Cycling Injuries of the Lower Extremity

Wanich, Tony; Hodgkins, Christopher W.; Columbier, Jean Allain; Muraski, Erika; Kennedy, John G.

doi:10.5435/00124635-200712000-00008

“…Wanich et al [10] reported that increased stiffness of cycling shoes may provide more efficient energy transfer but that it also increases forefoot pressure. Of the 1 358 respondents with buttock/ perineal complaints, 62% (n=842) had neurological symptoms.…”

Section: Discussionmentioning

confidence: 99%

Non-traumatic injury profile of amateur cyclists

walt¹

2014

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Background. Non-traumatic bicycle injuries are common. However, research available on non-traumatic injuries in amateur cyclists is more than a decade old, and most of the research on this topic has been done in Europe and America on professional cyclists in multi-day cycling events. An understanding of the common injuries may lead to appropriate prevention intervention. Objective. To determine the incidence of overuse injuries in amateur cyclists preparing for participation in a 1-day cycle challenge. Methods. A questionnaire was emailed to participants of the 2012 Momentum 94.7 Cycle Challenge, which amateur participants ≥18 years old were invited to complete. Data on demographics, training habits and the participants' injury profile in the preceding year were collected. Results. Of the 3 300 respondents, 75% were male and 59% were between 30 and 50 years old. Non-traumatic injury, pain or neurological symptoms were reported by 88% of the respondents. The percentages of all respondents who experienced problems in the following anatomical areas were as follows: neck 34%, back 41%, hand/wrist 41%, buttock/perineum 41%, hip 7%, knee 33% and foot/ankle 24%. Knee pain was responsible for the need to stop training for the largest percentage of respondents. Neurological complaints were common in respondents who experienced neck, back, hand/wrist, buttock/perineum and foot/ankle problems. Conclusion. Non-traumatic injuries in amateur cyclists are common, with back, hand/wrist and buttock/perineal symptoms the most frequent problems. Knee problems caused the greatest need to stop training and seek medical help.

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“…[1,2] The most common injury sites are the knee, neck/shoulder, back, hand/wrist and buttock/ perineum. [1][2][3][4][5][6][7][8][9][10] In professional road cyclists, lower back pain and anterior knee pain are the most prevalent overuse injuries, and knee pain is the most likely cause of time lost. [3] Ulnar and median nerve compression appears to be the most common problem in the upper limb.…”

mentioning

confidence: 99%

Non-traumatic injury profile of amateur cyclists

walt¹

2016

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Background. Non-traumatic bicycle injuries are common. However, research available on non-traumatic injuries in amateur cyclists is more than a decade old, and most of the research on this topic has been done in Europe and America on professional cyclists in multi-day cycling events. An understanding of the common injuries may lead to appropriate prevention intervention. Objective. To determine the incidence of overuse injuries in amateur cyclists preparing for participation in a 1-day cycle challenge. Methods. A questionnaire was emailed to participants of the 2012 Momentum 94.7 Cycle Challenge, which amateur participants ≥18 years old were invited to complete. Data on demographics, training habits and the participants' injury profile in the preceding year were collected. Results. Of the 3 300 respondents, 75% were male and 59% were between 30 and 50 years old. Non-traumatic injury, pain or neurological symptoms were reported by 88% of the respondents. The percentages of all respondents who experienced problems in the following anatomical areas were as follows: neck 34%, back 41%, hand/wrist 41%, buttock/perineum 41%, hip 7%, knee 33% and foot/ankle 24%. Knee pain was responsible for the need to stop training for the largest percentage of respondents. Neurological complaints were common in respondents who experienced neck, back, hand/wrist, buttock/perineum and foot/ankle problems. Conclusion. Non-traumatic injuries in amateur cyclists are common, with back, hand/wrist and buttock/perineal symptoms the most frequent problems. Knee problems caused the greatest need to stop training and seek medical help.

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“…1 Both intrinsic and extrinsic factors contribute to injury. 1 Intrinsic factors are inherent to the cyclist and include fitness level as well as anatomical alignment of the lower extremities.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Extrinsic Factors on Knee Biomechanics During Cycling: A Systematic Review of the Literature

Johnston

¹

,

Baskins

²

,

Koppel

³

et al. 2017

Intl J Sports Phys Ther

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Background:The knee is susceptible to injury during cycling due to the repetitive nature of the activity while generating torque on the pedal. Knee pain is the most common overuse related injury reported by cyclists, and intrinsic and extrinsic factors can contribute to the development of knee pain.Purpose: Due to the potential for various knee injuries, this purpose of this systematic review of the literature was to determine the association between biomechanical factors and knee injury risk in cyclists. Study Design: Systematic review of the literatureMethods: Literature searches were performed using CINAHL, Ovid, PubMed, Scopus and SPORTDiscus. Quality of studies was assessed using the Downs and Black Scale for non-randomized trials.Results: Fourteen papers were identified that met inclusion and exclusion criteria. Only four studies included cyclists with knee pain. Studies were small with sample sizes ranging from 9-24 participants, and were of low to moderate quality. Biomechanical factors that may impact knee pain include cadence, power output, crank length, saddle fore/ aft position, saddle height, and foot position. Changing these factors may lead to differing effects for cyclists who experience knee pain based on specific anatomical location. Conclusion:Changes in cycling parameters or positioning on the bicycle can impact movement, forces, and muscle activity around the knee. While studies show differences across some of the extrinsic factors included in this review, there is a lack of direct association between parameters/positioning on the cycle and knee injury risk due to the limited studies examining cyclists with and without pain or injury. The results of this review can provide guidance to professionals treating cyclists with knee pain, but more research is needed. Level of Evidence: 3a

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Cycling Injuries of the Lower Extremity

Cited by 91 publications

References 20 publications

Non-traumatic injury profile of amateur cyclists

Non-traumatic injury profile of amateur cyclists

Non-traumatic injury profile of amateur cyclists

The Influence of Extrinsic Factors on Knee Biomechanics During Cycling: A Systematic Review of the Literature

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