Scandinavian study suggests BJJ training may improve blood flow to brain and spine

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July 14, 2018; Boise, ID, USA; Mark De La Rosa (red gloves) fights Elias Garcia (blue gloves) during UFC Fight Night at CenturyLink Arena. De La Rosa defeated Garcia via submission (rear-naked choke) Round 2, 2:00. Mandatory Credit: Kyle Terada-USA TODAY Sports

Adding to the Combat Sports Law blog’s database of combat sports safety studies, a recent study was published in the Scandinavian Journal of Medicine and Science in Sports addressing whether Brazilian jiu-jitsu athletes — who are subjected to repeated strangulation — sustain impaired cognitive function or reduced arterial blood flow from the practice.

Could BJJ training improve brain and spine blood flow?

In the study, titled Elevated cerebral perfusion and preserved cognition in elite Brazilian Jiu-Jitsu athletes; evidence for neuroprotection, the authors compared 11 elite BJJ athletes against a control group of eleven non-BJJ fitness practitioners. They performed psychometric testing to measure cognitive functioning between the groups and also measured carotid and vertebral arterial, or brain and spine-related, blood flow.

The results were that the BJJ athletes did not have cognitive impairment compared to the control group. Arterial blood flow was also not compromised and in fact, was a bit stronger in the BJJ athletes compared to the control group leaving the authors to speculate that the repeated strangulation or other BJJ specific training pre-conditioned the BJJ athletes for better carotid and vertebral arterial blood blow.

bjj training
Brittany Inkrote, top, demonstrates a technique with her training partner, Lauren Huncher, during a session at York Brazilian Jiu-Jitsu on Thursday, May 6, 2021. Inkrote, a purple belt in BJJ, is also a police officer with the York City Police Department.

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Abstract from BJJ training study

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 (VA) artery blood flow was measured via duplex ultrasound to determine global cerebral blood flow (gCBF). Mild cognitive impairment and sub-domains of memory, attention/concentration/visual motor co-ordination 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.

Does this change the way you look a BJJ training?


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