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应对骑行者面临的主要肌肉骨骼挑战:来自自行车调校服务的见解

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

作者信息

Oliveira Fernanda Coutinho, Oliveira Caio Frade Rodrigues de, Santos Matheus Augusto Teixeira Dos, Amaral Laura Fonseca Vaz do, Santos Izabely Arantes, Vieira Gustavo Cardoso, Morais Marcelo Rocha de, Pernambuco Andrei Pereira

机构信息

Centro Universitário de Formiga (UNIFOR-MG), Dr. Arnaldo Sena, 328 - Formiga, MG, 35570-000, Brazil.

Universidade de Itaúna (UIT), Rodovia MG 431 Km 45, s/n -Itaúna, MG, 35680-142, Brazil.

出版信息

J Bodyw Mov Ther. 2025 Jun;42:535-541. doi: 10.1016/j.jbmt.2025.01.028. Epub 2025 Jan 25.

DOI:10.1016/j.jbmt.2025.01.028
PMID:40325718
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.

摘要

引言

据观察,随着自行车运动爱好者数量的增加,从事这项运动的人出现神经肌肉骨骼方面的不适和疼痛的情况也在增多。评估/调整骑行者与自行车适配度的过程被称为自行车调校。这一程序能提升骑行表现和舒适度,并可将骑行者受伤风险降至最低。

目的

分析寻求自行车调校服务的骑行者报告的主要肌肉骨骼方面的不适情况。

方法

观察性横断面研究。邀请在巴西不同地区进行自行车调校的专业人员参与研究。志愿者填写电子表格,内容从他们已治疗患者的病历中提取。本研究使用了1505名骑行者的数据。对男性和女性的数据进行了绝对数(n)、相对数(%)、95%置信区间(95%CI)和患病率比(PR)分析。采用费舍尔精确检验和科恩检验分析性别差异。

结果

报告的不适情况中,29.1%为腰椎疼痛,21.5%为手部和/或手指麻木,19.5%为膝盖疼痛,14%为颈部疼痛,11.5%为脚部和/或脚趾麻木。男性和女性骑行者的不适类型和患病率相似。

结论

主要的神经肌肉骨骼方面的不适包括腰痛、手部或手指感觉异常、颈部疼痛以及脚部或脚趾感觉异常。这些发现有助于从事骑行者健康工作的专业人员做出更有针对性的决策。

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