Wolfenden H Eg, Angioi M
Centre for Sports and Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, Mile End Hospital, Bancroft Road, London E1 4DG, UK. Tel +44 0207 882 5011.
Med Probl Perform Art. 2017 Mar;32(1):51-59. doi: 10.21091/mppa.2017.1008.
The circus arts involve a high degree of acrobatic, athletic, and aesthetic ability with extreme physical demands placed on performers. An understanding of the injury profile is required to guide prevention.
To provide the first systematic review to enhance understanding of circus-related injuries and to provide a foundation for future preventative intervention.
MEDLINE, Scopus, and Web of Science were searched from conception to March 2016 using key search terms relating to circus artists and injury. Studies were limited to English-language human studies and included all levels and ages of circus artists. Risk of bias was assessed using a novel seven-item checklist based on the STROBE statement.
Eight studies of varying design, populations, outcomes, and quality were analysed. Results suggest that the injury rate is relatively low among professional circus artists at 7.37 to 9.27/1,000 artist exposures. The spine and ankle are frequently injured, and most injuries are to soft tissue structures. In the professional setting, injuries appear minor, resulting in few treatments, few missed or altered performances, and a low risk of re-injury.
The spine and ankle should be targeted for preventative interventions in circus artists due to their high frequency of injury. The heterogeneity of studies included in this review highlights the need for consistency within future research, particularly in terms of injury definition and outcome measurements.
马戏艺术需要高度的杂技、运动和审美能力，对表演者有极高的身体要求。需要了解损伤情况以指导预防工作。
进行首次系统综述，以增进对马戏相关损伤的理解，并为未来的预防性干预提供基础。
从数据库建立至2016年3月，使用与马戏艺术家和损伤相关的关键检索词，对MEDLINE、Scopus和科学网进行检索。研究限于英文的人体研究，纳入所有水平和年龄段的马戏艺术家。使用基于STROBE声明的新颖的七项清单评估偏倚风险。
分析了八项设计、人群、结果和质量各异的研究。结果表明，专业马戏艺术家中的损伤率相对较低，为每1000次艺术家暴露7.37至9.27例。脊柱和脚踝经常受伤，且大多数损伤为软组织结构损伤。在专业环境中，损伤似乎较轻，导致的治疗较少，演出错过或更改较少，再次受伤风险较低。
由于脊柱和脚踝受伤频率较高，应针对马戏艺术家进行预防性干预。本综述中纳入研究的异质性凸显了未来研究保持一致性的必要性，特别是在损伤定义和结果测量方面。
