{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:37:22Z","timestamp":1790005042411,"version":"4.0.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2009,3,13]],"date-time":"2009-03-13T00:00:00Z","timestamp":1236902400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Human circus arts are gaining increasing popularity as a physical activity with more than 500 companies and 200 schools. The only injury data that currently exist are a few case reports and 1 survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>To describe injury patterns and injury rates among Cirque du Soleil artists between 2002 and 2006.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Descriptive epidemiology study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors defined an injury as any work-related condition recorded in an electronic injury database that required a visit to the show therapist. Analyses for treatments, missed performances, and injury rates (per 1000 artist performances) were based on a subset of data that contained appropriate denominator (exposure) information (began in 2004).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 1376 artists who sustained a total of the 18 336 show- or training-related injuries. The pattern of injuries was generally similar across sex and performance versus training. Most injuries were minor. Of the 6701 injuries with exposure data, 80% required \u22647 treatments and resulted in \u22641 completely missed performance. The overall show injury rate was 9.7 (95% confidence interval, 9.4\u201310.0; for context, published National Collegiate Athletic Association women\u2019s gymnastics rate was 15.2 injuries per 1000 athlete-exposures). The rate for injuries resulting in more than 15 missed performances for acrobats (highest risk group) was 0.74 (95% confidence interval, 0.65\u20130.83), which is much lower than the corresponding estimated National Collegiate Athletic Association women\u2019s gymnastics rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most injuries in circus performers are minor, and rates of more serious injuries are lower than for many National Collegiate Athletic Association sports.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546508331138","type":"journal-article","created":{"date-parts":[[2009,3,13]],"date-time":"2009-03-13T21:37:39Z","timestamp":1236980259000},"page":"1143-1149","source":"Crossref","is-referenced-by-count":46,"title":["Injury Patterns and Injury Rates in the Circus Arts"],"prefix":"10.1177","volume":"37","author":[{"given":"Ian","family":"Shrier","sequence":"first","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem H.","family":"Meeuwisse","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon O.","family":"Matheson","sequence":"additional","affiliation":[{"name":"Stanford University, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Wingfield","sequence":"additional","affiliation":[{"name":"Center for Sports Medicine, Saint Francis Memorial Hospital, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell J.","family":"Steele","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Prince","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al, Montreal, Quebec, Canada and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Hanley","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Montanaro","sequence":"additional","affiliation":[{"name":"Concordia University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2009,3,13]]},"reference":[{"issue":"2","key":"b1-0371143","first-page":"249","volume":"42","author":"Agel J","year":"2007","journal-title":"J Athl Train"},{"key":"b2-0371143","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e31806008d9"},{"key":"b3-0371143","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.018341"},{"issue":"2","key":"b4-0371143","first-page":"194","volume":"42","author":"Dick R","year":"2007","journal-title":"J Athl Train"},{"key":"b5-0371143","doi-asserted-by":"publisher","DOI":"10.1123\/pes.13.3.225"},{"key":"b6-0371143","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500110059035"},{"key":"b7-0371143","doi-asserted-by":"publisher","DOI":"10.1136\/oem.55.9.585"},{"key":"b8-0371143","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.86.1.77"},{"key":"b9-0371143","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3180471b89"},{"key":"b10-0371143","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200603000-00003"},{"key":"b11-0371143","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31803220b3"},{"key":"b12-0371143","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2006.08.001"},{"key":"b13-0371143","unstructured":"Hill JO, Leon AS. 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