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The risk of dying or suffering catastrophic injury through boxing is very low compared to other contact sports. The evidence of that is overwhelming. However opponents of boxing claim that, over time, boxing causes long-term brain damage.
 

The most extensive and scientifically-controlled study to test that claim was conducted in Ireland between 1992 and 2001 by Dr Mark Porter, a former sports physician (now orthopaedic surgeon) who was for some time based at the Australian Institute of Sport. In his study, 20 randomly-selected active experienced amateur boxers were given neurological tests over a nine-year time period, as were 20 randomly-selected control subjects who trained at the same 6 gymnasiums but had never boxed or sparred.
 

At the start of the study, each boxer was at least 16 years old, had competed in a minimum of 40 amateur bouts, was actively competing or in training for competition, and had no known history of cerebral injury, learning difficulties, excessive alcohol intake, drug abuse, exposure to organic solvents, or history of major illness or psychiatric problem.
 

The controls, matched to the boxers for age, were males who were not allowed to take part in any full contact combat sport (e.g. karate, kick-boxing, judo), but were allowed to take part in other contact sports (e.g. any of the codes of football). The study controlled for age and socio-economic status. There was no significant difference in education level between the boxers and control subjects.
 

Subjects underwent a series of neuropsychological tests in 1992 which were repeated after 18 months, 4 years, 7 years and 9 years. The tests were performed by a sports physician with clinical training in neuropsychology, who did not know which persons were boxers and which were not (this is known as 'blinding' the researcher, and is designed to avoid bias).
 

The data and test results were statistically processed by computer using regression analysis. Not only was there no evidence of decreased test performance by the amateur boxers over the period of nine years, there was instead significantly better performance by the boxing group, compared to the age-matched controls.
 

In particular, the number of bouts, percent wins, or sparring frequency did not affect the boxers' neurological performance. Hence, the study found no support for the claim that amateur boxing is associated with chronic brain damage.
 

Refreshingly, Dr Porter's study strides ahead of most other research on boxing because it employed the best scientific methodology available. The sample size (20) is not as large as we might wish, but then much of the previous 'research' used a sample size of one! Dr Porter's research was published in December 2003 - details as follows: Porter, M.D.: A 9-Year Controlled Prospective Neuropsychologic Assessment of Amateur Boxing: Clinical Journal of Sport Medicine 2003; 13(6):339-352
 

The bulk of so-called research on boxing is ideological diatribe by people with an anti-boxing bias based on emotion rather than medical evidence. People tend to believe what the medical associations say, because the medical authorities are assumed to be un-biased good folk who have our health and safety at heart. The fact is, medical associations have a long history of waging political "holy wars" against minority groups. My article Medicine's history of political persecution details the sad record of western medical authorities in promoting racism, discrimination and persecution in the guise of "health concern".

Copyright Tony Whelan 2003. This article may be reproduced only by permission of the author.

Here are some references on safety/injury research in amateur boxing. We have added a short abstract of each item, so you can see the major conclusion of each article.

J. Moriarity, MD, A. Collie, PhD, D. Olson, MD, J. Buchanan, DO, P. Leary, DO, M. McStephen, Grad Dipl Computing and P. McCrory, MBBS PhD   A prospective controlled study of cognitive function during an amateur boxing tournament NEUROLOGY 2004;62:1497-1502   

Concluded  that with the exception of boxers whose contest is stopped by the referee, amateur boxers participating in multiple bouts during a 7-day tournament display no evidence of cognitive dysfunction in the immediate postbout period.   

Porter, M.D.  A 9-Year Controlled Prospective Neuropsychologic Assessment of Amateur Boxing Clinical Journal of Sport Medicine 2003; 13(6):339-352

Concluded that there was no evidence of decreased test performance by 20 actively competing amateur boxers over a nine year study period; there was instead significantly better performance by the boxing group, compared to the age-matched control group of non-boxers.   

Timm KE, Wallach JM, Stone JA, Ryan EJ.  Fifteen Years of Amateur Boxing Injuries/Illnesses at the United States Olympic Training Centre Journal of Athletic Training 1993 Vol 28 (pp330-334)   

Concluded  that serious injuries represented only a small percentage of health problems with elite amateur boxers, and that amateur boxing is a safe sport.   

Porter M, Fricker P.  A Controlled Neuropsychological Assessment of Active Experienced Amateur Boxers Abstracts of Australian Conference of Science and Medicine in Sport 1995   

There was no evidence of neuropsychological impairment in boxers compared with controls and no association between boxing exposure.   

Stewart WF, Gordon B.  Amateur Boxing: Is There a Risk of Brain Injury? In Cantu R (editor) Boxing and Medicine, Human Kinetics, Illinois 1995 (pp33-63)   

1985 study suggested that increased number of bouts in past may be associated with diminished performance in selected cognitive areas, but observed associations were not statistically significant. Laxer safety rules prior to 1984 may  account for  some of the observed associations.   

Estwanik JJ. Professional and Amateur Rules and Regulations  In Cantu R (editor) Boxing and Medicine, Human Kinetics, Illinois 1995 (pp9-16)   

A useful  American article which provides detailed safety-related differentiation of amateur versus professional boxing rules and practices.
  

J. Moriarity, MD, A. Collie, PhD, D. Olson, MD, J. Buchanan, DO, P. Leary, DO, M. McStephen, Grad Dipl Computing and P. McCrory, MBBS PhD  A prospective controlled study of cognitive function during an amateur boxing tournament NEUROLOGY 2004;62:1497-1502

With the exception of boxers whose contest was stopped by the referee, amateur boxers participating in multiple bouts during a 7-day tournament displayed no evidence of cognitive dysfunction in the immediate postbout period.