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. 2024 Dec 12;47(1):899.
doi: 10.1007/s10143-024-03146-w.

Cervical spine injuries in professional judo: a cross-sectional analysis of prevalence, risk factors, and preventive measures

Lucca B Palavani  1 , Bernardo V Nogueira  2 , Marcelo Costa  3 , Lucas P Mitre  4 , Manuella K Frediani  5 , Gustavo Rielo  5 , Rafael C de Lira  6 , Adriano R Dos Santos  7 , Leandro M Guilheiro  8   9 , Vinicius M P Guirado  10 , Jean G de Oliveira  4 , Jose Carlos E Veiga  4 , Marcio S Rassi  4
Affiliations

Cervical spine injuries in professional judo: a cross-sectional analysis of prevalence, risk factors, and preventive measures

Lucca B Palavani et al. Neurosurg Rev. .

Abstract

Introduction: Judo, a martial art created by Jigoro Kano in 1882, is a martial art promoting physical and spiritual development. Despite its "gentle way" philosophy, it poses a significant risk for cervical spine injuries, often resulting from throws and ground techniques.

Methods: This cross-sectional study analyzed cervical injuries among professional judo athletes from January to July 2024. Data were collected via an online questionnaire covering demographics, injury details, circumstances, and prevention. The study included athletes from seven countries, with exclusion criteria being pre-existing non-judo-related cervical conditions and incomplete questionnaires. Descriptive and inferential statistical analyses were performed using RStudio 4.4.0.

Results: Of the 104 participants, 42 athletes reported cervical injuries, primarily during practice and linked to high-risk techniques like uchi-mata and ippon-seoi-nage. Defensive maneuvers, especially involving the "head dive," were significant risk factors. Injuries ranged from contusions to disc herniations and fractures, with symptoms like pain, numbness, and weakness. Most athletes received physical therapy, though some required surgery. Preventive measures were inconsistently applied, despite advice from coaches and physical therapists.

Conclusion: Cervical spine injuries in judo are common, especially during defensive maneuvers and specific high-risk techniques. The variability in treatment outcomes underscores the need for better prevention strategies, education, and tailored training. Further research is essential to mitigate injury risks for judo athletes.

Keywords: Cervical injuries; Injury and prevention; Judo; Neurosurgical trauma.

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Conflict of interest statement

Declarations. Ethical approval: This study was approved by the Research Ethics Committee through Plataforma Brasil, a national online system for submitting and monitoring research involving human subjects, as per Brazilian ethical regulations. The approval was granted under the Certificate of Presentation for Ethical Consideration (CAAE): 80173124.4.0000.0081. All procedures performed in this study involving human participants adhered to the ethical standards of the institutional and national research committees and the 1964 Helsinki declaration and its later amendments. Written informed consent was obtained from all participants prior to their inclusion in the study. Competing interests: The authors declare no competing interests.

References

    1. Nakanishi T, Hitosugi M, Murayama H et al (2021) Biomechanical Analysis of Serious Neck injuries resulting from Judo. Healthc (Basel) 9(2):214. https://doi.org/10.3390/healthcare9020214 PMID: 33669437; PMCID: PMC7920453 - DOI
    1. Murayama H, Hitosugi M, Motozawa Y, Ogino M, Koyama K (2020) Biomechanical analysis of the Head movements of a person thrown by the Judo technique ‘Seoi-nage’. Neurol Med Chir (Tokyo) 60(2):101–106. https://doi.org/10.2176/nmc.oa.2019-0206 Epub 2019 Dec 21. PMID: 31866665; PMCID: PMC7040429 - DOI - PubMed
    1. International Judo Federation Sport and Organisation Rules. Version: 12 March 2024. IJF Headquarters and Presidential Office, Budapest, Hungary; IJF General Secretariat, Saint-Maur-des-Fossés, France
    1. Pocecco E, Ruedl G, Stankovic N et al (2013) Injuries in judo: a systematic literature review including suggestions for prevention. Br J Sports Med 47(18):1139–1143. https://doi.org/10.1136/bjsports-2013-092886 - DOI - PubMed
    1. Stanbouly D, Richardson J, Lee KC, Zeng Q, Perrino MA, Chuang SK (2022) A comparison of 2,845 Head and Neck Injuries in various Martial arts. J Oral Maxillofac Surg 80(4):682–690. https://doi.org/10.1016/j.joms.2021.12.001 - DOI - PubMed

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