Injury patterns and injury rates in the circus arts: an analysis of 5 years of data from Cirque du Soleil.
BACKGROUND
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.


OBJECTIVE
To describe injury patterns and injury rates among Cirque du Soleil artists between 2002 and 2006.


METHODS
Descriptive epidemiology study.


METHODS
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).


RESULTS
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 < or =7 treatments and resulted in < or =1 completely missed performance. The overall show injury rate was 9.7 (95% confidence interval, 9.4-10.0; for context, published National Collegiate Athletic Association women's 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, 0.65-0.83), which is much lower than the corresponding estimated National Collegiate Athletic Association women's gymnastics rate.


CONCLUSIONS
Most injuries in circus performers are minor, and rates of more serious injuries are lower than for many National Collegiate Athletic Association sports.
Shrier
Ian
I
McGill University, Montreal, Quebec, Canada. ian.shrier@mcgill.ca
Meeuwisse
Willem H
WH
Matheson
Gordon O
GO
Wingfield
Kristin
K
Steele
Russell J
RJ
Prince
François
F
Hanley
James
J
Montanaro
Michael
M
D001154:Art; D001265:Athletic Injuries / Q000145:classification* / Q000453:epidemiology* / Q000503:physiopathology / Q000628:therapy; D019992:Databases as Topic; D016021:Epidemiologic Studies; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000502:physiology