Munro David, Greenspan Stephanie, Nicholas Joanna, Stuckey Melanie I
NICA, Australian College of the Arts (Collarts), Melbourne, Victoria, Australia.
Melbourne Physiotherapy Concussion Clinic, Prahan, Victoria, Australia.
BMJ Open Sport Exerc Med. 2025 May 26;11(2):e002524. doi: 10.1136/bmjsem-2025-002524. eCollection 2025.
While sport-related concussion (SRC) is a known risk in circus arts, no published guidelines exist to guide post-concussion return to circus, contributing to inadequate management in this population. The Concussion in Sport Group (CISG) published the 6th international consensus statement in 2023, providing updated guidance and assessment tools for the management of SRC. Sport and dance organisations have adapted these recommendations for their specific settings. The aim of this extension statement was to extend the CISG guideline to the circus arts training and performance context. Development included a review of literature, creation of the initial drafts by the working group, feedback from external reviewers and integration of the feedback into a final draft approved by the working group. This statement includes circus-specific recommendations for: (1) baseline testing; (2) immediate postinjury management including adapted Maddocks questions; (3) a criterion-based return-to-circus progression including guidance by circus discipline; (4) prognostic considerations; (5) risk reduction/prevention. While ongoing research specific to SRC in circus is needed, this guideline supports and advises circus organisations to develop concussion management protocols and policies. It also informs clinicians to assist their understanding of the unique aspects and demands of circus arts to provide tailored clinical care in the rehabilitation of circus artists as they return to training and performance following SRC.
虽然与运动相关的脑震荡（SRC）在马戏艺术中是一种已知风险，但目前尚无已发表的指南来指导脑震荡后重返马戏活动，这导致对这一人群的管理不足。运动脑震荡小组（CISG）于2023年发布了第6份国际共识声明，为SRC的管理提供了更新的指导和评估工具。体育和舞蹈组织已针对其特定环境调整了这些建议。本扩展声明的目的是将CISG指南扩展至马戏艺术训练和表演环境。制定过程包括文献综述、工作组创建初稿、外部审稿人的反馈以及将反馈整合到工作组批准的最终草案中。本声明包括针对以下方面的马戏特定建议：（1）基线测试；（2）伤后即刻管理，包括改编的马多克斯问题；（3）基于标准的重返马戏进展，包括按马戏门类提供指导；（4）预后考虑；（5）风险降低/预防。虽然需要针对马戏中SRC的持续研究，但本指南支持并建议马戏组织制定脑震荡管理方案和政策。它还告知临床医生，帮助他们理解马戏艺术的独特方面和要求，以便在马戏艺术家SRC后恢复训练和表演时为其提供量身定制的临床护理。
