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Record W4410793530 · doi:10.1136/bmjsem-2025-002524

Circus-specific extension of the 6th International Consensus Statement on Concussion in Sport

2025· article· en· W4410793530 on OpenAlexaff
David S. Munro, Stephanie Greenspan, Joanna Nicholas, Melanie I. Stuckey

Bibliographic record

VenueBMJ Open Sport & Exercise Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicTraumatic Brain Injury Research
Canadian institutionsNational Circus School
Fundersnot available
KeywordsConcussionContext (archaeology)The artsGuidelineStatement (logic)DancePsychologyPopulationMedicineMedical educationPoison controlPolitical scienceInjury preventionVisual artsMedical emergencyLawHistoryPathology

Abstract

fetched live from OpenAlex

While sport-related concussion (SRC) is a known risk in circus arts, no published guidelines exist to guide post-concussion return to circus, contributing to inadequate management in this population. The Concussion in Sport Group (CISG) published the 6th international consensus statement in 2023, providing updated guidance and assessment tools for the management of SRC. Sport and dance organisations have adapted these recommendations for their specific settings. The aim of this extension statement was to extend the CISG guideline to the circus arts training and performance context. Development included a review of literature, creation of the initial drafts by the working group, feedback from external reviewers and integration of the feedback into a final draft approved by the working group. This statement includes circus-specific recommendations for: (1) baseline testing; (2) immediate postinjury management including adapted Maddocks questions; (3) a criterion-based return-to-circus progression including guidance by circus discipline; (4) prognostic considerations; (5) risk reduction/prevention. While ongoing research specific to SRC in circus is needed, this guideline supports and advises circus organisations to develop concussion management protocols and policies. It also informs clinicians to assist their understanding of the unique aspects and demands of circus arts to provide tailored clinical care in the rehabilitation of circus artists as they return to training and performance following SRC.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.063
metaresearch head score (Gemma)0.148
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.063
Threshold uncertainty score0.336

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0630.148
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0040.010
Bibliometrics0.0090.005
Science and technology studies0.0030.002
Scholarly communication0.0060.004
Open science0.0070.008
Research integrity0.0140.013
Insufficient payload (model declined to judge)0.0110.012

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.103
GPT teacher head0.435
Teacher spread0.331 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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