RISKS AND BENEFITS OF BOXING TRAINING - A LITERATURE REVIEW

Authors

DOI:

https://doi.org/10.31435/ijitss.4(48).2025.4346

Keywords:

Boxing Injuries, Martial Arts, Boxer's Knuckle, Boxer's Fracture, Chronic Traumatic Encephalopathy, Boxing Health Benefits

Abstract

Introduction and purpose: Boxing, despite significant advancements in protective measures, remains a sport with a high risk of injury. Regular exposure of athletes to powerful blows, especially to the head, poses a serious health threat, both in the short and long term. This study aimed to analyze the most common injuries and complications associated with boxing and the potential benefits derived from training.

A brief description of the state of knowledge: The most frequent injuries in boxing affect the head and upper limbs. Neurological injuries, including concussions and their accumulation, can lead to chronic conditions such as chronic traumatic encephalopathy (CTE). Changes in brain activity observed in EEG confirm the impact of trauma on brain function. Injuries to the limbs mainly include fractures and overuse injuries of the hand and wrist joints. An additional threat is the spread of infectious diseases resulting from intense physical contact and weakened immunity. Despite the risks, boxing training promotes improvements in coordination, strength and stress reduction, so it is used in the therapy of mental health disorders.

Conclusions: Boxing carries a significant risk of injury; however, with appropriate protective measures and conscious training, it is possible to minimize its adverse effects. The sport can simultaneously bring substantial benefits to physical and mental health, provided that a rational approach to load and recovery is maintained.

References

Förstl H, Haass C, Hemmer B, Meyer B, Halle M. Boxing-acute complications and late sequelae: from concussion to dementia. Dtsch Arztebl Int. 2010 Nov;107(47):835-9. doi: 10.3238/arztebl.2010.0835. Epub 2010 Nov 26. PMID: 21173899; PMCID: PMC3003467.

Bernick C, Banks S. What boxing tells us about repetitive head trauma and the brain. Alzheimers Res Ther. 2013 Jun 4;5(3):23. doi: 10.1186/alzrt177. PMID: 23731821; PMCID: PMC3706825.

Mao Y, Zhao D, Li J, Fu W. Incidence Rates and Pathology Types of Boxing-Specific Injuries: A Systematic Review and Meta-analysis of Epidemiology Studies in the 21st Century. Orthop J Sports Med. 2023 Mar 31;11(3):23259671221127669. doi: 10.1177/23259671221127669. PMID: 37025124; PMCID: PMC10071201.

Finlay MJ, Greig M, Page RM, Bridge CA. Acute physiological, endocrine, biochemical and performance responses associated with amateur boxing: A systematic review with meta-analysis. Eur J Sport Sci. 2023 May;23(5):774-788. doi: 10.1080/17461391.2022.2063072. Epub 2022 May 19. PMID: 35380916.

Alevras AJ, Fuller JT, Mitchell R, Lystad RP. Epidemiology of injuries in amateur boxing: A systematic review and meta-analysis. J Sci Med Sport. 2022 Dec;25(12):995-1001. doi: 10.1016/j.jsams.2022.09.165. Epub 2022 Sep 15. PMID: 36195527.

Moeller EA, Thaller S. Craniofacial Injuries in Boxing. J Craniofac Surg. 2021 Jun 1;32(4):1556. doi: 10.1097/SCS.0000000000007309. PMID: 33273202.

Lemme NJ, Ready L, Faria M, DeFroda SF, Gil JA, Owens BD. Epidemiology of boxing-related upper extremity injuries in the United States. Phys Sportsmed. 2018 Nov;46(4):503-508. doi: 10.1080/00913847.2018.1516478. Epub 2018 Sep 8. PMID: 30156137.

Jayarao M, Chin LS, Cantu RC. Boxing-related head injuries. Phys Sportsmed. 2010 Oct;38(3):18-26. doi: 10.3810/psm.2010.10.1804. PMID: 20959692.

Ryan AJ. Intracranial injuries resulting from boxing. Clin Sports Med. 1998 Jan;17(1):155-68. doi: 10.1016/s0278-5919(05)70070-3. PMID: 9475980.

McKee AC, Cantu RC, Nowinski CJ, Hedley-Whyte ET, Gavett BE, Budson AE, Santini VE, Lee HS, Kubilus CA, Stern RA. Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. J Neuropathol Exp Neurol. 2009 Jul;68(7):709-35. doi: 10.1097/NEN.0b013e3181a9d503. PMID: 19535999; PMCID: PMC2945234.

Castellani RJ, Perry G. Dementia Pugilistica Revisited. J Alzheimers Dis. 2017;60(4):1209-1221. doi: 10.3233/JAD-170669. PMID: 29036831; PMCID: PMC5676846.

Wu S, Fu Z, Wang S, Zheng F, Qiu W, Xu G, Zhang D, Song J. Disrupted Functional Brain Network Architecture in Sufferers with Boxing-Related Repeated Mild Traumatic Brain Injury: A Resting-State EEG Study. J Integr Neurosci. 2024 May 16;23(5):102. doi: 10.31083/j.jin2305102. PMID: 38812391.

Weber JT. Experimental models of repetitive brain injuries. Prog Brain Res. 2007;161:253-61. doi: 10.1016/S0079-6123(06)61018-2. PMID: 17618983.

Drury BT, Lehman TP, Rayan G. Hand and Wrist Injuries in Boxing and the Martial Arts. Hand Clin. 2017 Feb;33(1):97-106. doi: 10.1016/j.hcl.2016.08.004. PMID: 27886844.

Noble C. Hand injuries in boxing. Am J Sports Med. 1987 Jul-Aug;15(4):342-6. doi: 10.1177/036354658701500408. PMID: 3661815.

Melone CP Jr, Polatsch DB, Beldner S. Disabling hand injuries in boxing: boxer's knuckle and traumatic carpal boss. Clin Sports Med. 2009 Oct;28(4):609-21,vii. doi: 10.1016/j.csm.2009.06.004. PMID: 19819405.

Loosemore M, Lightfoot J, Gatt I, Hayton M, Beardsley C. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad. Hand (N Y). 2017 Mar;12(2):181-187. doi: 10.1177/1558944716642756. Epub 2016 Jul 8. PMID: 28344531; PMCID: PMC5349401.

Giannatos V, Panagopoulos A, Antzoulas P, I Giakoumakis S, Lakoumentas J, Kouzelis A. Functional performance of the upper limb and the most common boxing-related injuries in male boxers: a retrospective, observational, comparative study with non-boxing population. BMC Sports Sci Med Rehabil. 2022 Sep 1;14(1):162. doi: 10.1186/s13102-022-00558-3. PMID: 36050792; PMCID: PMC9434859.

King OS. Infectious disease and boxing. Clin Sports Med. 2009 Oct;28(4):545-60, vi. doi: 10.1016/j.csm.2009.06.002. PMID: 19819401; PMCID: PMC7131564.

Bozdarov J, Jones BDM, Daskalakis ZJ, Husain MI. Boxing as an Intervention in Mental Health: A Scoping Review. Am J Lifestyle Med. 2022 Sep 9;17(4):589-600. doi: 10.1177/15598276221124095. PMID: 37426738; PMCID: PMC10328201.

Purcell LK, Leblanc CM; Canadian Paediatric Society, Healthy Active Living and Sports Medicine Committee, and American Academy of Pediatrics, Council on Sports Medicine and Fitness. Boxing participation by children and adolescents: A joint statement with the American Academy of Pediatrics. Paediatr Child Health. 2012 Jan;17(1):39-40. doi: 10.1093/pch/17.1.39. PMID: 23277756; PMCID: PMC3276529.

Cioffi R, Lubetzky AV. BOXVR Versus Guided YouTube Boxing for Stress, Anxiety, and Cognitive Performance in Adolescents: A Pilot Randomized Controlled Trial. Games Health J. 2023 Jun;12(3):259-268. doi: 10.1089/g4h.2022.0202. Epub 2023 Feb 6. PMID: 36745402; PMCID: PMC10254970.

23.Ling H, Hardy J, Zetterberg H. Neurological consequences of traumatic brain injuries in sports. Mol Cell Neurosci. 2015 May;66(Pt B):114-22. doi: 10.1016/j.mcn.2015.03.012. Epub 2015 Mar 12. PMID: 25770439.

Ianof JN, Freire FR, Calado VTG, Lacerda JR, Coelho F, Veitzman S, Schmidt MT, Machado S, Velasques B, Ribeiro P, Basile LFH, Paiva WS, Amorim R, Anghinah R. Sport-related concussions. Dement Neuropsychol. 2014 Jan-Mar;8(1):14-19. doi: 10.1590/S1980-57642014DN81000003. PMID: 29213874; PMCID: PMC5619443.

Posner MA, Ambrose L. Boxer's knuckle—dorsal capsular rupture of the metacarpophalangeal joint of a finger. J Hand Surg Am. 1989 Mar;14(2 Pt 1):229-36. doi: 10.1016/0363-5023(89)90011-7. PMID: 2703667.

Javed M, Hemington-Gorse S, Shokrollahi K. A new recreational mechanism for the boxer's knuckle: cause for concern? Ann R Coll Surg Engl. 2011 Jul;93(5):e55-6. doi: 10.1308/147870811X583250. PMID: 21943451; PMCID: PMC5827219.

Scale A, Kind A, Kim S, Eichenauer F, Henning E, Eisenschenk A. Intramedullary Single-Kirschner-Wire Fixation in Displaced Fractures of the Fifth Metacarpal Neck (Boxer's Fracture). JBJS Essent Surg Tech. 2022 May 19;12(2):e20.00050. doi: 10.2106/JBJS.ST.20.00050. PMID: 36741036; PMCID: PMC9889294.

Malik S, Herron T, Taqi M, Rosenberg N. Fifth Metacarpal Fracture. 2024 Feb 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29261999.

Hussain MH, Ghaffar A, Choudry Q, Iqbal Z, Khan MN. Management of Fifth Metacarpal Neck Fracture (Boxer's Fracture): A Literature Review. Cureus. 2020 Jul 28;12(7):e9442. doi: 10.7759/cureus.9442. PMID: 32864266; PMCID: PMC7451089.

Werntz RL, Varacallo MA. Metacarpal Fracture. 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 31855376.

Mohamed MB, Paulsingh CN, Ahmed TH, Mohammed Z, Singh T, Elhaj MS, Mohamed N, Khan S. A Systematic Review and Meta-Analysis of the Efficacy of Buddy Taping Versus Reduction and Casting for Non-operative Management of Closed Fifth Metacarpal Neck Fractures. Cureus. 2022 Aug 26;14(8):e28437. doi: 10.7759/cureus.28437. PMID: 36176848; PMCID: PMC9512295.

van Aaken J, Kämpfen S, Berli M, Fritschy D, Della Santa D, Fusetti C. Outcome of boxer's fractures treated by a soft wrap and buddy taping: a prospective study. Hand (N Y). 2007 Dec;2(4):212-7. doi: 10.1007/s11552-007-9054-2. Epub 2007 Jul 3. PMID: 18780055; PMCID: PMC2527222.

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Published

2025-12-30

How to Cite

RISKS AND BENEFITS OF BOXING TRAINING - A LITERATURE REVIEW. (2025). International Journal of Innovative Technologies in Social Science, 4(4(48). https://doi.org/10.31435/ijitss.4(48).2025.4346

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