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Combat-Sport-Specific Preventive Warm-Up Programmes

            ibility involving the knee, hip, and shoulder have been associated with
            increased injury incidence.
              Based on these findings, IPW primarily targets:

              1. improvement of strength, explosiveness, and mobility;
              2. reduction of inter-limb asymmetries;
              3. enhancement of falling technique and head/neck control; and
              4. reduction of mechanical loads associated with the most common
                injury mechanisms, particularly knee valgus during leg attacks and
                takedown situations.
              When designing IPW, the authors also considered commonly report-
            ed barriers to the implementation of preventive programmes, includ-
            ing limited time availability, financial constraints, lack of equipment,
            and unclear exercise instructions. Consequently, the programme was
            designed to be:

              1. time-efficient, requiring approximately 15–20 minutes at the begin-
                ning of training sessions or competitions;
              2. performed at least twice weekly, ideally before higher-intensity ses-
                sions;
              3. feasible without additional equipment;
              4. modular, allowing exercises to be substituted or adapted according
                to discipline-specific demands, athlete age, performance level, and
                individual risk profiles; and
              5. deliverable independently by coaches, without mandatory involve-
                ment of physiotherapists or strength and conditioning specialists.

              The programme is organised according to the RAMP framework (Raise-
            Activate-Mobilise-Potentiate), a model that has previously demonstrated
            practical utility in team and contact sports and is regarded as an effective
            structure for preparing athletes for explosive and high-intensity sport
            tasks. IPW follows the four primary RAMP phases, with exercise selec-
            tion informed by available evidence regarding improvements in strength,
            mobility, balance, explosiveness, and biomechanical parameters associ-
            ated with injury prevention. Examples of exercises proposed within each
            RAMP phase include (Saville, 2025):
              1. Raise phase. This phase replicates the physiological demands typi-
                cal of grappling bouts, during which heart rate frequently reaches
                180–190 beats per minute, and progressively prepares the athlete for
                training or competition.

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