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SPORT SCIENCE : PHYSIOTHERAPY

 

CYCLING INJURIES : BY AIDEN WOODS
By
Nov 21, 2006

Traumatic Injuries: These occur when direct trauma is applied to a part of the body e.g. falling off a bicycle. In most instances there is very little an athlete can do to prevent these. Recovery time is based on the severity of the trauma and how the injury is managed. For this reason it is essential to get an accurate diagnosis from an experienced professional. The professional can then advise you on how the injury should be managed and how best to return to your chosen sport.

Overuse Injuries: These are injuries caused by a cyclist placing excessive stresses on thier body. They can generally be prevented and if not properly diagnosed and managed they can lead to prolonged periods off training and competition. There are many reasons for overuse injuries occurring:

Too rapid an increase in the volume or intensity an athlete is training at. This is self explanatory and one of the most common reasons an athlete will present with injury for example going from cycling 50 miles 5 times a week to cycling 100 mile 5 times a week. This represents a 100% increase in volume in one week and will most likely lead to injury. Another example would be a cyclist who goes from cycling 50 miles 5 times a week at 130 heart rate to cycling 50 miles 5 times a week at 180 heart rate. This represents a large increase in intensity and predisposes to injury.

Poor sociological circumstances: There are several things that an athlete or any human being cannot survive with out. These include food, water and sleep. An athlete who does not get appropriate amounts of food, water and sleep is leaving themselves more open to injury. It is up to each athlete to find out what amounts of each work best for themselves. Changes in lifestyle, climate and training will alter the amounts of food, water and sleep needed. Changes in the amount of food, water and sleep you are getting will subsequently alter the amount of training you are able to do.

Psychological Weaknesses: Every athlete knows the importance of psychology for performance. It is also a vitally important area in injury. In my opinion athletes who are under psychological stress for whatever reason e.g. relationship problems, exam stress, bullying etc are more likely to get injured. Sports psychologists can be used to identify reasons and establish management plans for psychological stresses.

Medical Weaknesses: Again this is another very obvious area that can lead to injury. An athlete who is medically unwell is more likely to pick up an injury if they don’t modify their training appropriately. For this reason it is vital to work with a good sports medicine doctor.

Physical Weaknesses: Almost every athlete will have areas of physical weakness, which will make them more prone to getting injured. Their physical weakness may be an area of previous injury or an area of natural biomechanical weakness e.g. a cyclist with a leg length difference. Athletes should liase with a chartered physiotherapist regarding ways of identifying and managing areas of physical weakness.
The most common cycling related overuse injuries I would see include knee pain, shoulder and neck pain, and lower back pain. In most cases the injury is contributed to by poor posture and use of the painful area. I will give out some basic strengthening  exercises for these areas.

These exercises should only be done pain-free.

If you are experiencing any pain during them then modify the exercise until it is pain-free or cease doing the exercise and get professional advice. If you are injured it is always worthwhile to seek a professionals advice on the cause and correct management of the injury. 

 


1. Shoulders and Neck


2. Lower Back


3. Knees

LEG EXERCISES
SQUAT:
Start off squatting supported against a wall.
Picture of good wall squat position.

 Lean your back into the wall so that it is fully supported, bend your hips and knees so that they are at 90 degree angles. The feet should be straight and the knees should be bending in a line over the second toes.


 Progress this on to a squat away from the wall, avoiding slouching in the lower back, feet should be straight and knees bend over the second toes.
       Picture of a good squat away from the wall

 

Another exercise is the lunge. Back straight, feet straight place one leg in front of other and take weight on it bending the knee over the second toe.
          Picture of good lunge technique


PRESS UPS
Three pictures of good press up positions

 

 

 

 

LOWER BACK EXERCISE

PLANK HOLD
Picture of good plank position


Prop up onto your elbows and toes, keep your shoulders, hips and ankles in line.


SIDE WAYS PLANK
I. Picture of good side ways plank hold


Prop up onto one elbow and foot and keep shoulders, hips and feet in line.

REMEMBER TO DO ALL EXERCISES PAIN FREE

AIDEN WOODS: Aiden is a Chartered Physiotherapist with a particular interest in sports injuries. He was the Physiotherapist to the Irish team for the Athens Olympics in 2004. He practises in Dublin. Queries to info@pearsestreetphysio.com

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