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Rok Vatovec
and repeated exposure to extreme cervical positions were identified as
key risk factors (Bakirtzis et al., 2024).
Understanding these sport-specific biomechanical loads is essential
for the design of targeted injury-prevention programmes in combat
sports. Epidemiological evidence identifies the anatomical regions most
frequently affected by injury (e.g., the knee, shoulder, and head/neck),
whereas biomechanical analyses clarify which movements and tech-
niques generate the greatest mechanical stress and where the principal
points of injury risk are located (Bakirtzis et al., 2024; Bromley et al., 2018;
Gavagan & Sayers, 2017; Imamura et al., 2007). On this basis, coaches and
strength and conditioning professionals can design programmes that:
1. in grappling combat sports emphasise knee control, trunk stabilisa-
tion, and falling techniques;
2. in striking combat sports systematically develop trunk and shoulder-
girdle control together with the efficient use of lever systems; and
3. across all combat sports include exercises aimed at cervical spine
protection and the teaching of safe strategies during throws, land-
ings, and contact situations with an opponent.
Such a biomechanical perspective bridges epidemiological injury data
with the practical design of preventive training content, thereby forming
the foundation for effective and evidence-informed injury prevention in
combat sports.
Conclusion
Fundamental biomechanical principles provide a practical framework
for understanding why injuries in combat sports occur in predictable
contexts and why certain anatomical regions are repeatedly exposed to
high levels of mechanical stress. By linking core concepts – such as force,
impulse, moments, and centre-of-mass control – to sport-specific ac-
tions, it becomes possible to identify where mechanical loads are great-
est, how technique and timing influence the direction and magnitude of
loading, and which situations are most likely to exceed tissue tolerance.
For injury prevention in wrestling and related combat sports, the prin-
cipal implication is that effective preventive strategies should be sport-
specific and informed by the characteristic loading profiles of each dis-
cipline. This includes technical instruction aimed at reducing unneces-
sary peak loads, progressive conditioning of relevant tissues, and training
design that appropriately manages cumulative exposure while preserv-
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