Acute Performance Responses During Repeated Matches in Combat Sports - Systematic Review
Acute Performance Responses During Repeated Matches in Combat Sports - Systematic Review
Acute Performance Responses During Repeated Matches in Combat Sports - Systematic Review
PII: S1440-2440(19)30804-7
DOI: https://doi.org/10.1016/j.jsams.2019.12.004
Reference: JSAMS 2213
Please cite this article as: Kons RL, Orssatto LBR, Detanico D, Acute performance responses
during repeated matches in combat sports: A systematic review, Journal of Science and
Medicine in Sport (2019), doi: https://doi.org/10.1016/j.jsams.2019.12.004
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systematic review
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Biomechanics Laboratory, Center of Sports, Federal University of Santa Catarina, Santa
Catarina, Brazil
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School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of
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Technology, Brisbane, QLD, Australia.
C
Institute of Health and Biomedical Innovation, Queensland University of Technology,
Abstract
Objective: Investigate the acute effects of repeated combat sports matches on vertical jump
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Methods: PubMed, Scopus, and Web of Science databases were searched. The following
eligibility criteria for selecting studies were adopted: Population: Combat sports athletes;
Results: The systematic search resulted in 13 studies, including Brazilian jiu-jitsu, Greco-
Roman, judo, taekwondo, and wrestling (freestyle and Greco-Roman) modalities, and a
diverse number of repeated matches (i.e. 1–5). None of the studies adopted a randomized
and controlled design and, consequently, none of them was classified as high quality.
Brazilian jiu-jitsu and freestyle wrestling athletes presented an earlier onset of fatigue in
upper and lower limbs, while judo and Greco Roman wrestling presented a later onset, from
the third match. In taekwondo athletes, no fatigue was observed in the lower limbs, while
handgrip strength decreased. However, studies have reported unclear data regarding the
time-course of lower and upper limbs’ fatigue following repeated matches in taekwondo.
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Conclusion: Both upper and lower limbs performance were affected after repeated matches
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in grappling combat sports when assessed by handgrip strength and vertical jump
performance. In taekwondo, the studies have shown unclear results concerning the effects
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of repeated matches on upper and lower limb performance. There is a lack of studies
1. Introduction
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contemplates specific actions involving strength, endurance, and muscle power, which has
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large relevance for performance in grappling (e.g. judo, wrestling, Brazilian jiu-jitsu) and
striking modalities (e.g. karate, taekwondo, boxing) 1–6. The high-intensity actions in lower
limbs involving eccentric-concentric (i.e. stretch-shortening cycle – SSC) 7–9 and explosive
contractions usually generate high mechanical loads, producing great stress in muscle
structures 10–12. The upper limbs perform grip disputes aiming to dominate and unbalance
the opponent in grappling sports 1,5,13 and direct attacks in striking sports (e.g. punches) also
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14,15
requires high neuromuscular demand, mainly in the forearm flexor muscles . Therefore,
the high neuromuscular demand in the lower and upper limbs in combat sports may result in
Olympic or ‘amateur’ combat sports competitions are usually organized with repeated
matches performed on the same day (with exception of boxing) with short rest intervals
between them, typically ranging from 1 to 15 min 2–5,16–18. The high intensity observed in
combat sports matches may lead to higher levels of fatigue across the competition. In this
sense, aiming to identify potential physical performance decrements in lower and upper
limbs throughout repeated matches, previous studies adopted tests involving SSC (e.g.
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countermovement jump – CMJ), muscle power (e.g. squat jumps – SJ), and handgrip
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strength 7,9,19–26. To ascertain whether combat sports athletes are actually able to cope with
the neuromuscular demands of the whole championship, decrements in vertical jump and
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handgrip strength performance at the end of matches may be sensitive markers of fatigue 15,
due to the internal load imposed by the successive matches 14,18,21,24 and due to the
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relationship of these neuromuscular tests with combat sports performance 20,27,28.
combat sports matches on fatigue, showing contradictory results. Some of these supported
14,15,18,21,24,29–33
the presence of fatigue (performance decline) in upper and/or lower limbs ,
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while others did not find reductions in neuromuscular performance 23,34,35 after a different
grappling and striking modalities with distinct characteristics during the matches, such as
duration, time interval between matches, effort: pause ratio (E:P), and physical demand in
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upper and lower limbs, which induce different levels of fatigue (i.e. sport-dependent).
techniques for assessing neuromuscular mechanisms of fatigue, but they are usually based
systematic review can help to point out and summarize what is known in the current
literature about the time-course of fatigue in specific combat sports during the mainly tasks
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provide valuable information for coaches and sports scientists to delineate training programs
particularly in official matches, to increase the chances of success. Therefore, this study
aimed to verify the effect of repeated combat sports matches on vertical jump and handgrip
strength performance in different grappling and striking modalities. We expect that our
results will provide an overview of the current literature about the topic, discussing the actual
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meaningfulness of the time-course of fatigue during repeated combat sports matches.
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2. Methods
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This study was registered at the International Prospective Register of Systematic
A literature search was conducted using PubMed, Scopus, and Web of Science
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databases, in January 2019, for peer-reviewed articles and with no language restriction. The
following groups of keywords were used in combination: (a) combat sports–related terms:
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“wrestling”, and “jiu-jitsu” (b) fatigue protocol–related terms: “simulated matches,” and
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“jump height,” “muscle power,” “power of lower limbs”, “power output”, “isometric strength”,
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strength”. Moreover, reference lists of all original studies retrieved were manually searched
for potentially eligible original articles, which were included if considered relevant. Figure 1
disagreement on the inclusion of an article, LO was consulted. The PICOS approach was
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adopted to design the inclusion criteria 36. Population: combat sports athletes (i.e. grappling
or striking athletes); not restricted by age or sex. Athletes were classified as >2 years of
practice time (experience) in the specific combat sport. Intervention: Official or simulated
matches. Outcome: Vertical jump variables and/or handgrip strength performance. Study
studies were required to present, at least, baseline and final match measurements for the
intervention group with statistical analyses results. Methodological quality was assessed but
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Exclusion criteria were defined as follows: studies involving mixed martial arts, as
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they represent their own characteristics according to the athlete’s style; studies involving
ergogenic resources (e.g. caffeine, sodium bicarbonate, laser therapy); studies involving
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rapid weight loss; studies that included athletes with any musculoskeletal injuries prior to the
evaluations; studies that reported the used prohibited substances by the selected athletes
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(e.g. doping misuse or other prohibited supplements); or studies with athletes who reported
having been training regularly for less than 2 years and without competition experience.
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The risk of bias (methodological quality) of the included studies was assessed by RK
and DD using the Cochrane tool 38. The risk of bias assessment was divided into seven
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reporting; 7) similarity of baseline characteristics. The risk of bias was classified as low,
To produce a summary of the studies, the sample size, athletes’ country, age, sex,
combat sports modality, training level, matches design, outcomes, and a summary of the
3. Results
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Figure 1 presents a flow chart of the results of the systematic review search
conducted, which retrieved a total of 157 articles from the electronic databases PubMed,
Scopus, and Web of Science. After adding relevant studies from other sources (i.e., articles
listed in original and review articles) and after removing duplicates, screening the articles by
title and abstract, and removing ineligible articles, 13 studies remained in the present
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The characteristics of the athletes (age, sex, country and training level) and of the
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studies (sample size, matches’ protocol, duration and rest interval, outcomes and main
The majority of studies presented different combat sports modalities and comprised a
wrestlers (Greco Roman) and 12 wrestlers (Freestyle), and striking sports – 45 taekwondo.
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In total 13 studies (4 with judo athletes, 4 with Brazilian jiu-jitsu, 1 with freestyle wrestlers, 1
with Greco Roman style wrestlers, and 3 with taekwondo athletes) took part of the
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systematic review. The athletes presented a minimum practice time of 4.9 years and some
None of the studies adopted a randomized and controlled design. Therefore, random
two studies for selective reporting criteria 14,15. None of the studies achieved a high-quality
classification.
Grappling combat sports studies adopted a wide range of matches (i.e. 1–5) to
investigate the effects on vertical jump performance. Thus, the number of studies that used
vertical jump as an outcome variable in grappling modalities reduced over the matches, as
follows: one match (n = 8), two (n = 6), three (n = 6), four (n = 4), and five (n = 2). Three
studies 30,33,39 including the Brazilian jiu-jitsu and freestyle wrestling athletes reported
significant decreases in vertical jump performance after the first match while one 21 (judo)
verified decrement after the third match, and two studies 18,32 (Greco-Roman wrestlers and
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judo) after the fourth match. Thus, for vertical jump performance, Brazilian jiu-jitsu and
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freestyle wrestling presented an earlier onset of fatigue, which happened after the first
match, while judo and Greco Roman wrestling presented a later onset, after third and fourth
matches.
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As observed for vertical jump, the number of studies testing handgrip strength in
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grappling modalities reduced from one (n = 6), two (n = 5), three (n = 5), four (n = 4), and
five (n = 2) matches. Two studies 30,33 including Brazilian jiu-jitsu and freestyle wrestling
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athletes reported significant decreases in handgrip strength performance after the first
match. Three studies 29,31,32 (Brazilian jiu-jitsu and judo) observed decreases in handgrip
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strength after the third match, and one study 18 (Greco-Roman wrestling) after the fourth
match. Thus, for handgrip strength, Brazilian jiu-jitsu and freestyle wrestling athletes
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presented an earlier onset of fatigue, which happened after the first match, while judo
athletes presented an onset after the third and Greco Roman wrestling after the fourth
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match.
Concerning striking modalities, that in the current study included only taekwondo,
one study 14 reported increases in vertical jump performance and decreases in handgrip
strength test after an Italian Taekwondo Championship (the authors does not clearly report
the number of performed matches). Another study 15 reported increases in vertical jump
performance for male but not for female, and decreases of handgrip strength for both male
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and female athletes after two official matches. Also, a third study 23 showed no vertical jump
4. Discussion
sports modalities and a diverse number of repeated matches (i.e. 1–5). None of the studies
adopted a randomized and controlled design and, consequently, none of them was classified
as high quality. The current literature suggests a clear reduction in handgrip strength and
vertical jump performance throughout the repeated matches, from first to fourth matches for
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grappling modalities. For a modality-specific analysis, Brazilian jiu-jitsu and freestyle
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wrestling athletes presented an earlier onset of fatigue in upper and lower limbs, while judo
and Greco Roman wrestling presented a later onset. In taekwondo athletes, it was observed
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performance decrease in handgrip strength, but no impairment in the lower limbs. However,
unclear data were reported in the three studies regarding the time-course of fatigue in upper
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and lower limbs testing.
strength and vertical jump performance after repeated matches (from 1–5) for grappling
modalities. This finding was expected, as handgrip disputes demand high levels of isometric
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and dynamic strength of the forearm flexor muscles 1–4,18,30,31, as well as lower-limbs muscle
modalities, it was observed an earlier fatigue onset for Brazilian jiu-jitsu (after match 1), but
not for judo (only from match 3). Although both combat sports are characterized by a
constant kimono grip, the match duration and the effort: pause ratio (E:P) is higher in
Brazilian jiu-jitsu (match duration = 7–10 min, E:P = 6–13:1) than judo matches (match
duration = 4–5 min E:P = 2–3:1) 5,31,40–42. A similar difference was observed between
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freestyle and Greco Roman wrestling, which have similar grip characteristics but distinct
fatigue onset (after 1 and 4 matches, respectively). Both wrestling modalities (freestyle and
Greco Roman) presented a similar E:P ratio (2:1) 43; however, the match duration is higher
for freestyle wrestling (5 min) than Greco Roman (2 min) 44, which could explain these
findings.
With regard to vertical jump performance, besides the match duration and E:P ratio,
other combat’ characteristics may explain the differences in the onset of fatigue between the
modalities. For example, during the Brazilian jiu-jitsu combats, the athletes are in constant
groundwork actions that require muscle power in lower extremities, as guard passes,
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sweeps, takedowns, submissions 6, whereas judo athletes require this capacity especially
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during throwing techniques execution 7–9. Previous studies have verified that, on average,
judo athletes perform four attack attempts per match 20,42, indicating a lower frequency of
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powerful lower limbs actions compared to Brazilian jiu-jitsu athletes, and consequently
delayed fatigue.
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Conversely to the results observed in grappling modalities, the currently available
data were not sufficient to understand the effects of repeated matches on handgrip strength
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and vertical jump performance in striking modalities (particularly taekwondo athletes in our
study). Two studies reported decrement of handgrip strength after a competition, but the first
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did not clearly report the number of matches performed 14, and the second only tested the
participants after the second match 15. Regarding vertical jump performance, no changes
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were verified for one study 23, and two studies reported unexpected improvements after
matches 14,15. Several factors may explain this result, but considering that the
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aforementioned studies did not adopt a controlled design, it is difficult to know if these
enhancement 45,46, or even a learning effect 47. Also, the absence of a higher level of fatigue
the match, which comprises a short match duration (1–2 min) and an E:P ratio with pauses
longer than effort (1:3–4) 48,49. A previous study verified a high contribution of oxidative
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(66%) and phosphocreatine systems (30%) and low demand on the glycolytic metabolism
(4%) during simulated taekwondo rounds 50. The low-intensity activities and pauses during
the rounds probably induce synthetization of the phosphocreatine sources through increases
in aerobic activation, thereby maintaining the intensity of effort. Similarly, it may provide
suitable neuromuscular recovery despite the powerful lower limb actions during taekwondo
combat 12. Thus, it remains unclear the time-course of fatigue after repeated matches in
taekwondo athletes.
The relevance of using handgrip strength and vertical jump assessments in combat
sports to detect fatigue effects should be highlighted in the current study. Handgrip strength
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measurements are very specific to the grappling modalities actions, especially in the ones
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involving kimono grip. However, upper-limbs performance is also highly relevant for
taekwondo athletes, since they tend to use their arms to score points by punching the
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opponent’s torso and to protect themselves from the opponent’s kicks and punches directed
toward the scoring area of their torso 14,15. In the case of vertical jump, it is already known
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that SSC actions, observed in combat sports, generate high mechanical loads, producing
greater stress in muscle structures 10,11,51. This condition may alter the capacity to generate
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maximal force and maximal take-off velocity during the propulsive phase of the jump, and
It is important to mention that the vertical jump variables varied among studies in our
review – jump height, power, force, velocity and impulse. Currently, there is an extensive
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debate regarding the ideal vertical jump variable that best represents neuromuscular
performance changes. Claudino et al. 53 found that the average jump height was sensitive to
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detect performance changes. However, some authors have criticized the use of jump height
as an indicator of lower limb power or maximal power output capability 54–56, especially
because there are several confounding factors observed during vertical jump height, such as
body mass, push-off distance, individual force-velocity profile and optimal force-velocity
profile 54. Both vertical jump height and power output measured in combat sports athletes
have previously been correlated with technical-tactical variables obtained in official judo
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grappling sports. The majority of the selected studies used jump height as a performance
variable. Moreover, vertical jump height, in most cases, is a practical and objective measure
in the field of sports, besides showing good sensitivity 53 and low cost compared to, for
example, force platform or 3D kinematic analysis system. The power output, peak force and
peak velocity obtained in the vertical jump testing also presents a relationship with jump
height but does not represent the same variable, despite these parameters presenting good
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limited the present study findings should be highlighted and urgently addressed in future
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investigations. The first characteristic that should be pointed out is the lack of control groups
for all the included studies. The lack of studies with high-quality and with a randomized
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controlled design investigating the time-course of fatigue after repeated matches in combat
sports means that the findings of the present study should be interpreted with caution.
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Regarding the different vertical jump variables comparison, jump height was adopted in the
majority of studies, but some studies presented only power, force, velocity and/or height,
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while none of the studies investigated propulsive power, velocity and impulse, which recently
emerged as promising variables for sports performance prediction 57. Considering striking
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modalities, all the studies included in were about taekwondo, limiting our analysis to only this
sport. In addition, the variation in the number of repeated matches in grappling modalities
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studies resulted in different sample sizes for analysis of repeated matches, reducing the
conduct a high-quality meta-analysis, which could not provide robust and reliable information
to answer the research question and could result in a misinterpretation about the effects of
performance in handgrip strength and vertical jumps assessments, which are related to
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combat sports performance 9,20,58, there is a lack of studies investigating the relationship
between fatigue development and competitive success. Another important limitation that
mechanisms underlying the fatigue in combat sports athletes. For example, future studies
stimulation (e.g., single pulses, train of pulses, high- and low-frequency doublets, and
understand the central and peripheral neuromuscular mechanisms underpinning fatigue 59–63
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The present topic is highly relevant to the combat sports research area.
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Understanding the time-course of fatigue during repeated matches has large implications for
designing strategies to mitigate the decreases in performance match after match. However,
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future studies should focus on high-quality methodological design including control groups
with a randomized design. The use of a control group, for example, would allow for the
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understanding of a potential learning 47 or potentiation effect 45,46 hiding the declines in
vertical jump performance after repeated matches. It is also suggested that all the feasible
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criteria for a low risk of bias study be considered, such as the use of concealed allocation
and blinding of outcome assessment, and avoiding incomplete outcome data and selective
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reporting. Also, the prospective registration of the methods used in the studies and
transparency in the publication should be considered to increase the quality of studies 64.
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5. Conclusions
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The current literature suggests that both upper and lower limbs performance are
affected after repeated matches in grappling combat sports when assessed by the handgrip
strength and vertical jump performance. However, it is observed a dissimilar onset of fatigue
for distinct modalities for handgrip strength and vertical jump performance, where Brazilian
jiu-jitsu and freestyle wrestling athletes’ present fatigue immediately after the first match and
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judo and Greco Roman wrestling athletes only from the third match. In taekwondo athletes,
the studies have shown unclear results concerning the effects of repeated matches on upper
and lower limb performance. The earlier fatigue observed for Brazilian jiu-jitsu and freestyle
wrestling, and the later fatigue for judo and Greco Roman wrestling athletes can be
duration, attacks attempt during the match, and E:P ratio. Caution should be taken when
interpreting the findings of our systematic review, as none of the selected studies presented
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neuromuscular mechanisms that explain the fatigue after repeated matches.
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Practical applications
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Understanding the time-course of fatigue following repeated matches highlights the
the time-motion parameters of each combat sport (e.g. match duration and E:P ratio),
aiming to enhance the athlete’s recovery between successive matches, due to the
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improvements in aerobic and anaerobic fitness 65, and consequently delaying fatigue.
Exercises involving pacing of gripping the kimono (e.g. rhythm of gripping to attack and
defend) should be developed during training sessions and transferred to the match to
Funding: no sources of funding were used to assist in the preparation of this article.
Conflicts of interest: Rafael Lima Kons, Lucas Bet da Rosa Orssatto, and Daniele Detanico
declare that they have no conflicts of interest relevant to the content of this review.
Acknowledgments
The authors wish to acknowledge and thank the staffs of the Biomechanics
Laboratory for their technical assistance. No financial support was received for this research.
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Figure legend
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Figure 1. PRISMA flow diagram illustrating the different phases of the search and study
selection.
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24
f
Sample
Reference
oo
size, sex Match(es) Match(es) Rest Measured
(combat Age Training level Main findings
and protocol duration interval outcomes
sport)
country
CMJ performance
Andreato et
drop before match
pr
al. 31 11 ± 4 years of
Male=10 Four simulated CMJ height 3 compared to
28 ± 4 training 10 min 5 min
(Brazil) matches and HGS after match 2.
(Brazilian Jiu- experience
HGS drop after
jitsu)
e-
matches 3 and 4.
Barbas et al.
18
12.1 ± 2.9 years CMJ and HGS
Male=12 Five simulated CMJ height
(Greco- 22.1 ± 1.3 of training 2 min 10 min decreased after
Pr
(Greece) matches and HGS
Roman) experience matches 4 and 5
NR - Data
CMJ increased
Chiodo et al. Male=11 23.0 ± 3.6 collected during
14 CMJ height and HGS
Female=4 male, 24.0 ± Elite athletes the Italian NR NR
and HGS decreased after
(Taekwondo) (Italy) 5.7 female Taekwondo
Jo
matches
Championship
No change in CMJ
performance for
Chiodo et al. Male=10
15 13 – 14 Two official CMJ height female group and
Female=7 Elite athletes 2 min 1 min
years matches and HGS increased for male.
(Taekwondo) (Italy)
HGS decreased
after match 2.
25
f
al. 21 20.0 ± 4.6 of training 5 min 15 min CMJ height decreased after
(Brazil) matches
oo
(Judo) experience matches 3 and 4.
CMJ power
decreased after
match 1 and CMJ
Detanico et
4.9 ± 3.1 years CMJ height, height and impulse
pr
al. 24 Male=22 Three simulated
25.8 ± 4.9 of training 7 min 14 min power, and decreased after
(Brazilian Jiu- (Brazil) matches
experience impulse match 2.
jitsu)
CMJ height
e-
decreased from
match 3.
Detanico et 11.7 ± 6.7 years
Male=10 Four simulated Sargent No change in
al. 23 21.7 ± 5.3 of training 2 min 13 min
Pr
(Brazil) matches jump test performance
(Taekwondo) experience
CMJ height,
power, and
Diaz-Lara et Male=26 CMJ height,
7.4 ± 3.6 years velocity, and HGS
al. 33 (Nine One official power, and
28.9 ± 4.2 of training 10 min - in dominant and
(Brazilian Jiu- different
l experience
match force, and
non-dominant
na
jitsu) countries) HGS
limbs decreased
after single match.
13.6 ± 15.5
23.0 ± 6.7
years of training
medalists, HGS decreased in
ur
NR, not reported; HGS, handgrip strength; CMJ, countermovement jump; SJ, squat jump.
f
oo
pr
e-
l Pr
na
ur
Jo