Overuse Injuries in Professional Road Cyclists

Abstract

This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Clarsen, B., Krosshaug, T., Bahr, R. (2010). Overuse injuries in professional road cyclists. American Journal of Sports Medicine, 38, 2494Medicine, 38, -2501 Dette er siste tekst-versjon av artikkelen, og den kan inneholde ubetydelige forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på ajs.sagepub.com: http://dx.doi.org/10.1177/0363546510376816This is the final text version of the article, and it may contain insignificant differences from the journal's pdf version. The original publication is available at ajs.sagepub.com: http://dx.doi.org/10.1177/0363546510376816Original Article: Purpose: To register overuse injuries among professional road cyclists with special focus on anterior knee and lower back pain.Study Design: Descriptive epidemiology study Methods:We attended training camps of seven professional teams and interviewed 109 of 116 cyclists (94%) on overuse injuries they had experienced in the previous 12 months. Injuries that required attention from medical personnel or time loss from cycling were registered. Additional information on anterior knee pain and lower back pain was collected using specific questionnaires. Results:We registered 94 injuries; 45% were in the lower back and 23% in the knee. 23 time loss injuries were registered; 57% in the knee, 22% in the lower back, and 13% in the lower leg. Fifty-eight percent of all cyclists had experienced lower back pain in the previous 12 months, and 41% of all cyclists had sought medical attention for it. Thirty-six percent had experienced anterior knee pain and 19% had sought medical attention for it.Few cyclists had missed competitions due to pain in the lower back (6%) or anterior knee (9%). Conclusion:Lower back pain and anterior knee pain were the most prevalent overuse injuries, with knee injuries most likely to cause time-loss and lower back pain causing the highest rates of functional impairment and medical attention.Clinical Relevance: Future efforts to prevent overuse injuries in competitive cyclists should focus on lower back pain and anterior knee pain. Road cycling has been a part of the Olympic Games since their inception in 1896, and the sport's annual centrepiece race, the Tour de France, is currently one of the world's most popular sporting events. Despite the history and popularity of the sport, surprisingly little attention has been paid to the epidemiological study of overuse musculoskeletal injuries among competitive cyclists, although anecdotal reports suggest that certain injuries such as patellofemoral pain [16][17]25 and lower back pain 24 may be prevalent.Several studies have investigated overuse injuries among participants of non-competitive recreational cycling events. 11,22,29,31 These investigations have unanimously found knee injuries to be prevalent, affecting between 24% and 62% of subjects, whereas reports of other injuries such as lower back pain and neck pain, are more variable, with prevalence rates of 3-31% a...

Injuries and musculoskeletal pain among Norwegian group fitness instructors

“…Indoor cycling has also become a popular activity, and studies of competitive cyclists show that overuse injuries are common, particularly in the knee and low back. (Clarsen, Krosshaug, & Bahr, 2010) Even yoga may lead to acute injuries such as rupture of the lateral collateral ligament, and musculoskeletal pain in especially the low back (Holton & Barry, 2014;Patel & Parker, 2008) Knowledge regarding injuries and injury prevention among group fitness instructors is limited. One study found the risk of injuries among instructors in aerobic dance to be twice as high as among the participants in these classes.…”

Revisão etiológica da lombalgia em ciclistas

“…Segundo estudos epidemiológicos, a lombalgia acomete de 30 a 60% dos ciclistas (WILBER et al, 1995;CALLAGHAN;JARVIS, 1996;CLARSEN;KROSSHAUG;BAHR, 2010), representando uma das queixas mais comuns entre as disfunções musculoesqueléticas neste esporte (WILBER et al, 1995;CALLA-GHAN;JARVIS, 1996;VILLAVICENCIO et al, 2006;LITTLE;MANSOOR, 2008;CLARSEN, KROSSHAUG;BAHR, 2010). O gênero e a massa corporal são fatores que não apresentam influência sobre a ocorrência de lombalgia em ciclistas, diferente do que ocorre com o fator idade.…”

“…Mais de 49 milhões de norte americanos utilizam a bicicleta mensalmente, dos quais mais de 5 milhões pedalam pelo menos vinte dias no mês (ASPLUND; ROSS, 2010). No entanto, a prática do ciclismo, ou mesmo o uso da bicicleta como meio de transporte, muitas vezes é prejudicada por lesões por esforço repetitivo, levando à diminuição da frequência de uso da bicicleta (CLARSEN;KROSSHAUG;BAHR, 2010). Dentre estas disfunções, a dor lombar (lombalgia) é uma das mais frequentes, podendo perdurar após o término da prática ciclística, apresentando ocorrência unilateral (SANNER; O'HALLORAN, 2000) ou bilateral (SANNER; O' HALLORAN, 2000;LITTLE;MANSOOR, 2008).…”

Verletzungen im Profiradsport

“…Eine umfangreiche Studie von Clarsen et al [17] wies als Hauptsymptome LWS-Beschwerden ("lower back pain") mit 58 % und den vorderen Knieschmerz ("anterior knee pain") mit 36 % nach. Weiterhin konnte gezeigt werden, dass weniger die LWS-als vielmehr die Kniebeschwerden ursächlich für einen Trainingsausfall waren.…”