Background: In the martial art of Muay Thai, techniques are used with hands, elbows, knees and kicks. The contestants are divided into different weight classes and experience levels. The Swedish martial arts association has decided that techniques with elbow are not allowed in B-class. Why is it so?Objective: The aim of this study was to investigate whether the martial arts delegation decision to restrict techniques with elbows to the head in the B-class is justified.