Manual strangulation (also known as "throttling") refers to strangling with the hands, fingers, or other extremities (sometimes also with blunt objects such as batons). In violence, this type of strangling is mostly done by men against women rather than against another man, because it generally requires disparity in physical strength between the assailant and the victim. Depending on how the strangling is performed, it may compress the airway, interfere with the flow of blood in the neck, or work as a combination of the two. Consequently, manual strangulation may damage the larynx, and fracture the hyoid or other bones in the neck. In cases of airway compression, manual strangling leads to the frightening sensation of air hunger and may induce violent struggling. More technical variants of manual strangulation are referred to as chokeholds, and are extensively practiced and used in various martial arts, combat sports, self-defense systems, and in military hand-to-hand combat application. In some martial arts like Judo and Jiu Jitsu strangles or chokes are regarded as a safe way to render the opponent unconscious as opposed to other attacks e.g. strikes to the head. While some strangles can be done by lifting the other person in the air, off their toes, pinned against a wall, or naturally lifted off the ground which requires physical strength, many technical strangles such as Rear naked choke (hadaka-jime) or triangle choke (sankaku-jime) requires much less physical strength and can be executed by a smaller person on a larger assailant.
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