Despite the ever-growing global participation in circus arts, very little research has been conducted into injuries associated with this physical discipline. To date, no studies have examined the incidence of injuries in circus training institutions and schools. In this study, data were collected over an academic year from all student injury presentations to the physiotherapy staff at one Australian circus school. A total of 351 injuries resulting in 1,948 treatments occurred in 33 female and 30 male circus students. The most common mechanisms of injury were acrobatics/tumbling (23%), handstands (12%), adagio (11%), and Chinese pole (10%). The most commonly injured body parts were the ankle (25%), lumbar spine (14%), and shoulder (12%). Interestingly, combined spinal injuries (cervical, thoracic, and lumbar) contributed to 35% of all initial injuries. Females sustained 71% of all hip injuries, but only 33% of all forearm injuries. Males accounted for 59% of all ankle injuries. There were no significant gender-based differences in other body areas. Results indicated that there is no gender-based difference in the overall rate of injury. However, females sustained significantly higher rates of hip injuries and males presented with more forearm and ankle injuries, perhaps reflecting the specific form and style of circus training and contortion undertaken. Spinal injuries had the highest overall rate of initial and follow-up presentations, indicating that both preventative and rehabilitative strategies could be addressed. It is suggested that the most common mechanisms of injury reflect both the amount of time spent training specific disciplines and the extreme physical difficulties and demands placed on the body.

Indepth knowledge of injury and illness epidemiology in circus arts is lacking. Comparing results across studies is difficult due to inconsistent methods and definitions. In 2020, the International Olympic Committee (IOC) consensus group proposed a standard method for recording and reporting epidemiological data on injuries and illnesses in sports and stated that sport-specific extension statements are needed to capture the context of each sport. This is the circus-specific extension to be used with the IOC consensus statement. International circus arts researchers in injury and illness epidemiology and performing arts medicine formed a consensus working group. Consensus statement development included a review of literature, creation of an initial draft by the working group, feedback from external reviewers, integration of feedback into the second draft and a consensus on the final document. This consensus statement contains circus-specific information on (1) injury definitions and characteristics; (2) measures of severity and exposure, with recommendations for calculating the incidence and prevalence; (3) a healthcare practitioner report form; (4) a self-report form capturing health complaints with training and performance exposure; and (5) a demographic, health history and circus experience intake questionnaire. This guideline facilitates comparing results across studies and enables combining data sets on injuries in circus arts. This guideline informs circus-specific injury prevention, rehabilitation, and risk management to improve the performance and health of circus artists.

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Abstract. Persistent programming systems are designed as an implementation technology for long lived, concurrently accessed and potentially large bodies of data and programs, known here as persistent application systems (PASs). Within a PAS the persistence concept is used to abstract over the physical properties of data such as where it is kept, how long it is kept and in what form it is kept. As such it is seen as having a number of benefits in simplifying the task of PAS programming. Here, we describe the integrated design of the Napier88 persistent programming system and how Napier88 may be used to develop PASs.