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Competitive slap fighting, a sport where participants deliver powerful open-handed slaps to each other’s faces, is gaining popularity in the US and other countries like the UK. However, a recent study published in JAMA Surgery has raised concerns about the high rate of brain injuries among slap fighting athletes.

Researchers from the University of Pittsburgh School of Medicine analyzed 333 slaps during professional slap fighting matches and found that more than half of the slap sequences resulted in participants showing visible signs of concussion. Additionally, nearly 80% of fighters demonstrated at least one sign of concussion during their matches.

These findings highlight the potential dangers of slap fighting, with some athletes experiencing impaired movement, blank stares, and difficulty getting back up after being knocked down. The risks associated with the sport were further emphasized by the tragic case of Polish slap fighter Artur Walczak, who suffered a brain bleed and later died from multiple organ failure linked to his brain injury.

Retired slap fighter Kortney Olson also shared her experience of losing consciousness and doing a forward roll after a particularly forceful strike during a match. Her story underscores the serious consequences that can result from participating in slap fighting.

While athletes and organizers are working to establish slap fighting as a legitimate sport, it’s essential to consider the potential long-term health implications of engaging in such a high-impact activity. The JAMA Surgery warning letter serves as a stark reminder of the importance of prioritizing athlete safety and well-being in all sports, including unconventional ones like slap fighting.