Tackling the top musculoskeletal challenges of cyclists: Insights from bike Fit services

Abstract

Introduction

It is observed that associated with the increase in cycling enthusiasts, there is also an increase in neuromusculoskeletal complaints and discomfort experienced by those who practice this sport. The process of evaluating/correcting the cyclist/bicycle combination is named Bike Fit. This procedure allows for improved performance and comfort and can minimize the risk of injuries to cyclists.

Objective

To analyze the main musculoskeletal complaints reported by cyclists who sought a Bike Fit service.

Methods

Observational and cross-sectional study. Professionals who perform Bike Fit in different regions of Brazil were invited to participate in the research. Volunteers filled out electronic forms with data extracted from medical records of patients they had already treated. For this study, data from 1505 cyclists were used. Absolute number (n), relative number (%), 95% confidence interval (95% CI) and prevalence ratio (PR) were analyzed in men and women. Fisher's exact test and Cohen's were used to analyze differences between genders.

Results

29.1% of reported complaints were pain in the lumbar spine, 21.5% numbness in the hands and/or fingers, 19.5% pain in the knees, 14% pain in the neck, and 11.5% numbness in the feet and/or fingers. The type of complaint and prevalence of complaints were similar in male and female cyclists.

Conclusion

The main neuromusculoskeletal complaints involve low back pain, paresthesia in the hands or fingers, neck pain, and paresthesia in the feet or toes. These findings can contribute to more assertive decision-making by professionals who work with cyclists' health.