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This is a follow up to Bob’s introduction to rhabdomyolysis as it relates to martial artists.
Rhabdomyolysis is the destruction of skeletal muscle leading to the release of the muscular tissue components creatine kinease (CK) and myoglobin into the bloodstream (Huerta-Alardin, Varon & Marik, 2004). These components can pose a potential serious risk to the kidneys as they are cleared from the blood stream. Rhabdo can be caused by numerous factors, and can cause symptoms ranging in severity from mild to life threatening. Classic symtpoms include muscle pain, weakness and darkened urine (ranging from pinkto cola colored). Blood tests reveal elevated serum CK and myoglobin levels. More severe cases may present symptoms such as malaise, fever, tachycardia, nausea and vomiting (Huerta-Alardin et al., 2004). In severe cases acute renal failure can result, requiring medical attention.
The practice of martial arts has come to be diverse in terms of the wide range of arts and schools available and in terms of the population that is involved. Physical fitness and talent may only be required to a small degree, or they may be paramount to success. Students may be dedicated about conditioning, or they may be “weekend-warriors” whose primary physical activity is a class. An instructor may be qualified in a technical realm but not be a good source of information in others, such as the nature of violence. The need for Evidence Based Practice (EBP) is just as high as in any other vigorous physical activity, yet appeals to tradition, history and authority and “experts” often lead students and practitioners to accept dubious information or ignore new information, which can have consequences on a number of levels. For this discussion, the practice of the various martial arts can be divided into two realms: recreational (i.e., oriented at self defense, fitness, cultural, etc.) and competitive (amateur or professional competition). Most of this discussion will focus on the recreational realm.
An extreme example of a lack of critical thinking and evidence-based practice can be found in the cult of personality that has developed around Ueshiba Morihei, founder of the Japanese art of Aikido.