RESEARCH PAPER
Lower extremity and spine pain in cyclists
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1
Department of Spine Surgery, Oncologic Orthopaedics and Traumatology, University of Medical Sciences, Poznan, Poland
2
Department of Rheumatology and Rehabilitation, University of Medical Sciences, Poznan, Poland
3
Institute of Rural Health in Lublin, Lublin, Poland
4
Chair of Rehabilitation, Physiotherapy and Balneotherapy Medical University, Lublin, Poland
Corresponding author
Sylwia Ewa Piotrowska
Department of Spine Surgery, Oncologic Orthopaedics and Traumatology, University of Medical Sciences, Poznan, Poland
Ann Agric Environ Med. 2017;24(4):654-658
KEYWORDS
ABSTRACT
Introduction:
The number of cyclists increases each year. Some people treat cycling as a passion and practice it at every possible occasion, while for others it is a mean of transport or a form of relaxation at the weekend. However, very few people realize that cycling can also have a negative impact on their health.
Objective:
To assess the prevalence of lower extremity and spine pain in cyclists, and evaluate the influence of various factors causing it.
Material and Methods:
The study was performed on 167 subjects during amateur cycling competitions in the Greater Poland and Kuyavian-Pomeranian Provinces. A specially prepared questionnaire was used in the study. The questions related to the pain caused by cycling, the character and the localization of the pain, and the presence of warm-up and stretching.
Results:
Knee pain was reported in 40% of the study subjects (mostly anterior pain – 26%). Spine pain was reported in 41% of the studied athletes, where 26% was related with the lumbar spine. Variables, such as age, weight, age, BMI, training experience and number of hours devoted to training per week had no influence on the incidence and the localization of leg pain, but it had influence in the case of spine pain. Stretching after cycling was the factor which significantly distinguished the studied groups with regard to the incidence of knee pain.
Conclusions:
The most common type of leg pain was knee pain (anterior knee pain) whereas spine pain was most commonly reported in the lumbar spine. Statistical analysis showed that spine pain is more often reported by people who are older, have higher weight, and people who spend more time training per week. Warm-up and stretching after cycling are recommended to cyclists who experience pain.
REFERENCES (29)
1.
Zhang WH, Xue P, Yao MY, Chang HM, Wu Y, Zhang L. Prevalence of Metabolic Syndrome and Its Relationship with Physical Activity in Suburban Beijing. China. Ann Nutr Metab. 2014; 63(4): 298–304. [Epub ahead of print].
2.
Orsini N, Bellocco R, Bottai M, Pagano M, Andersson SO, Johansson JE, Giovannucci E, Wolk A. A prospective study of lifetime physical activity and prostate cancer incidence and mortality. Br J Cancer. 2009; 101(11): 1932–1938. doi: 10.1038/sj.bjc.6605404.
4.
Macdermid PW, Fink PW, Stannard SR.Transference of 3D accelerations during cross country mountain biking. J Biomech. 2014; 47(8): 1829–1837. doi: 10.1016/j.jbiomech.2014.03.024.
5.
Faiss R, Praz M, Meichtry A, Gobelet C, Deriaz O. The effect of mountain bike suspensions on vibrations and off-road uphill performance. J Sports Med Phys Fitness. 2007;47(2):151–158.
6.
Thompson MJ, Rivara FP. Bicycle-related injuries. Am Fam Physician. 2001; 63(10):2007–2014.
7.
Fordham S, Garbutt G, Lopes P. Epidemiology of injuries in adventure racing athletes. Br J Sports Med. 2004; 38(3): 300–303.
8.
Silberman MR. Bicycling injuries. Curr Sports Med Rep. 2013; 12(5): 337–345. doi: 10.1249/JSR.0b013e3182a4bab7.
9.
Gaulrapp H, Weber A, Rosemeyer B. Injuries in mountain biking. KneeSurg Sports Traumatol Arthrosc. 2001; 9(1): 48–53.
10.
Raymond CH, Joseph K-F, Gabriel YF. Muscle recruitment pattern in cycling: a review. Physical Therapy in Sport 2005; 6: 89–96.
11.
Aleman KB, Meyers MC. Mountain biking injuries in children and adolescents. Sports Med. 2010 Jan 1; 40(1): 77–90. doi: 10.2165/11319640-000000000-00000.
12.
Lareau SA, McGinnis HD. Injuries In Mountain Bike Racing: Frequency of Injuries In Endurance Versus Cross Country Mountain Bike Races. Wilderness & Environmental Medicine, 2011; 22(3): 222–227.e3.
13.
Silberman MR, Webner D, Collina S, Shiple BJ. Road bicycle fit. Clin J Sport Med. 2005 Jul; 15(4): 271–6.
14.
Aleman KB, Meyers MC. Mountain biking injuries in children and adolescents. Sports Med. 2010; 40(1): 77–90. doi: 10.2165/11319640-000000000-00000.
16.
Norvell DC, Dettori NJ. Non-Traumatic Bicycle Injuries. Sports Med. 2006: 36(1): 7–18.
17.
Rivara FP, Thompson DC, Thompson RS. Epidemiology of bicycle injuries and risk factors for serious injury. Inj Prev. 1997; 3(2): 110–114.
18.
Asplund C, Webb C, Barkdull T. Neck and back pain in bicycling. Curr Sports Med Rep. 2005; 4(5): 271–274.
19.
Faiss R, Praz M, Meichtry A, Gobelet C, Deriaz O. The effect of mountain bike suspensions on vibrations and off-road uphill performance. J Sports Med Phys Fitness. 2007; 47(2): 151–158.
20.
Bovenzi M, Hulshof CT. An updated review of epidemiologic studies on the relationship between exposure to whole-body vibration and low back pain (1986–1997). Int Arch Occup Environ Health. 1999; 72(6): 351–365.
21.
Muyor JM, López-Miñarro PA, Alacid F. Spinal posture of thoracic and lumbar spine and pelvic tilt in highly trained cyclists. J Sports Sci Med. 2011; 10(2): 355–361.
22.
Holmes JC, Pruitt AL, Whalen NJ. Iliotibial band syndrome in cyclists. Am J Sports Med. 1993; 21(3): 419–424.
23.
Wang X, Wang PS, Zhou W. Risk factors of military training-related injuries in recruits of Chinese People’s Armed Police Forces. Chin J Traumatol. 2003; 6(1): 12–17.
24.
Heir T, Eide G. Age, body composition, aerobic fitness and health condition as risk factors for musculoskeletal injuries in conscripts. Scand J MedSci Sports. 1996; 6(4): 222–227.
25.
Asplud Ch, St. Pierre P. Knee Pain and Bicycling. The Physician and Sportsmedicine 2004; 32(4): 1–11.
26.
Cohen GC. Cycling injuries. Can Fam Phys. 1993; 39: 628–632.
27.
Cosca DD, Navazio F. Common problems in endurance athletes. Am Fam Physician. 2007; 76(2): 237–244.
28.
Wilis FB, Burkhardt EJ, Walker JE, Johnson MA, Spears TD. Preferential vastus medialis oblique activation achieved as a treatment for knee disorders. Jurnal of Strength and Conditioning Research 2005; 19(2): 286–291.
29.
Dieter BP, McGowan CP, Stoll SK, Vella CA. Muscle activation patterns and patellofemoral pain in cyclists. Med Sci Sports Exerc. 2014; 46(4): 753–761. doi: 10.1249/MSS.0000000000000153.