Circus-specific extension of the International Olympic Committee 2020 consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport

Greenspan, Stephanie; Munro, David S.; Nicholas, Joanna; Stubbe, Janine; Stuckey, Melanie I.; Rijn, Rogier M van

doi:10.1136/bmjsem-2022-001394

Cited by 4 publications

(17 citation statements)

References 45 publications

(96 reference statements)

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“…Injuries not meeting the TL criteria were defined as non-time loss (NTL). The type of injury and mode of onset followed the circus-specific extension 9 13. New injury represented the first time a specific injury occurred within the study period 9 13 15 16.…”

Section: Methodsmentioning

confidence: 99%

“…The type of injury and mode of onset followed the circus-specific extension 9 13. New injury represented the first time a specific injury occurred within the study period 9 13 15 16. Subsequent recurrent injury was the same location and nature, and subsequent local injury was the same location but different nature after returning to 100% participation from TL injury 9 13 15 16.…”

Section: Methodsmentioning

confidence: 99%

“…New injury represented the first time a specific injury occurred within the study period 9 13 15 16. Subsequent recurrent injury was the same location and nature, and subsequent local injury was the same location but different nature after returning to 100% participation from TL injury 9 13 15 16. Acute sudden onset related to a single traumatic event (eg, fall, awkward landing) 9 13.…”

Section: Methodsmentioning

confidence: 99%

“…Subsequent recurrent injury was the same location and nature, and subsequent local injury was the same location but different nature after returning to 100% participation from TL injury 9 13 15 16. Acute sudden onset related to a single traumatic event (eg, fall, awkward landing) 9 13. Repetitive sudden or gradual onset was associated with repetitive use 9 13 17.…”

Section: Methodsmentioning

confidence: 99%

“…The purpose of this study was to characterise injuries and exposure in preprofessional and professional circus artists in the USA. Secondarily, the intent was to identify injury patterns by extrinsic (circus discipline subgroup) and intrinsic (age, sex at birth (SAB), medical history and prior health status) using the framework from the circus-specific extension of the International Olympic Committee 2020 consensus on recording injury and illness in sport 9 13…”

Section: Introductionmentioning

confidence: 99%

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Untangling risk factors including discipline-specific exposure for injuries in preprofessional and professional circus artists in the USA

Greenspan

Stuckey

2023

BMJ Open Sport Exerc Med

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ObjectiveThis prospective cohort study quantified injury patterns related to specific circus discipline exposure in preprofessional and professional circus artists.MethodsCircus artists (n=201; ages 13–69; 172 female, 29 male assigned sex at birth) were enrolled in 10 cities across the USA. Participants were followed for 1 year from enrolment, completing a weekly training log and undergoing a physical therapist evaluation for injuries. The circus-specific extension of the International Olympic Committee 2020 consensus on recording injury and illness in sports was used to analyse injury patterns.ResultsThe study completion rate was 77% (n=155). Data were analysed by participant subgroup (age, professional status, sex at birth). The highest injury rates in participant subgroups were for males (5.69/1000 exposures) and related to discipline subgroups, were in aerial with ground elements (5.93/1000 exposures) and aerial (4.26/1000 exposures). Adults had more injuries related to aerial, whereas adolescents had more related to ground disciplines (χ2(2)=10.62, p=0.005) and non-time loss injuries (χ2(1)=5.45, p=0.02). Females had a higher proportion of repetitive injuries (70% vs 55%) than males (χ2(1) = 4.43, p=0.035). Individuals with an eating disorder history had more (p<0.004) injuries (mean 2.27±2.29) than those without (mean=1.48±0.96).ConclusionsThis study showed that intrinsic factors (age, sex at birth and history of eating disorder) and extrinsic factors (circus discipline exposure) affect injury risk. We need to account for the intersectionality of these factors to address risk management at an individual and group level.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Untangling risk factors including discipline-specific exposure for injuries in preprofessional and professional circus artists in the USA

Greenspan

Stuckey

2023

BMJ Open Sport Exerc Med

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Surveillance of athlete mental health symptoms and disorders: a supplement to the International Olympic Committee’s consensus statement on injury and illness surveillance

Mountjoy

Junge

Bindra³

et al. 2023

Br J Sports Med

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In 2019, the International Olympic Committee (IOC) published a consensus statement outlining the principles for recording and reporting injury and illness in elite sport. The authors encouraged sport federations to adapt the framework to their sport-specific context. Since this publication, several sports have published extensions to the IOC consensus statement.In response to a paucity of epidemiological data on athlete mental health, the IOC mental health working group adapted the IOC consensus statement on injury and illness surveillance to improve the capturing of athlete mental health data. In addition to the members of the working group, other experts and athlete representatives joined the project team to address gaps in expertise, and to add stakeholder perspective, respectively. Following an in-person meeting, the authors worked remotely, applying the scientific literature on athlete mental health to the IOC injury and illness surveillance framework. A virtual meeting was held to reach consensus on final recommendations.Practical outcomes based on the analysis of the scientific literature are provided with respect to surveillance design, data collection and storage, data analysis and reporting of athlete mental health data. Mental health-specific report forms for athlete and health professional utilisation are included for both longitudinal and event-specific surveillance.Ultimately, this publication should encourage the standardisation of surveillance methodology for mental health symptoms and disorders among athletes, which will improve consistency in study designs, thus facilitating the pooling of data and comparison across studies. The goal is to encourage systematic surveillance of athlete mental health.

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Preparation For Flight: The Physical Profile of Pre-Professional and Professional Circus Artists in the United States

Greenspan,

Stuckey

2024

International Journal of Sports Physical Therapy

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Background Established norms for fitness and performance measures are lacking in circus arts. These would assist healthcare professionals and coaches to screen for readiness to participate in training or performance, determine post-injury return to performance, and develop targeted conditioning programs. Purpose The purpose of this research was to establish norms for trunk and extremity physical exam and performance measures in circus artists by professional status, assigned sex at birth (ASAB), and age. Study Design Descriptive laboratory study Methods Circus artists (n=201; ages 13-69y; 172 females ASAB, 29 males ASAB) from 10 cities across the United States underwent a baseline physical examination including shoulder, hip and trunk measures of passive (PROM) and active (AROM) range of motion, measures of flexibility (shoulder and hip), strength (manual muscle tests, grip strength), cardiovascular fitness (3 minute-step test), balance (single limb and handstand), and performance, (pull-ups, and the closed kinetic chain upper extremity stability test [CKCUEST]). ANOVAs were used to determine between group differences by age and T-tests to discern differences by ASAB or professional status. Results Differences existed by professional status for shoulder external rotation PROM, hip PROM, hip flexibility, shoulder and abdominal strength, and cardiovascular fitness. Sex differences were seen in active scapular upward rotation, hip and shoulder PROM and flexibility, hip and grip strength, and for functional performance measures (pull-ups, CKCUEST). Differences by age were limited to active scapular upward rotation, shoulder PROM, flexibility and strength, cardiovascular fitness, and balance. Overall, professionals outperformed pre-professionals for lower abdominal strength, pull-ups, handstand balance, cardiovascular fitness, hamstring, and straddle flexibility. Generally, males ASAB demonstrated greater shoulder flexibility and upper body functional strength while females ASAB had greater hip and lumbar flexibility and hip strength. No measures showed consistent declines with increasing age, though some showed differences between adolescents and adults. Conclusion These normative values for physical characteristics and functional performance in pre-professional and professional circus artists may be used to guide screening for readiness to participate in advanced training or performance, return to performance after injury, and the development of targeted strength and conditioning programs. Level of Evidence 3

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Circus-specific extension of the International Olympic Committee 2020 consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport

Cited by 4 publications

References 45 publications

Untangling risk factors including discipline-specific exposure for injuries in preprofessional and professional circus artists in the USA

Untangling risk factors including discipline-specific exposure for injuries in preprofessional and professional circus artists in the USA

Surveillance of athlete mental health symptoms and disorders: a supplement to the International Olympic Committee’s consensus statement on injury and illness surveillance

Preparation For Flight: The Physical Profile of Pre-Professional and Professional Circus Artists in the United States

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