{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:37:30Z","timestamp":1790005050095,"version":"4.0.1"},"reference-count":20,"publisher":"BMJ","issue":"1","funder":[{"name":"National Association of Applied Sciences SIA","award":["2015-02-73P"],"award-info":[{"award-number":["2015-02-73P"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2018,3,30]]},"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>The amount of injuries, illnesses and mental health problems was calculated among circus arts students, using a method designed to capture more than just time-loss and\/or medical injuries. Furthermore, injury incidence rate, injury incidence proportions, anatomical injury location and severity of injuries were assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 44 first-year, second-year and third-year circus arts students were prospectively followed during one academic year. Every month, all students were asked to complete questionnaires by using the online Performing Artist and Athlete Health Monitor, which includes the Oslo Sports Trauma Research Centre Questionnaire on Health Problems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 41 students completed the entire follow-up period. The response rate was 82.9%. During the academic year, all (100%) students reported a health problem. A total of 261 health problems were reported consisting of 184 injuries (70.5%), 51 illnesses (19.5%), 15 mental problems (5.0%) and 11 other health problems (3.1%). The injury incidence rate was 3.3 injuries per 1000\u2009hours (95%\u2009CI\u00a02.7\u2009to\u00a03.9). Monthly incidence proportion for substantial injuries (ie, problems leading to moderate or severe reductions in training volume or in performance or complete inability to participate in activities) ranged from 6.8% to 34.1%. Shoulder (n=51; 27.7%), lower back (n=29; 15.8%), wrist (n=26; 14.1%) and ankle (n=17; 9.2%) were the most reported injuries. The average duration of the injuries was 6.9 days (median=2.0; SD=15.0).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We implemented a new registration method for circus artists, which captures a complete picture of the burden of health problems in circus students. Our study showed that the burden of injuries is high in this population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2017-000327","type":"journal-article","created":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T14:15:17Z","timestamp":1530022517000},"page":"e000327","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Prospective cohort study on injuries and health problems among circus arts students"],"prefix":"10.1136","volume":"4","author":[{"given":"Janine H","family":"Stubbe","sequence":"first","affiliation":[{"name":"Codarts, University of the Arts, Rotterdam, The Netherlands"},{"name":"Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands"},{"name":"Rotterdam Arts and Science Lab (RASL), Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Richardson","sequence":"additional","affiliation":[{"name":"Codarts, University of the Arts, Rotterdam, The Netherlands"},{"name":"Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogier M","family":"van Rijn","sequence":"additional","affiliation":[{"name":"Codarts, University of the Arts, Rotterdam, The Netherlands"},{"name":"Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,26]]},"reference":[{"key":"2025083112295358000_4.1.e000327.1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.21091\/mppa.2017.1008","article-title":"Musculoskeletal injury profile of circus artists: a systematic review of the literature","volume":"32","author":"Wolfenden","year":"2017","journal-title":"Med Probl Perform Art"},{"key":"2025083112295358000_4.1.e000327.2","doi-asserted-by":"crossref","first-page":"e64","DOI":"10.1111\/j.1600-0838.2010.01152.x","article-title":"The effect of rest days on injury rates","volume":"21","author":"Orlando","year":"2011","journal-title":"Scand J Med Sci Sports"},{"key":"2025083112295358000_4.1.e000327.3","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508331138"},{"key":"2025083112295358000_4.1.e000327.4","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/j.1600-0838.2010.01245.x","article-title":"Examining the effect of the injury definition on risk factor analysis in circus artists","volume":"22","author":"Hamilton","year":"2012","journal-title":"Scand J Med Sci Sports"},{"key":"2025083112295358000_4.1.e000327.5","first-page":"221","article-title":"Descriptive epidemiology of collegiate men's football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004","volume":"42","author":"Dick","year":"2007","journal-title":"J Athl Train"},{"key":"2025083112295358000_4.1.e000327.6","doi-asserted-by":"crossref","first-page":"235","DOI":"10.21091\/mppa.2014.4046","article-title":"Injury patterns and rates amongst students at the national institute of circus arts: an observational study","volume":"29","author":"Munro","year":"2014","journal-title":"Med Probl Perform Art"},{"key":"2025083112295358000_4.1.e000327.7","doi-asserted-by":"crossref","DOI":"10.5812\/asjsm.34606","article-title":"Acute injuries in student circus artists with regard to gender specific differences","volume":"3","author":"Wanke","year":"2012","journal-title":"Asian J Sports Med"},{"key":"2025083112295358000_4.1.e000327.8","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091524"},{"key":"2025083112295358000_4.1.e000327.9","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-092087"},{"key":"2025083112295358000_4.1.e000327.10","doi-asserted-by":"crossref","first-page":"595.3","DOI":"10.1136\/bjsports-2014-093494.97","article-title":"High prevalence of injuries in the norwegian national ballet","volume":"48","author":"Fredriksen","year":"2014","journal-title":"Br J Sports Med"},{"key":"2025083112295358000_4.1.e000327.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2016-000199"},{"key":"2025083112295358000_4.1.e000327.12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjsem-2016-000189","article-title":"Sports injuries and illnesses in first-year physical education teacher education students","volume":"3","author":"van Beijsterveldt","year":"2017","journal-title":"BMJ Open Sport Exerc Med"},{"key":"2025083112295358000_4.1.e000327.13","first-page":"196","article-title":"Validation of a pain questionnaire (SEFIP) for dancers with a special created test battery","volume":"14","author":"Ramel","year":"1999","journal-title":"Med Probl Perform Art"},{"key":"2025083112295358000_4.1.e000327.14","unstructured":"Laws H , Apps J . Fit to Dance 2: Report of the second national inquiry into dancers\u2019 health and injury in the UK . London: Dance UK, 2005."},{"key":"2025083112295358000_4.1.e000327.15","unstructured":"van Rossum J . De mentale kant van het dansvak. In: van der Linden M , Wildschut L , Zeijlemaker J , Danswetenschap in Nederland - Deel 5 . Amsterdam: Vereniging voor Dans Onderzoek, 2008:86\u201396."},{"key":"2025083112295358000_4.1.e000327.16","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3180471b89"},{"key":"2025083112295358000_4.1.e000327.17","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.033282"},{"key":"2025083112295358000_4.1.e000327.18","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.025270"},{"key":"2025083112295358000_4.1.e000327.19","article-title":"Issues in estimating risks and rates in sports injury research","volume":"41","author":"Knowles","year":"2006","journal-title":"J Athl Train"},{"key":"2025083112295358000_4.1.e000327.20","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-251-16"}],"container-title":["BMJ Open Sport &amp; Exercise Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsem-2017-000327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:30:06Z","timestamp":1756668606000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopensem.bmj.com\/lookup\/doi\/10.1136\/bmjsem-2017-000327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,6,26]]},"published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1136\/bmjsem-2017-000327"],"URL":"https:\/\/doi.org\/10.1136\/bmjsem-2017-000327","relation":{},"ISSN":["2055-7647"],"issn-type":[{"value":"2055-7647","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6]]}}}