small sample size, these findings are preliminary and cannot be generalized to all contortionists. They suggest that extreme spinal movements may contribute to certain spinal changes, but further research with larger cohorts is necessary to fully understand long-term spinal health implications.

It is also worth noting that a large number of contortionists retire perfectly healthy, demonstrating that with proper conditioning, technique, and strength training, many performers can maintain long-term musculoskeletal health. Proper conditioning,