Dep. of Physical Therapy, Samuel Merritt University, 450 30th Street, Ste 3730, Oakland, CA 94609, USA. Tel 510-879-9200 x7346, fax 510-869-6282.
Med Probl Perform Art. 2021 Jun;36(2):103-107. doi: 10.21091/mppa.2021.2013.
Despite growing participation in circus arts, little is known about associated injuries. Understanding injury patterns is critical for developing interventions to decrease injury risk and guiding rehabilitation.
The purpose of this pilot prospective cohort study was to describe injury frequency and characteristics in adolescent and adult circus artists using a surveillance method derived from dance.
Participants included 14 adolescent [mean age 14.7 yrs (1.3); 100% female] and 10 adult circus artists [mean age 30.7 yrs (3.1); 60% female]. Circus training exposure (single session of one circus discipline) and injuries were tracked for 1 year using a dance-derived injury surveillance guideline. A regression analysis was run using total session exposures, age (in years), and years of circus experience as predictor variables for injury rate.
Twenty-one of 24 participants completed the study. Forty-seven injuries were reported (53.2% time loss; 46.8% non-time loss). Joint injuries were most common for both groups. The injury rate per 1,000 exposures was 3 (95%CI 0.6-8.7) for adolescents and 13 (95%CI 6.9-22.01) for adults. The overall regression was significant (F(3,13)=6.66, p=0.006). The only significant predictor was age (beta=0.82, p=0.003). Total session exposures and years of circus experience had betas close to 0 (-0.11 and -0.04, respectively).
This pilot study comparing injuries in adolescent and adult circus artists found age but not exposure was predictive of injury risk. Use of a standardized injury surveillance guideline in circus, similar to the one used in this study, will provide greater insight into injury patterns by allowing between-study comparison.
尽管参与马戏艺术的人数不断增加，但人们对相关伤害知之甚少。了解伤害模式对于制定降低伤害风险的干预措施和指导康复至关重要。
本前瞻性队列研究旨在采用源自舞蹈的监测方法描述青少年和成年马戏艺术家的受伤频率和特征。
参与者包括 14 名青少年（平均年龄 14.7 岁，1.3 岁；100%女性）和 10 名成年马戏艺术家（平均年龄 30.7 岁，3.1 岁；60%女性）。使用源自舞蹈的伤害监测指南，对 1 年内的马戏团训练暴露（单一马戏团学科的单次课程）和伤害进行跟踪。使用总课程暴露、年龄（岁）和马戏团经验年限作为预测变量，对损伤率进行回归分析。
24 名参与者中有 21 名完成了研究。共报告了 47 起损伤（53.2%的时间损失；46.8%的非时间损失）。两组中关节损伤最常见。青少年的损伤发生率为每 1000 次暴露 3 次（95%CI 0.6-8.7），成人的损伤发生率为每 1000 次暴露 13 次（95%CI 6.9-22.01）。总回归有显著意义（F(3,13)=6.66，p=0.006）。唯一的显著预测因素是年龄（β=0.82，p=0.003）。总课程暴露和马戏团经验年限的β值接近 0（-0.11 和-0.04）。
本研究比较了青少年和成年马戏艺术家的受伤情况，发现年龄而不是暴露是受伤风险的预测因素。在马戏团中使用类似于本研究中使用的标准化伤害监测指南，将通过允许进行研究间比较，更深入地了解伤害模式。
