Impact of physiotherapy-led bike fitting on the evolution of knee pain in recreational cyclists: the PBF study.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-02-21 DOI:10.1080/09593985.2025.2468908

Ariane Viau, Christina Tremblay, Guillaume Coutu, François Desmeules, Simon Lafrance

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引用次数: 0

Abstract

Introduction: A Physiotherapy-led Bike Fitting (PBF) intervention including a bike fit, education, and exercise prescription can be helpful among cyclists with knee pain.

Objective: To describe the PBF intervention and to assess knee-related pain and disability change among recreational cyclists exposed to the PBF intervention.

Methods: This is a single group prospective observational longitudinal study on a cohort of recreational road cyclists who consulted for cycling-related knee pain at a physiotherapy clinic specialized in cycling. The PBF included a comprehensive bike fit focusing on key measurements such as knee flexion and knee alignment relative to the pedal axis while cycling. Additionally, tailored education was provided on cycling cadence and training progression, along with exercise prescriptions. The primary outcome was the knee pain during cycling measured with the numerical pain rating scale (NPRS; 0-10). Linear models were used to assess within-group changes across time points at 4 and 12 weeks.

Results: Seventy-six recreational road cyclists with knee pain while cycling were included and all received the PBF intervention. In terms of evolution over time following the intervention, there were significant improvements over time in worst, least, and average knee pain while cycling (p < .001) with respective improvements of -2.52 (95% CI: -3.04; -2), -0.7 (95% CI: -1.02; -0.38) and -1.81 (95% CI: -2.27; -1.36) at 12 weeks.

Conclusions: Based on this single group observational study, recreational road cyclist exposed to a PBF intervention, including a bike fit, tailored education, and exercises prescriptions reported a reduction in cycling-related knee pain and disability.

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物理治疗主导的自行车装配对休闲骑自行车者膝关节疼痛演变的影响：PBF研究。

以物理治疗为主导的自行车装配（PBF）干预，包括自行车装配、教育和运动处方，可以帮助患有膝盖疼痛的骑自行车者。目的：描述PBF干预，并评估受PBF干预的休闲骑自行车者膝关节相关疼痛和残疾的变化。方法：这是一项单组前瞻性观察性纵向研究，研究对象是一群在专门从事自行车运动的理疗诊所咨询与自行车相关的膝关节疼痛的休闲公路自行车运动员。PBF包括一个全面的自行车适合的关键测量，如膝盖屈曲和膝盖对齐相对于踏板轴，而骑自行车。此外，还提供了针对自行车节奏和训练进度的量身定制的教育，以及运动处方。主要终点是骑车时的膝关节疼痛，用数值疼痛评定量表(NPRS；清廉)。采用线性模型评估4周和12周各组内各时间点的变化。结果：76名休闲公路骑行者在骑行时出现膝关节疼痛，均接受PBF干预。就干预后的演变而言，随着时间的推移，骑车时最严重、最轻微和平均膝盖疼痛都有显著改善(p结论：基于这项单组观察性研究，休闲公路自行车手接受PBF干预，包括自行车合身、量身定制的教育和锻炼处方，报告了与骑车相关的膝盖疼痛和残疾的减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.