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Injury Prevention in SportsJUDO-RCTNCT06929377

Effectiveness of a Judo-specific Injury Prevention Programme on Performance in Judo Athletes

A study testing IPPON warm-up programme in people with Injury Prevention in Sports and Sports Performance, run by Hacettepe University at 2 sites in Turkey (Türkiye).

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Judo is a popular international combat sport with an estimated 20 million active participants world-wide and participation in judo entails a substantial risk of injury in both elite and recreational judo. Read more about this study

Who is it for?
Ages 13 years and olderHealthy volunteers can take part
What is being tested?
IPPON warm-up programme
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
2 sitesTurkey (Türkiye)
Study dates
1 May 2025to 1 Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 13 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • age should be more than 13 years
  • the asymptomatic judokas with no history of major injury or surgery in last 6 months,
  • having experience in at least 3 years competitive judo,
  • actively participating in competitive judo at least 1 year,
  • competing at least in national level.

Who cannot join

  • competing in paralympic sports,
  • if they had any major injuries or surgeries in last 6 months,
  • if they had any systemic, neurological or rheumatological diseases,
  • being pre-pubertal stage (Tanner I) according to Tanner Scale,
  • indicated their unwillingness to participate to this study.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

SERCAN YILLI, MSc contact

+905335680674

sercanyilli@gmail.com

ELIF TURGUT, Professor contact

+905442645600

elif.turgut.pt@gmail.com

Turkey (Türkiye)2 sites
  • Hacettepe University, Faculty of Physical Therapy and Rehabilitation

    Ankara

    SERCAN YILLI, +905335680674, sercanyilli@gmail.com

  • Hacettepe University

    Ankara

    SERCAN YILLI, MSc, +905335680674, sercanyilli@gmail.com

Other trials in Turkey (Türkiye)

About this study

Official title: Effectiveness of a Judo-specific Injury Prevention Programme on Performance: a Randomized Controlled Trial in Judo Athletes

Judo is a popular international combat sport with an estimated 20 million active participants world-wide and participation in judo entails a substantial risk of injury in both elite and recreational judo. It is known that judo involves a significantly higher risk of sports per activity compared with another combat sports such as wrestling, karate, taekwondo an deven popular team sports such as football, basketball and volleyball. Therefore, preventing injuries in judo is so important and various interventions can use in this regard. These include; taping, warm-up and cool-down programs, proper technique trainings and exercise programs. Injury prevention programmes in other sports have been proven effective in reducing injury rates for elite and recreational athletes. In judo, research on exercise-based prevention is limited to the description of injury prevention programs, but the effectiveness of these programs has never been evaluated. The aim of this study is to investigate the effects of the judo-specific ''IPPON'' warm-up programs for injury prevention of judokas on performance parameters and incidence of injuries among professional judo athletes. In this study, the investigators research the Judo-Specific Special Conditioning Test and the Isometric/Dynamic Judogi Grip Strength Test will be evaluated for performance parameters. In addition, the Upper and Lower Extremity Y Balance Test will be evaluated for balance and the Upper Extremity Internal/External Rotation Strength Test and the Lower Extremity Hamstring/Quadriceps Strength Test will be evaluated for muscle strength assessment. The Turkish translation of the Oslo Trauma Research Center Overuse Questionnaire (OSTRC-O) will be used to monitor the incidence of injuries among professional judo athletes.

Read the detailed description

Judo is a popular international combat sport with an estimated 20 million active participants worldwide. Judo is characterised by the combination of balance, coordination, flexibility, agility, speed and strength with the aim to incapacitate their opponent. It is demanding of the neuromuscular and physical capacity of athletes. Participation in judo entails a substantial risk of injury in both elite and recreational judo. Injury prevention programmes in other sports have been proven effective in reducing injury rates for elite and recreational athletes. In judo, research on exercise-based prevention is limited to the description of injury prevention programmes, but the effectiveness of these programmes has never been evaluated. The main objective of our study was to evaluate the effectiveness of the bottom-up developed trainer-based IPPON intervention on the performance parameters compared with the usual warm-up in judo athletes. The secondary objectives were to evaluate injury severity, injury incidence, location-specific prevalences, time loss and sudden and gradual onset injury recurrence rates. We hypothesised that the IPPON intervention would increase performance parameters and reduce the overall injury prevalences. The IPPON intervention is an injury prevention programme designed specifically to reduce injuries in judo athletes. IPPON intervention mainly focuses on preventing musculoskeletal injuries of the shoulder, knee and ankle. The IPPON intervention consists of 36 exercises divided into (1) flexibility and agility, (2) balance and coordination and (3) strength and stability. Each category consisted of 12 exercises with 3 levels of difficulty. Athletes performed 4 exercises per category and thus 12 exercises at the start of the training at least two times per week. Prior to the intervention exercises, athletes completed running exercises and falling techniques. Athletes in the control group were instructed to continue their usual warm-up and regular judo practice as warm-up prior to training or competition is standard routine in judo. The duration of the IPPON intervention was aligned with the average duration of the usual warm-up in the control groups. Although, not measured in the study procedure, the approximate duration of warm-up was 15 min in both groups. The primary outcome was the performance parameters (Judo-Specific Special Conditioning Test, Isometric/Dynamic Judogi Grip Strength Test, Upper and Lower Extremity Y Balance Test, Upper Extremity Internal/External Rotation Strength Test, Lower Extremity Hamstring/Quadriceps Strength Test) over 8 weeks of follow-up, and secondary outcome was the overall injury prevalences (injury severity, injury incidence, location-specific prevalences, time loss and sudden and gradual onset injury recurrence rates) measured with the Turkish translation of the Oslo Trauma Research Center Overuse Questionnaire (OSTRC-O) at 2 weekly intervals over 16 weeks of follow-up.

Being tested
IPPON warm-up programme
Keywords
Judo, injury prevention, sports performance, a randomized controlled trial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IPPON warm-up programmeOther

    The IPPON intervention is an injury prevention programme designed specifically to reduce injuries in judo athletes. The trainer-supervised IPPON intervention mainly focuses on preventing musculoskeletal injuries of the shoulder, knee and ankle. The IPPON intervention consists of 36 exercises divided into (1) flexibility and agility, (2) balance and coordination and (3) strength and stability. Each category consisted of 12 exercises with 3 levels of difficulty. Athletes performed 4 exercises per category and thus 12 exercises at the start of the training at least two times per week.

Study groups in NCT06929377
Study groupRoleWhat they receive
Intervention Group - IPPON GroupExperimentalIntervention Group will be completed the judo specific exercise programme. It's called as ''IPPON'' warm-up programme. The IPPON intervention is an injury prevention programme designed specifically to reduce injuries in judo athletes.The IPPON intervention consists of 36 exercises divided into (1), flexibility and agility, (2) balance and coordination and (3) strength and stability. Each category consisted of 12 exercises with 3 levels of difficulty. Athletes performed 4 exercises per category and thus 12 exercises at the start of the training at least two times per week.
Receives: Other: IPPON warm-up programme
Control GroupNo interventionAthletes in the control group were instructed to continue their usual warm-up and regular judo practice as warm-up prior to training or competition is standard routine in judo. The duration of the IPPON intervention was aligned with the average duration of the usual warm-up in the control groups.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Specific Judo Fitness Test (SJFT)

    The SJFT formula is based ona total of throws (TT) made in three sets (1-15 s, 2-30 s, 3-30 s) separated by a 10 s break and heart rate (HR) collected immediately after the test and after 1 min with the inversely related index as the primary outcome [6]. During each period the athlete (tori) been evaluated throws two partners (uke A and B; far from each by 6 m) as many time as possible using the ippon-seoi-nage technique. Both uke A and B should have a similar height and weight from the tori. Just after and one minute after the test heart rate is measured.

    Measured: 8 weeks

  2. Isometric Judogi Grip Strength Test

    Isometric judogi chin-up: the athletes were asked to keep their elbows flexed with their chin above the hands for as long as possible and holding time was clocked. The test was interrupted as soon as athletes were unable to maintain the initial isometric position. In this test, athletes were encouraged to maintain the position for as long as possible.

    Measured: 8 weeks

  3. Dynamic Judogi Grip Strength Test

    Dynamic judogi chin-up: the athletes were asked to stretch their elbows completely and then flex them until the chin was above the bar and repetitions of the complete exercise were counted. Only repetitions which were carried out completely were counted, and the test was interrupted as soon as athletes were no longer able to carry out the proposed exercise completely and/or gave up voluntarily. In this test, athletes were encouraged to carry out as many dynamic repetitions as possible.

    Measured: 8 weeks

  4. Upper Extremity Y Balance Test (UQ-YBT)

    UQ-YBT: All participants will be provided written instructions and then observed a demonstration performed by one of the investigators. In their socks or barefoot, the participants then assumed a pushup position with feet no greater than shoulder width apart. While maintaining the pushup position, the participant used his/her free hand to maximally reach, slowly and under control, in each of three directions Medial, Inferolateral, and Superolateral in a sequential order without the free hand touching down.

    Measured: 8 weeks

  5. Lower Extremity Y Balance Test (LQ-YBT)

    LQ-YBT: Consisted of unilateral lower extremity reaches in the ANT, PM and PL directions. After written instructions were given and the test was demonstrated by one of the instructors, the participants were asked to keep their stance heel down and hands on hips while performing each reach direction with the non-stance leg in socks or barefoot. After a one-minute rest period, the participants will be completed three formal testing trials for each of the ANT, PM, and PL directions.

    Measured: 8 weeks

  6. Upper Extremity External/Internal Rotation (ER/IR) Muscle Strength Ratio

    For the ER/IR muscle strength measurements, the Hand Held Dynamometer (Jamaar) will be placed 2 cm proximal of the processus styloideus ulnae, on the dorsal (ER strength) or ventral (IR strength) forearm during sitting position. Three repetitions of 5 seconds of maximal voluntary effort were performed using a ''make'' test (gradually increasing resistance up to maximum without ''breaking'' the subject's strength).

    Measured: 8 weeks

  7. Lower Extremity Hamstring/Quadriceps (H/Q) Muscle Strength Ratio

    Participants performed two maximal isometric repetitions intending to flex and extend the knee in each lower limb to assess isometric hamstring and quadriceps strength, respectively. Before the onset of the testing, participants performed a standardized and specific warm-up. For quadriceps, test will be performed on a custom-built bench while participants are in a seated position at 30° of knee flexion and 90° of hip flexion with stabilization straps around the thighs. For hamstring, the participant will be seated at the edge of a table with the hip and knee flexed to 90 degrees and hands gripping the sides of the table while the clinician stabilizes the dynamometer between the participant's leg and table. H/Q ratio will be calculated.

    Measured: 8 weeks

Secondary outcomes (1)
  1. Oslo Trauma Research Center Overuse Questionnaire (OSTRC-O)

    The OSTRC questionnaire is about overuse injury and health problems. These questionnaires are tools for injury and illness registration with four essential questions used to assess the severity. Scores in each symptom range from 0 to 100. The range of values in each question is from 0 to 25, with 0 representing no problem and 25 representing the maximum problem level in each question. Therefore, questions 1 and 4 are scored 0-8-17-25, and questions 2 and 3 are scored 0-6-13-19-25.

    Measured: 16 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Apr 2025
  2. Study start1 May 2025 (estimated)
  3. Primary completion1 Sep 2025 (estimated)
  4. Study completion1 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06929377
Sponsor's protocol ID
03.2025fbu
Acronym
JUDO-RCT
Status last verified
Apr 2025
First submitted
27 Mar 2025
Last updated
16 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Malliaropoulos NG, Callan M, Johnson J. Comprehensive training programme for judo players nine plus 9+: possible lower limb primary injury prevention. Muscles Ligaments Tendons J. 2014 Jul 14;4(2):262-8. eCollection 2014 Apr. No abstract available.

    PubMed 25332945
  • Kamitani T, Malliaropoulos NG, Omiya M, Otaka Y, Inoue K, Onidani N. On the way to the Tokyo Summer Olympic Games (2020). Prevention of severe head and neck injuries in judo: it's time for action. Br J Sports Med. 2017 Nov;51(22):1581-1582. doi: 10.1136/bjsports-2017-097681. Epub 2017 Aug 17. No abstract available.

    PubMed 28818954
  • von Gerhardt AL, Vriend I, Verhagen E, Tol JL, Kerkhoffs GMMJ, Reurink G. Systematic development of an injury prevention programme for judo athletes: the IPPON intervention. BMJ Open Sport Exerc Med. 2020 Sep 29;6(1):e000791. doi: 10.1136/bmjsem-2020-000791. eCollection 2020.

    PubMed 33033621
  • Pocecco E, Ruedl G, Stankovic N, Sterkowicz S, Del Vecchio FB, Gutierrez-Garcia C, Rousseau R, Wolf M, Kopp M, Miarka B, Menz V, Krusmann P, Calmet M, Malliaropoulos N, Burtscher M. Injuries in judo: a systematic literature review including suggestions for prevention. Br J Sports Med. 2013 Dec;47(18):1139-43. doi: 10.1136/bjsports-2013-092886.

    PubMed 24255909
  • von Gerhardt AL, Reurink G, Kerkhoffs GMMJ, Verhagen E, Krabben K, Mooren J, Gal JSI, Brons A, Joorse R, van den Broek B, Kemler E, Tol JL. Effectiveness of a judo-specific injury prevention programme: a randomised controlled trial in recreational judo athletes. Br J Sports Med. 2023 Apr;57(8):450-456. doi: 10.1136/bjsports-2022-105869. Epub 2023 Jan 30.

    PubMed 36717214

Questions about this trial

What is this clinical trial studying?

A study testing IPPON warm-up programme in people with Injury Prevention in Sports and Sports Performance, run by Hacettepe University at 2 sites in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 16 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact SERCAN YILLI, MSc (+905335680674, sercanyilli@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Specific Judo Fitness Test (SJFT) (time frame: 8 weeks). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06929377, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Apr 2025.

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