# Examination of Non-Specific Low Back Pain, Pain Perceptions and Disability Between Brazilian Jiu Jitsu, Muay Thai and Boxing Athletes

## TL;DR

This study compares low back pain, pain perceptions, and disability among Brazilian Jiu Jitsu, Muay Thai, and Boxing athletes.

## Contribution

The study identifies differences in pain perception and disability specifically among Brazilian Jiu Jitsu athletes compared to other martial arts.

## Key findings

- Brazilian Jiu Jitsu athletes reported higher emotional and sensory pain intensity than Muay Thai and Boxing athletes.
- Brazilian Jiu Jitsu athletes also experienced higher disability due to pain and perceived their pain as more persistent and mysterious.
- Age correlated with pain perception in Brazilian Jiu Jitsu and Boxing athletes but not in Muay Thai.

## Abstract

Background: Non-specific low back pain is the leading cause of years lived with disability worldwide. The present study investigates non-specific low back pain, pain perceptions and disability due to pain among Brazilian Jiu Jitsu, Muay Thai and Boxing athletes. Methods: The study included 90 amateur athletes (aged 18–45 years; M = 28.97, SD = 5.88). The athletes completed the valid and reliable Pain Beliefs Perceptions Inventory (PBPI), the Quebec Pain Disability Scale (QPDS) and the Short-Form McGill Pain Questionnaire (SF-MPQ) which includes the Visual Analogue Scale (10 cm VAS 0–10 rating system) and the Present Pain Intensity index (PPI). Results: The results revealed that the majority of athletes rated their pain as low (SF-MPQ: M = 12.34, SD = 8.91; VAS: M = 1.65, SD = 1.82; PPI: M = 2.10, SD = 1.08) with low disability due to pain (QPDS: M = 18.98, SD = 22.71). Also, the majority of athletes disagreed that their pain was mysterious or persistent with high duration (PBPI: M = 1.43, SD = 2.23). Between the three martial arts, Brazilian Jiu Jitsu athletes showed statistically significantly (a) higher emotional and sensational pain intensity (x2(2) = 15.73; p < 0.001; x2(2) = 19.34; p < 0.001), (b) higher disability due to pain (x2(2)= 25.30; p < 0.001) and (c) more mysterious, more persistent pain with more duration (x2(2)= 9.32; p < 0.05) than Muay Thai and Boxing athletes. Also, a few correlations were found between age and pain perception only in Brazilian Jiu Jitsu and Boxing martial arts athletes. Conclusions: Further research is required to elucidate the biomechanical and psychological factors contributing to these differences between martial arts athletes.