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1 86 Journal of Exercise Physiologyonline February 2018 Volume 21 Number 1 Editor-in-Chief Official Research Journal of Tommy the American Boone, PhD, Society MBA of Review Exercise Board Physiologists Todd Astorino, PhD Julien Baker, ISSN PhD Steve Brock, PhD Lance Dalleck, PhD Eric Goulet, PhD Robert Gotshall, PhD Alexander Hutchison, PhD M. Knight-Maloney, PhD Len Kravitz, PhD James Laskin, PhD Yit Aun Lim, PhD Lonnie Lowery, PhD Derek Marks, PhD Cristine Mermier, PhD Robert Robergs, PhD Chantal Vella, PhD Dale Wagner, PhD Frank Wyatt, PhD Ben Zhou, PhD Official Research Journal of the American Society of Exercise Physiologists ISSN JEPonline The Reporting of a Multifaceted Mixed Martial Arts Strength and Conditioning Program Corey A. Peacock 1, Gabriel J. Sanders 2, Jose Antonio 1, Tobin A. Silver 1 1 Department of Health and Human Performance, Nova Southeastern University, Fort Lauderdale, FL, USA, 2 Department of Kinesiology, Northern Kentucky University, Highland Heights, KY, USA ABSTRACT Peacock CA, Sanders GJ, Antonio J, Silver TA. The Reporting of a Multifaceted Mixed Martial Arts Strength and Conditioning Program. JEPonline 2018;21(1): With the recent increase in popularity of Mixed Martial Arts (MMA), it is imperative to assess the effectiveness of strength and conditioning (S&C) modalities while encouraging other S&C professionals to do so as well. There is minimal literature evaluating the role of S&C, and even less literature evaluating the role of the traditional mixed martial art, Tai Chi (TC) as it applies to MMA. Twelve professional MMA athletes were tested on balance, flexibility, and power following a 6-wk S&C program that included TC in the form of a cool-down. The data suggested improvements (P 0.05) in both balance (Balance Error Scoring System, BESS) and flexibility (sit and reach) following the 6-wk block of MMA S&C in adjunct with TC. Key Words: Balance, Exercise, Flexibility, MMA

2 87 INTRODUCTION Recent Tai Chi (TC) literature has emphasized improvements in balance, gait, and flexibility in both special and healthy populations when compared to other active therapies (8,9). When compared to other exercising modalities, TC is also linked to improvements in muscular strength, primarily in the knee and ankle movers (1). Many of these improvements in strength and flexibility have been theorized as improved neural activation activity and homeostasis (8). Other research has indicated that TC can increase neural control in the body s extremities, including the lower body (10). In addition, TC results in certain physical benefits by way of improving cardiorespiratory health (2,3). Finally, TC has been shown to produce benefits in hormone performance levels such as cortisol (5). With all of the evidence linking TC to improved physical performance, there is still a lack of research examining the inclusion of TC into Mixed Martial Arts (MMA) strength and conditioning (S&C). Therefore, the purpose of this study was to assess the effectiveness of the inclusion of TC as a cool-down modality for MMA S&C sessions. We hypothesize that TC in adjunct to proper S&C may elicit physical performance improvements in professional MMA athletes. METHODS Subjects Twelve professional MMA athletes (12 males, 25.2 ± 2.3 yrs.; ± 8.6 cm; 85.6 ± 17.3 kg) completed a 6-wk block of S&C training. In adjunct with the S&C training, TC was used as a cool-down. The Nova Southeastern University IRB approved the program assessment investigation. The S&C training period was comprised of multiple components, including anaerobic, metabolic, and TC methods (Table 1). Table 1. Six-Weeks of S&C in Adjunct with TC Program. Mode Frequency Duration Intensity Anaerobic Resistance and Mobility Training Metabolic Conditioning 2 d wk min 67 85% 1-RM 2 d wk min > 9 Mets Tai Chi 2 d wk min Cool-Down METS = Metabolic Equivalents; 1-RM = One-Repetition Max

3 Procedures The first of these components included anaerobic resistance and mobility training exercises. This component included Movement Preparation, Upper-Body Push and Pull, Lower-Body Push and Pull, Carry Variation, and Rotational Exercises. The metabolic conditioning exercise was the second component of the training. It consisted of multiple modalities to elicit a vigorous exercise response (i.e., >9 METs [metabolic equivalents]), which included airdyne, sprint, and battle-rope training. The third component, in conjunction with the anaerobic and metabolic exercise, was the inclusion of TC as a cool-down. The TC included multiple movements focusing on both the half body-turning movements and upper quarter body movements as they are theorized to mobilize internal energy efficiently (4). Statistical Analyses The programmed components of the training were utilized in all training sessions over the 6- wk period (12 S&C training periods total). The athletes were tested for balance (Bess Testing), flexibility (Sit and Reach), and power (Vertical Jump) both pre and post 6-wk training period. All data were analyzed using a two time-point (pre, post) repeated measures ANOVA. Post hoc analyses of any significant main effects of condition were performed utilizing t-tests with the Benjamini and Hochberg False Discovery Rate correction for multiple comparisons. Means and variability were calculated for all variables. All statistical analyses were completed using SPSS for Windows (version 22.0, SPSS Inc., Evanston, IL). RESULTS The data analysis confirmed that the 12-subject population of professional MMA athletes improved both their balance (Balance Error Scoring System, BESS) and flexibility (sit and reach) during the 6-wk block of S&C in adjunct with TC (Table 2). 88 Table 2. Pre- and Post-Assessment of Testing Measures in MMA Athletes (Mean ± SD). Variable Pre- Post- P-value BESS 11.9 ± ± 2.8 P = 0.012* Vertical Jump (cm) 68.9 ± ± 5.2 P = Sit and Reach (cm) 17.4 ± ± 4.3 P = 0.004* SD = Standard Deviation; cm = Centimeters; *denotes significance (P 0.05). Overall, the subjects significantly (P 0.05) improved their balance (using the BESS test) by 9% and flexibility (using the Sit and Reach) test by 8%. There were no significant (P 0.050) improvements in the subjects power Vertical Jump test following the 6-wk training block.

4 89 DISCUSSION As MMA increases in popularity, so will the potential for improved practices and strategies in S&C preparation. The aforementioned training block provided professional MMA athletes physical improvements following TC in adjunct with MMA S&C training over a 6-wk period. Comparable to recent TC literature, the data demonstrated improvements in both balance and flexibility in the MMA population (6-9). In addition, the data demonstrated similar results in the existing literature, given the no improvement in the subjects power testing (7). Although TC has been widely researched, there is minimal literature regarding the effectiveness of TC in adjunct with S&C in professional athletes, including MMA. The reported significant evidence in regards to balance and flexibility improvements may better contribute to the existing literature targeting athletic populations. Although this is a preliminary brief report examining the performance results, it is not without limitations. In particular, given that it is difficult to obtain professional MMA athletes, the sample size is relatively small. Secondly, no control exists for the comparison of results between groups. Currently, research is underway to reflect limitations and to better examine S&C data in professional MMA athletes. CONCLUSIONS The MMA athletes may benefit from the inclusion of TC training with their S&C training. The results in the present study demonstrate that TC in adjunct with traditional S&C programming improves both flexibility and balance. These results may also prove beneficial for athletes interested in the improvement of multiple aspects of performance while training for MMA. ACKNOWLEDGMENTS We thank Stephen Hwa, PhD and Jacob Bonacci, MS for TC and S&C support, respectively. We thank Chris Jalmus for manuscript preparation support. No conflicts of interest exist. Address for correspondence: Corey A Peacock, PhD, Department of Health and Human Performance, Nova Southeastern University, Fort Lauderdale, FL 33314, USA, cpeacock@nova.edu REFERENCES 1. Choi JH, Moon JS, Song R. Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults. J Adv Nursing. 2005;51(2): Hong Y, Li JX, Robinson PD. Balance, control, flexibility, and cardiorespiratory. Brit J Sports Med. 2000;34:29-34.

5 3. Huston P, McFarlane B. Health benefits of Tai Chi: What is the evidence? Canadian Fam Physician. 2016;11: Hwa S. Uncovering the Treasure: Classical Tai Chi s Path to Internal Energy and Health. Luxembourg: Createspace Independent Publishing, Lai HM, Liu MSY, Lin TJ, Tsai YL, Chien EJ. Higher DHEAS levels associated with long-term practicing of Tai Chi. Chin J Physiology. 2017;60(2): Li Y, Devault CN, Van Oteghen S. Effects of extended Tai Chi intervention on balance and selected motor functions of the elderly. Am J Chin Med. 2007;35(3): Orr R, Tsang T, Lam P, Comino E, Singh MF. Mobility impairment in type 2 diabetes: Association with muscle power and effect of Tai Chi intervention. Diabetes Care. 2006;29(9): Taylor E, Taylor-Piliae RE. The effects of Tai Chi on physical and psychosocial function among persons with multiple sclerosis: A systematic review. Pmed. 2017;31: Yang Y, Li XY, Zhu YL, Hao YL. Tai Chi for improvement of motor function, balance and gait in Parkinson's disease: A systematic review and meta-analysis. Pmed. 2014;21(9): Zhou M, Peng N, Dai Q, Li HW, Shi RG, Huang W. Effect of Tai Chi on muscle strength of the lower extremities in the elderly. Chin J Integr Med. 2016;22 (11): Disclaimer The opinions expressed in JEPonline are those of the authors and are not attributable to JEPonline, the editorial staff or the ASEP organization.

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