[Severe head injuries during Judo practice].

Department of Neurosurgery, The University of Tokushima Graduate School, Tokushima, Japan.
No shinkei geka. Neurological surgery (Impact Factor: 0.13). 12/2011; 39(12):1139-47.
Source: PubMed


The goal of this study is to elucidate the characteristic features of Judo head injuries and to propose safety measures and a reaction manual on how to prevent and to deal with such accidents in Japan. Thirty cases of severe head injuries suffered during Judo practice were enrolled in this study. They have made insurance claims for damage compensation and inquiries about Judo accidents attributed to the All Japan Judo Federation, from 2003 to 2010. The average age of the patients was 16.5 year old. The incidence of injury showed 2 peaks in different academic grade levels; one is in the first year of junior high-school (30.0%, n=9) and the other is in senior high school (26.7%, n=8). Around half of them were beginners. Four cases (13.3%) had past history of head trauma or headache and dizziness before a catastrophic accident, suggesting the presence of a second impact. Lucid interval was observed in 25 cases (83.3%). Most patients (93.3%) suffered acute subdural hematoma associated with avulsion of a cerebral bridging vein. Of patients who underwent emergency removal of the hematoma, 15 patients (50%) died and 7 patients (23.3%) entered a persistent vegetative state. Based on these findings, we propose an emergency manual with safety measures for effectively preventing and treating Judo head injuries in an appropriate manner. To reduce the disastrous head injuries in Judo, the safety measures and an optimal action manual should be reconsidered and widely spread and accepted by society.

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    ABSTRACT: Abstract In this study, eight judo athletes who are major candidates for the Japan national team were recruited as participants. Kinematic analysis of exemplary ukemi techniques was carried out using two throws, o-soto-gari, a throw linked to frequent injury, and o-uchi-gari. The aim of this study was to kinematically quantify the timing patterns of exemplary ukemi techniques and to obtain kinematic information of the head, in a sequence of ukemi from the onset of the throw to the completion of ukemi. The results indicated that the vertical velocity with which the uke's head decelerated was reduced by increasing the body surface exposed to the collision with the tatami and by increasing the elapsed time. In particular, overall upper limb contact with the tatami is greatly associated with deceleration. In o-soto-gari, the impulsive force on the faller's head as the head reached the lowest point was 204.82 ± 19.95 kg m · s(-)(2) while in o-uchi-gari it was 118.46 ± 63.62 kg m · s(-2), z = -1.75, P = 0.08, and it did present a large-sized effect with r = 0.78. These findings indicate that the exemplary o-soto-gari as compared to o-uchi-gari is the technique that causes more significant damage to the uke's head.
    Journal of Sports Sciences 01/2015; 33(13):1-10. DOI:10.1080/02640414.2014.990482 · 2.25 Impact Factor

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