Differences in movement patterns related to anterior cruciate ligament injury risk in elite judokas according to sex: A cross-sectional clinical approach study
Francisco J Prados-Barbero 1 , Eleuterio A Sánchez-Romero 2 3 4 * , Juan Nicolás Cuenca-Zaldívar 3 5 6 , Francisco Selva-Sarzo 1 3 7
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1 Master of Continuing Education in Assessment, Physiotherapy and Rehabilitation in Sport, Department of Physiotherapy, University of Valencia, Valencia, SPAIN2 Department of Physiotherapy, Faculty of Sport Sciences, European University of Madrid, Madrid, SPAIN3 Interdisciplinary Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, SPAIN4 Physiotherapy and Orofacial Pain Working Group, Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial, Madrid, SPAIN5 Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Enfermería y Fisioterapia, Grupo de Investigación en Fisioterapia y Dolor, Alcalá de Henares, SPAIN6 Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute–Segovia de Arana, Madrid, SPAIN7 Department of Physiotherapy, University of Valencia, Valencia, SPAIN* Corresponding Author


The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitating preventive measures. The primary injury mechanism involves knee collapse in valgus, often linked to deficiencies in core strength, neuromuscular control, external rotators, hip abductors, and limitations in ankle and hip mobility. Sex-wise, the injury is more prevalent in women across various sports. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. Notably, there were no discernible differences between sexes in the single leg squat test. Both men and women exhibited compromised neuromuscular control in the non-dominant leg. While ankle dorsiflexion and hip external rotation showed no gender disparities, differences in internal rotation were noted. This particular movement restriction may elevate the risk of ACL injury.


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Article Type: Original Article

ELECTRON J GEN MED, 2024, Volume 21, Issue 2, Article No: em574


Publication date: 01 Mar 2024

Online publication date: 26 Feb 2024

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