Las Vegas Review-Journal

UFC staying in fight

Mixed martial arts organizati­on gives $1M to Lou Ruvo Center for Brain Health study

- By Mary Hynes

We felt like we couldn’t just tell them, ‘Hey, you’re involved in dangerous activity, you could get hurt.’ We felt there was an obligation to affirmativ­ely investigat­e and try to figure out what was going here.’ on Lawrence Epstein Chief operating officer, UFC

Boxers know how to take it on the chin. But a long-term study in Las Vegas has found that they experience more brain damage from their bouts than do mixed martial arts fighters.

The study at the Cleveland Clinic Lou Ruvo Center for Brain Health is entering into its 10th year with support from UFC, which on Thursday announced a $1 million contributi­on and its collaborat­ion for five more years.

The contributi­on by the mixed martial arts organizati­on helps continue the study of the long-term effects of repetitive head trauma and of risk factors for chronic traumatic encephalop­athy, a progressiv­e, degenerati­ve disease of the brain.

UFC’S aim is to provide informatio­n to its athletes “so they can make informed decisions about their own health and safety,” said chief operating officer Lawrence Epstein, whose organizati­on has committed $2 million since joining the study in 2011.

“We felt like we couldn’t just tell them, ‘Hey, you’re involved in dangerous activity, you could get hurt.’ We felt there was an obligation to affirmativ­ely investigat­e and try to figure out what was going on here,” Epstein said.

The Profession­al Athletes Brain Health Study (formerly the Profession­al Fighters Brain Health Study) was launched in 2011 to examine the cumulative effects of repetitive concussion­s and other impacts to the brain in a group of profession­al fighters. The study was later expanded to include athletes in other sports exposed to repetitive head impacts.

The study is the largest of its kind, enrolling more than 800 active and retired athletes. Most of the athletes compete in mixed martial arts, boxing or profession­al bull riding.

Participat­ion in the study is voluntary. Athletes who participat­e receive free, ongoing assessment­s of brain health and function, including MRI scans.

CTE can only be suspected in individual­s with repeated head trauma but not diagnosed until after death, when certain proteins in the brain can be viewed in an

autopsy.

But over the past decade, researcher­s have detected subtle effects of

RHI on brain structure and identified proteins released in the blood following impact. These changes can be measured over time and may be early indicators of brain injury, providing data that could help athletes make decisions about their careers.

The applicatio­n of the findings extends beyond the world of sports to, for example, injuries sustained from military combat, researcher­s said.

Boxer v. MMA fighter

Researcher­s have looked at genetic and social factors that could increase risk, as well as at gender. Women are faring better in the study, and researcher­s will be publishing their findings on genetics, said Dr. Charles Bernick, the study’s founder and primary investigat­or.

The most significan­t risk factor, however, is exposure to head injury.

“In most everything we look at, the MMA fighters do better,” experienci­ng fewer changes in their brains and in cognitive tests, Bernick said. As for the boxers, “the usual explanatio­n is they just get hit in the head more.”

The longer the brains of the athletes can be studied, the more meaningful the findings, which makes Las Vegas uniquely suited for the study, one researcher said.

“In terms of fighting sports, we have a lot of retired boxers, we have a lot of retired MMA folks, and it gives us a great setting and opportunit­y to do this study here,” said

Dr. Aaron Ritter, the study’s co-primary investigat­or.

UFC wants the study’s findings to become a “fundamenta­l part of the regulation of combat sports,” Epstein said.

If a fighter has a detached retina, he won’t be licensed to fight, Epstein said. Similarly, under the scenario he envisions, if a fighter is predispose­d toward, or has early indication­s of, brain injury, the fighter wouldn’t be licensed.

The message then would be, “You’ve got to figure out something else to do with your life,” he said.

“This is not about trying to diagnose injury after it’s occurred,” he said. Instead, the goal is to “prevent injury from taking place in the first place.”

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 ?? Cleveland Clinic ?? Dr. Charles Bernick conducts a neurologic­al evaluation on a Profession­al Athletes Brain Health Study participan­t before the COVID-19 pandemic. At right, Pamela Dino of Cleveland Clinic administer­s balance testing as part of the study.
Cleveland Clinic Dr. Charles Bernick conducts a neurologic­al evaluation on a Profession­al Athletes Brain Health Study participan­t before the COVID-19 pandemic. At right, Pamela Dino of Cleveland Clinic administer­s balance testing as part of the study.
 ?? Cleveland Clinic ?? Dr. Charles Bernick with former world champion boxer Ray “Boom Boom” Mancini during a Profession­al Athletes Brain Health Study visit.
Cleveland Clinic Dr. Charles Bernick with former world champion boxer Ray “Boom Boom” Mancini during a Profession­al Athletes Brain Health Study visit.

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