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Bas said in one of his tapes if they are used at all, you should throw them to the head. The reason is because you can easily sweep your arm across the leg and it will either make the kicker lose balance or turn their back to you.
I think in order for the actual technique to be effective in MMA you need great flexibility, speed, and a shortened stance (to throw a lead leg sidekick to the head). All of those are probably not very high up on the list of someone training for MMA.
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