Subscribe to RSS
DOI: 10.1055/a-2280-4963
Injury Risk Analysis among Judo Athletes with Intellectual Disabilities
![](https://www.thieme-connect.de/media/sportsmed/202407/lookinside/thumbnails/10301_10-1055-a-2280-4963-1.jpg)
Abstract
The main aim of this study was to evaluate injury prevalence, incidence rate, and burden in judo athletes with intellectual disabilities (ID) who participate in international competitions. This retrospective cross-sectional study analyzed data from the past year for 182 judo athletes with ID. Data was collected using a self-reported questionnaire, adapted from previous research, that included questions about injuries impacting training or competition, injury type, mechanism, severity, diagnosis, and location on the body. The injury prevalence among judo athletes with ID occurred most often during training (68.2%) and primarily affected the lower extremities (35%). Age group and injury prevalence were significantly related (χ2=7.91; P=0.04), while gender, weight, and ability level were not. Results were closer to those previously reported for conventional judo, which is likely due to the lower practice intensity among judo athletes with ID. Injury prevalence was lower than in prior studies, but the incidence rates aligned when considering training time in judo athletes with ID. Injury burden analysis revealed that females had a lower burden than males, while older athletes experienced a higher burden than younger athletes. Most injuries occur during training, which is likely attributable to safety-focused competition rules.
Publication History
Received: 30 October 2023
Accepted: 20 February 2024
Article published online:
02 April 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Franchini E, Brito CJ, Fukuda DH. et al. The Physiology of Judo-Specific Training Modalities. J Strength Cond Res 2014; 28: 1474-1481
- 2 Deroche T, Stephan Y, Woodman T. et al. Psychological mediators of the sport injury—perceived risk relationship. Risk Analysis: An International Journal 2012; 32: 113-121
- 3 Pocecco E, Ruedl G, Stankovic N. et al. Injuries in judo: A systematic literature review including suggestions for prevention. Br J Sports Med 2013; 47: 1139-1143
- 4 Akoto R, Lambert C, Balke M. et al. Epidemiology of injuries in judo: A cross-sectional survey of severe injuries based on time loss and reduction in sporting level. Br J Sports Med 2018; 52: 1109
- 5 Bromley SJ, Drew MK, Talpey S. et al. A systematic review of prospective epidemiological research into injury and illness in Olympic combat sport. Br J Sports Med 2018; 52: 8-16
- 6 Mooren J, von Gerhardt AL, Hendriks ITJ. et al. Epidemiology of Injuries during Judo Tournaments. Transl. Sports Med 2023; 2023: 1-14
- 7 Fagher K, Ahmed OH, Pernheim N. et al. Prevalence of sports-related injuries in Paralympic judo: An exploratory study. J Sci Med Sport 2019; 22: 902-906
- 8 Blach W, Smolders P, Simenko J. et al. Diagnostics of tissue involved injury occurrence of top-level judokas during the competition: Suggestion for prevention. PeerJ 2022; 10: e13074
- 9 Bahr R, Clarsen B, Derman W. et al. International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sports 2020 (including the STROBE extension for sports injury and illness surveillance (STROBE-SIIS)). Orthop J Sports Med 2020; 8: 1-33
- 10 Clarsen B, Bahr R. Matching the choice of injury/illness definition to study setting, purpose and design: One size does not fit all!. Br J Sports Med 2014; 48: 510-512
- 11 Derman W, Badenhorst M, Blauwet C. et al. Para sport translation of the IOC consensus on recording and reporting of data for injury and illness in sport. Br J Sports Med 2021; 55: 1068-1076
- 12 Mulroy J. Special Olympics Judo History. Tipperary. 2020
- 13 Simenko J. Report on the 7th European Judo Science & Research Symposium & 6th Scientific and Professional Conference-Applicable research in judo. Revista de Artes Marciales Asiáticas 2023; 18: 1-4
- 14 Special Olympics. Judo Sport Rules. Washington; 2022
- 15 Morales J, Mulroy J, Mulroy T. et al. Adaptative Judo Best Practice: Autjudo. A Handbook on how to teach Judo to people with Autistic Spectrum Disorder. Front Psychol 2022; 13: 1067310
- 16 Morales J, Garcia V, Fukuda DH. et al. Inter-rater reliability of a classification system for athletes with intellectual disabilities in adapted judo competitions. Arch Budo 2021; 17: 119-125
- 17 Kapsal NJ, Dicke T, Morin AJS. et al. Effects of physical activity on the physical and psychosocial health of youth with intellectual disabilities: A systematic review and meta-analysis. J Phys Act Health 2019; 16: 1187-1195
- 18 Mirza M, Brown-Hollie JP, Suarez-Balcazar Y. et al. Interventions for Health Promotion and Obesity Prevention for Children and Adolescents with Developmental Disabilities: A Systematic Review. Rev J Autism Dev Disord 2022; 1-24
- 19 Morales J, Pierantozzi E, Fukuda DH. et al. Improving motor skills and psychosocial behaviors in children with autism spectrum disorder through an adapted judo program. Front Psychol 2022; 13: 1-10
- 20 Pierantozzi E, Morales J, Fukuda DH. et al. Effects of a long-term adapted judo program on the health-related physical fitness of children with ASD. Int J Environ Res Public Health 2022; 19: 16731
- 21 Bossink LWM, van der Putten AAJ, Vlaskamp C. Understanding low levels of physical activity in people with intellectual disabilities: A systematic review to identify barriers and facilitators. Res Dev Disabil 2017; 68: 95-110
- 22 White D, McPherson L, Lennox N. et al. Injury among adolescents with intellectual disability: A prospective cohort study. Injury 2018; 49: 1091-1096
- 23 World Health Organization. ICD-11. International Classification of Diseases 11th Revision. The global standard for diagnostic health information. 2022 Internet: https://icd.who.int/en Accessed: August 13, 2023
- 24 Kons RL, da Silva Athayde MS, Antunes L. et al. Injuries in judo athletes with disabilities: Prevalence, magnitude, and sport-related mechanisms. J Sport Rehabil 2022; 31: 904-910
- 25 Gutiérrez-Santiago A, Prieto-Lage I, Martín A. et al. Sport injuries in elite paralympic judokas: Findings from the 2018 world championship. J Phys Act Health 2020; 17: 1162-1170
- 26 Błach W, Smolders P, Rydzik Ł. et al. Judo injuries frequency in Europe’s top-level competitions in the period 2005-2020. J Clin Med 2021; 10: 852
- 27 Lystad RP, Alevras A, Rudy I. et al. Injury incidence, severity and profile in Olympic combat sports: A comparative analysis of 7712 athlete exposures from three consecutive Olympic Games. Br J Sports Med 2021; 55: 1077-1083
- 28 Frey A, Lambert C, Vesselle B. et al. Epidemiology of judo-related injuries in 21 seasons of competitions in France: A prospective study of relevant traumatic injuries. Orthop J Sports Med 2019; 7: 2325967119847470
- 29 Błach W, Ambroży T, Obmiński Z. et al. A Novel Approach to Safe Special Fitness Testing in Judo Players Research Square 2021; 1: 2-27 DOI: 10.21203/rs.3.rs-726294/v1.
- 30 Fuller CW. Injury risk (burden), risk matrices and risk contours in team sports: A review of principles, practices and problems. Sports medicine 2018; 48: 1597-1606
- 31 Fuller CW. Modeling the impact of players’ workload on the injury-burden of English Premier League football clubs. Scand J Med Sci Sports 2018; 28: 1715-1721
- 32 Rees H, McCarthy Persson U, Delahunt E. et al. The burden of injury in field hockey: A secondary analysis of prospective cohort data. Scand J Med Sci Sports 2021; 31: 884-893
- 33 Weiler R, Van Mechelen W, Fuller C. et al. Sport injuries sustained by athletes with disability: a systematic review. Sports medicine 2016; 46: 1141-1153
- 34 Webborn N, Van de Vliet P. Paralympic medicine. The Lancet 2012; 380: 65-71
- 35 Kachouri H, Borji R, Baccouch R. et al. The effect of a combined strength and proprioceptive training on muscle strength and postural balance in boys with intellectual disability: An exploratory study. Res Dev Disabil 2016; 53: 367-376
- 36 Enkelaar L, Smulders E, van Schrojenstein Lantman-de Valk H. et al. A review of balance and gait capacities in relation to falls in persons with intellectual disability. Res Dev Disabil 2012; 33: 291-306
- 37 Arkkukangas M, Bååthe KS, Ekholm A. et al. A 10-week judo-based exercise programme improves physical functions such as balance, strength and falling techniques in working age adults. BMC Public Health 2021; 21: 1-8