Piotrowska Sylwia Ewa, Majchrzycki Marian, Rogala Piotr, Mazurek-Sitarz Martyna
Department of Spine Surgery, Oncologic Orthopaedics and Traumatology, University of Medical Sciences, Poznan, Poland.
Department of Rheumatology and Rehabilitation, University of Medical Sciences, Poznan, Poland.
Ann Agric Environ Med. 2017 Dec 23;24(4):654-658. doi: 10.5604/12321966.1233552. Epub 2017 May 11.
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.
To assess the prevalence of lower extremity and spine pain in cyclists, and evaluate the influence of various factors causing it.
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.
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.
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.
骑自行车的人数逐年增加。有些人将骑行视为一种爱好，一有机会就会骑行，而对另一些人来说，骑行是一种交通方式或周末放松的形式。然而，很少有人意识到骑行也可能对他们的健康产生负面影响。
评估骑自行车者下肢和脊柱疼痛的患病率，并评估导致疼痛的各种因素的影响。
该研究在大波兰省和库亚维-波美拉尼亚省的业余自行车比赛期间对167名受试者进行。研究中使用了一份专门编制的问卷。问题涉及骑行引起的疼痛、疼痛的性质和部位，以及热身和拉伸的情况。
40%的研究对象报告有膝盖疼痛（大多数为前侧疼痛——26%）。41%的受试运动员报告有脊柱疼痛，其中26%与腰椎有关。年龄、体重、BMI、训练经验和每周训练时长等变量对腿部疼痛的发生率和部位没有影响，但对脊柱疼痛有影响。骑行后拉伸是在膝盖疼痛发生率方面显著区分研究组的因素。
最常见的腿部疼痛类型是膝盖疼痛（膝盖前侧疼痛），而脊柱疼痛最常出现在腰椎。统计分析表明，年龄较大、体重较高以及每周训练时间较长的人更常报告有脊柱疼痛。建议有疼痛症状的骑行者在骑行后进行热身和拉伸。
