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职业柔道运动员颈椎损伤:患病率、危险因素及预防措施的横断面分析

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

作者信息

Palavani Lucca B, Nogueira Bernardo V, Costa Marcelo, Mitre Lucas P, Frediani Manuella K, Rielo Gustavo, de Lira Rafael C, Dos Santos Adriano R, Guilheiro Leandro M, Guirado Vinicius M P, de Oliveira Jean G, Veiga Jose Carlos E, Rassi Marcio S

机构信息

Max Planck University Center, Indaiatuba, São Paulo, Brazil.

Serra dos Órgãos University Center, Teresópolis, Rio de Janeiro, Brazil.

出版信息

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

DOI:10.1007/s10143-024-03146-w
PMID:39663225
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.

摘要

引言

柔道是嘉纳治五郎于1882年创立的一种武术,是一种促进身心发展的武术。尽管其秉持“温和方式”的理念,但它对颈椎损伤构成重大风险,这种损伤通常源于投掷和地面技术。

方法

这项横断面研究分析了2024年1月至7月职业柔道运动员的颈椎损伤情况。通过在线问卷收集数据,内容涵盖人口统计学信息、损伤细节、情况及预防措施。该研究纳入了来自七个国家的运动员,排除标准为既往存在的与柔道无关的颈椎疾病以及问卷填写不完整的情况。使用RStudio 4.4.0进行描述性和推断性统计分析。

结果

在104名参与者中,42名运动员报告有颈椎损伤,主要发生在训练期间,且与诸如内股和一本背负投等高风险技术有关。防御动作尤其是涉及“头部下潜”的动作是重要风险因素。损伤范围从挫伤至椎间盘突出和骨折,伴有疼痛、麻木和无力等症状。大多数运动员接受了物理治疗,不过有些需要手术治疗。尽管有教练和物理治疗师的建议,但预防措施的应用并不一致。

结论

柔道中的颈椎损伤很常见,尤其是在防御动作和特定高风险技术过程中。治疗结果的差异凸显了制定更好的预防策略以及开展教育和量身定制训练的必要性。进一步的研究对于降低柔道运动员损伤风险至关重要。

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Cervical and Lumbar Disk Replacement in Athletes: Is It Safe to Return to Play? A Systematic Review of the Scientific Literature and Lay Press.运动员的颈椎和腰椎间盘置换术:重返赛场是否安全?对科学文献和大众媒体的系统综述
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