Neurologic Injuries in Cycling and Bike Riding

Kennedy, Joycee

doi:10.1016/j.pmr.2008.10.015

Cited by 10 publications

(5 citation statements)

References 42 publications

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“…Bicycling is an increasingly popular nonimpact, cardiovascular intense method of exercise transportation and recreation [1,2]. However, it also carries with it the risk of injuries [1–11]. Injuries associated with cycling can be classified into two groups, physical trauma and overuse injuries [1].…”

Section: Introductionmentioning

confidence: 99%

“…However, it also carries with it the risk of injuries [1–11]. Injuries associated with cycling can be classified into two groups, physical trauma and overuse injuries [1]. The most acute physical traumas result from collisions with motor vehicles and include head, spinal cord, and acute musculoskeletal injuries [1].…”

Section: Introductionmentioning

confidence: 99%

“…Injuries associated with cycling can be classified into two groups, physical trauma and overuse injuries [1]. The most acute physical traumas result from collisions with motor vehicles and include head, spinal cord, and acute musculoskeletal injuries [1]. Overuse injuries include neck and back pain as well as pain and discomfort in the upper and lower extremities [1].…”

Section: Introductionmentioning

confidence: 99%

“…The most acute physical traumas result from collisions with motor vehicles and include head, spinal cord, and acute musculoskeletal injuries [1]. Overuse injuries include neck and back pain as well as pain and discomfort in the upper and lower extremities [1]. Numerous saddle‐related, overuse injuries have been reported, including chafing, perineal folliculitis, furuncles, and lymphedema [3–5].…”

Section: Introductionmentioning

confidence: 99%

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The Bar Sinister: Does Handlebar Level Damage the Pelvic Floor in Female Cyclists?

Partin

Connell

Schrader

et al. 2012

The Journal of Sexual Medicine

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Introduction. Cycling is associated with genital neuropathies and erectile dysfunction in males. Women riders also have decreased genital sensation; however, sparse information exists addressing the effects of modifiable risks on neurological injuries in females. Aim. This study assesses the effects of bicycle setup and cyclists' attributes on GS and saddle pressures among female cyclists. Methods. Previously, we compared genital sensation in competitive female cyclists (N = 48) to that of female runners (N = 22). The current study is a subanalysis of the 48 cyclists from the original study group. Nonpregnant, premenopausal women who rode at least 10 miles per week, 4 weeks per month were eligible for participation. Main Outcome Measures. Genital sensation was measured in microns using biosthesiometry measures of vibratory thresholds (VTs). Perineal and total saddle pressures were determined using a specialized pressure map and recorded in kilopascals (kPA). Results. Handlebars positioned lower than the saddle correlated with increased perineum saddle pressures and decreased anterior vaginal and left labial genital sensation (P < 0.05, P < 0.02, P < 0.03, respectively). Low handlebars were not associated with total saddle pressures or altered genital sensation in other areas. After adjusting for age and saddle type, low handlebars were associated with a 3.47‐kPA increase in mean perineum saddle pressures (P < 0.04) and a 0.86‐micron increase in anterior vagina VT (P < 0.01). Conclusion. Handlebars positioned lower than the saddle were significantly associated with increased perineum saddle pressures and decreased genital sensation in female cyclists. Modifying bicycle setup may help alleviate neuropathies in females. Additional research is warranted to further assess the extent of the associations. Partin SN, Connell KA, Schrader S, LaCombe J, Lowe B, Sweeney A, Reutman S, Wang A, Toennis C, Melman A, Mikhail M, and Guess MK. The bar sinister: Does handlebar level damage the pelvic floor in female cyclists? J Sex Med 2012;9:1367–1373.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Bar Sinister: Does Handlebar Level Damage the Pelvic Floor in Female Cyclists?

Partin

Connell

Schrader

et al. 2012

The Journal of Sexual Medicine

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“…Prolonged periods of cycling may be associated with pudendal nerve entrapment. 10,12,13 Friction created in the pudendal canal from the repetitive nature of pedaling or direct compression of the nerve between the nose of the bicycle seat and pubic bone make cyclists susceptible to pathology of the pudendal nerve and its terminal motor and sensory branches. 14 Physical exam for those with potential posterior nerve entrapments should include the seated palpation, seated piriformis stretch, active piriformis, ischiofemoral, and active knee flexion tests.…”

Section: Posterior Nerve Entrapmentsmentioning

confidence: 99%

Nerve Entrapment in the Hip Region: Current Concepts Review

Martin

Kivlan

2017

Intl J Sports Phys Ther

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The purpose of this clinical commentary is to review the anatomy, etiology, evaluation, and treatment techniques for nerve entrapments of the hip region. Nerve entrapment can occur around musculotendinous, osseous, and ligamentous structures because of the potential for increased strain and compression on the peripheral nerve at those sites. The sequela of localized trauma may also result in nerve entrapment if normal nerve gliding is prevented. Nerve entrapment can be difficult to diagnose because patient complaints may be similar to and coexist with other musculoskeletal conditions in the hip and pelvic region. However, a detailed description of symptom location and findings from a comprehensive physical examination can be used to determine if an entrapment has occurred, and if so where. The sciatic, pudendal, obturator, femoral, and lateral femoral cutaneous are nerves that can be entrapped and serve a source of hip pain in the athletic population. Manual therapy, stretching and strengthening exercises, aerobic conditioning, and cognitive-behavioral education are potential interventions. When conservative treatment is ineffective at relieving symptoms surgical treatment with neurolysis or neurectomy may be considered. Level of Evidence: 5

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Pudendal Neuralgia

Marvel

2020

Female Sexual Pain Disorders

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Neurologic Injuries in Cycling and Bike Riding

Cited by 10 publications

References 42 publications

The Bar Sinister: Does Handlebar Level Damage the Pelvic Floor in Female Cyclists?

The Bar Sinister: Does Handlebar Level Damage the Pelvic Floor in Female Cyclists?

Nerve Entrapment in the Hip Region: Current Concepts Review

Pudendal Neuralgia

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