I. Introduction
Sports-related concussions have recently gained much attention, particularly with regard to prevention and management. Efforts to prevent such concussions, seen primarily in contact sports like rugby and soccer, have been implemented, including revising and creating guidelines for injury recovery1,2. A study analyzing data from the National Collegiate Athletic Association (NCAA) in the US reported a higher incidence of sports-related concussions in contact sports such as wrestling, ice hockey, and American football3. Other studies investigating brain damage resulting from these types of concussions have also been conducted, such as measuring head impact using accelerometers4 or estimating brain injury risk through video analysis5. Mechanisms of concussion have also been explored using a baseline evaluation or blood biomarkers6,7. However, most published studies on sports-related concussions have historically focused more on NCAA-sanctioned sports, such as American football and rugby. Few studies have been described in Western literature for the prevention of concussion in lesser-known Japanese contact sports, such as kendo (the Japanese art of fencing) and judo (the Japanese art of unarmed combat)8. Even in Japan, concussions are not well reported or studied in kendo9. Although these sports continue to cause numerous head injuries annually, research efforts have not been as extensively conducted in these sports10.