@article{ref1,
title="Observed injury rates did not follow theoretically predicted injury risk patterns in professional human circus artists",
journal="Clinical journal of sport medicine",
year="2022",
author="Shrier, Ian and Mattiello, Rita and Caron, Melissa and Verhagen, Evert and Steele, Russell J.",
volume="32",
number="6",
pages="e627-e634",
abstract="OBJECTIVE: Identifying which types of athletes have increased injury risk (ie, predictive risk factors) should help develop cost-effective selective injury prevention strategies. Our objective was to compare a theoretical injury risk classification system developed by coaches and rehabilitation therapists, with observed injury rates in human circus acts across dimensions of physical stressors, acrobatic complexity, qualifications, and residual risks. <br><br>DESIGN: Descriptive epidemiological study. SETTING: professional circus company.   PATIENTS OR OTHER PARTICIPANTS: Human circus artists performing in routine roles between 2007 and 2017.   ASSESSMENT OF RISK FACTORS: Characteristics of circus acts categorized according to 4 different dimensions.   MAIN OUTCOME MEASURES: Medical attention injury rates (injury requiring a visit to the therapist), time-loss injury rates (TL-1; injury resulting in at least one missed performance), and time-loss 15 injury rates (TL-15; injury resulting in at least 15 missed performances). <br><br>RESULTS: Among 962 artists with 1 373 572 performances, 89.4% (860/962) incurred at least one medical attention injury, 74.2% (714/962) incurred at least one TL-1 injury, and 50.8% (489/962) incurred at least one TL-15 injury. There were important inconsistencies between theoretical and observed injury risk patterns in each of the 4 dimensions for all injury definitions (medical attention, TL-1, and TL-15). <br><br>CONCLUSIONS: Although theoretical classifications are the only option when no data are available, observed risk patterns based on injury surveillance programs can help identify artists who have a high (or low) theoretical risk but are nonetheless actually at low (or high) risk of injury, given their current roles. This will help develop more cost-effective selective injury prevention programs.<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000001045",
url="http://dx.doi.org/10.1097/JSM.0000000000001045"
}