collegiate Athletes: A Study From the CARE Consortium. Am J Sports Med. 2024 Jun;52(7):1845-1854. doi: 10.1177/03635465241247212. Epub 2024 May 14. PMID: 38742422.

Farahbakhsh F, Akbari-Fakhrabadi M, Shariat A, Cleland JA, Farahbakhsh F, Seif-Barghi T, Mansournia MA, Rostami M, Kordi R. Neck pain and low back pain in relation to functional disability in different sport activities. J Exerc Rehabil. 2018 Jun 30;14(3):509-515. doi: 10.12965/jer.1836220.110. PMID: 30018941; PMCID: PMC6028206.

Haas JW, Fortner MO, Woodham TJ, Harrison DE. Reducing Chronic Spine Pain in an Adult Male by Decreasing Lumbar Scoliosis and Increasing Cervical Lordosis Using Chiropractic BioPhysics® Protocols: A 26-Month Follow-Up Case Report. Cureus. 2024 Sep 1;16(9):e68393. doi: 10.7759/cureus.68393. PMID: 39224496; PMCID: PMC11366306.


Doctor of Physical Therapy, Fitness Professional and Coach

Dr. Robyn Ringberg

Doctor of Physical Therapy, Fitness Professional and Coach

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