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. 2019 Mar 1;5(1):e000492. doi: 10.1136/bmjsem-2018-000492

Table 2.

Factors related to the injury occurrence and supportive quotes

Daily schedule (ie, number of rehearsals, time to eat and rest, staging time) But sometimes they try to put all the training in the same day and if you look at it, they don’t plan. They (staff) feel that you can go ‘till 7, but at 7 I start to warm up ‘till 8 and sometimes, many days, I have to eat in 10min and do my make-up and all.Artist
So, we try to look at time too. Because even if you were not having a heavy rehearsal sometimes we are just in the theater, from 1pm to 11pm, This is a long day. Coach
We take into account what their artistic schedule is, we have a lot of extra staging, and this is extra time to their daily workload. AD
Number of cues* It depends on the show too. In some shows, they need to do many cues, you need to be all the time on stage, and I feel you have more injuries. Artist
It’s not even about the act sometimes, it is the cues. We are used to the acts but the cues: that’s the load. So we need rotations of cues. Artist
Number of rotations and backups** Being able to have a happy rotation, prohibit people to get injured. Because everyone is having a day on and a day off consistently, and your body gets recuperated essentially. Artist
When someone else can take that load. In a group act you have people who can help with the load. In my case if she[another artist]is hurt, like a wrist pain, I can do it for her. Artist
Rest/ recovery time Sounds to me that we need to find a way to rest more. Injury prevention for me it’s to have a time for my body to relax. Because you can build in to my quadriceps or my gluteal, but if you take my four hours rehearsal and add my two shows and strength and conditioning somewhere… yes, my gluteus need to be stronger but I am exhausted after that. So it’s a way to find a balance between rest and somehow be able to maintain all of the shows. Artist
Artists perform and they usually stay up till 2,3 in the morning. Because they are bumped in adrenaline. They go to sleep late, they wake up late, and if the schedule starts early they don’t have enough rest. AD
Mental load Also not being mentally in the place can cause injuries. I know because when I had an injury before, I definitely was not in a good mental space, but it came along with fatigue also. AD
Sometimes physically you can be tired but you can still do the show, you know what you are doing and you are concentrated and you can prevent injuries. But when you are mentally tired, the one second that you are not concentrated, this second will push you to the injury. Artist
Fatigue Fatigue is a factor, because often an accident happens when someone is not 100 % and this person will make a mistake. Or his body is capable for a certain workload and when fatigue works there, the body can’t deal with the weight and the injury happens. Coach
Appropriate technique There is a lot of factors. Starting from technique, we also have group acts, so there could be a mistake of somebody else, someone falls from high and you spot him and you get injured from that. It’s very easy to get an injury (…)that’s why we train people. Coach
Another factor is the lack of technique, we try to improve it to avoid a movement or a mistake that can lead to an injury. Coach
External factors (ie, weather, arena and touring conditions) Training space, training area, just the demands of be on tour: like jetlag, sleeping patterns, hotel rooms, all can contribute, all that …they kind of all match together. Pmed

*Minor performances (dancing or acting) during the shows that add to the artists staging time.

**Some acts or cues can be performed by more than one artist and there is a rotation of the artists to play in different roles.