title: The club-level road cyclist: injury, pain, and performance.
abstract: OBJECTIVE
  The aims of this study were to (1) examine riding habits of injured cyclists, (2) identify factors related to seeking medical treatment, (3) investigate performance of recreational road cyclists compared with established norms regarding strength and flexibility measures, and (4) propose cycling-specific injury risk factors.
  
  
  METHODS
  Observational and prospective study.
  
  
  METHODS
  Cycling store and bicycle distribution company.
  
  
  METHODS
  Sixty-three experienced road cyclists.
  
  
  METHODS
  Initial data collection included a questionnaire. A 2-week training diary and 8 weekly follow-up injury questionnaires were also collected.
  
  
  METHODS
  Training habits and injury history, bike fit, flexibility, and isometric, dynamic, and plyometric strength measures.
  
  
  RESULTS
  Participants were likely to have an injury at baseline, and chronic pain was common. Cyclists trained for an equal quantity of time irrespective of experiencing pain. Injury severity in terms of pain level and participant age were factors in seeking medical care. Our participants performed poorly on our testing protocol compared with available norms. Flexibility, strength, and bike fit measures did not predict injury. Previous injury predicted prospective injury. The knee and lumbar region were most frequently injured.
  
  
  CONCLUSIONS
  Cycling is a sport in which injury risk and prevention need to be further studied. Cyclists are frequently injured but continue to participate in cycling at volumes equal to their healthy peers.
  
  
  CONCLUSIONS
  This study outlines a clinically reproducible cyclist assessment and discusses behaviors common to the cycling patient.
authors.affiliation: *Courage Kenny Sports and Physical Therapy Center, Minneapolis, Minnesota; †Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota; and ‡Courage Kenny Research Center, Minneapolis, Minnesota.
authors.forename: Miriah
authors.initials: M
authors.lastname: Dahlquist
authors.forename: Marie-Christine
authors.initials: MC
authors.lastname: Leisz
authors.forename: Marsha
authors.initials: M
authors.lastname: Finkelstein
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D054874:Athletic Performance; D019567:Back Injuries / Q000453:epidemiology* / Q000503:physiopathology; D001642:Bicycling / Q000293:injuries*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology; D007718:Knee Injuries / Q000453:epidemiology* / Q000503:physiopathology; D017116:Low Back Pain / Q000453:epidemiology* / Q000503:physiopathology; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology; D018482:Muscle, Skeletal / Q000502:physiology / Q000503:physiopathology*; D059352:Musculoskeletal Pain / Q000453:epidemiology / Q000503:physiopathology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult