Survey on Low Back Pain among Cyclists: Prevalence, Risk Factors and Knowledge of Injury Prevention Strategies

Authors

DOI:

https://doi.org/10.17309/tmfv.2023.1.12

Keywords:

Cyclist, Low Back Pain, knowledge, risk factors, injury prevention

Abstract

The study aimed to determine prevalence of low back pain (LBP), risk factors, and knowledge of injury prevention strategies in recreational cyclists.

Materials and methods. This cross-sectional quantitative study included 141 adult recreational cyclists aged 18 to 70. LBP prevalence was determined using a standard Nordic questionnaire. In addition, a validated self-developed questionnaire was used to assess knowledge level, with a high score representing the highest level of knowledge. Frequencies and percentages were used to report the descriptive variables, whereas the Chi-square test was used to determine the association between risk factors and LBP.

Results. The study identified that 55.3% of cyclists had a lifetime prevalence of LBP, and 35.5% reported LBP in the past 12 months. However, no significant association (p>0.05) was found between the risk factor and the LBP. Despite this, a low level of knowledge of injury prevention strategies for recreational cyclists was found.

Conclusions. This survey found that recreational cyclists have a low level of understanding about crucial bicycle characteristics such as seat height, saddle tilt, and handlebar position to maintain optimal body biomechanics. Recreational cyclists should be educated on the need for appropriate bicycle modifications and ergonomics, effective warm-up, stretching, and cool-down techniques, and some critical injury prevention strategies, especially in the low back.

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Author Biographies

Vinosh Kumar Purushothaman, INTI International University

Faculty of Health and Life Sciences
Persiaran Perdana BBN Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
vinoshmpt@yahoo.com

Wei Vvy Chen, INTI International University

Faculty of Health and Life Sciences
Persiaran Perdana BBN Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
weivvyyyy@gmail.com

Ambusam Subramaniam, Universiti Tunku Abdul Rahman

Faculty of Medicine and Health Sciences
Jalan Sungai Long, Bandar Sungai Long, 43000 Kajang, Selangor, Malaysia
ambusam_7@hotmail.com

Arun Vijay Subbarayalu, Imam Abdulrahman Bin Faisal University

Department of Physiotherapy
Dammam 34212, Saudi Arabia
ausubbarayalu@iau.edu.sa

Nithiyah Maruthey, INTI International University

Faculty of Health and Life Sciences
Persiaran Perdana BBN Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
nithiyahmaruthey@gmail.com

Mohanraj Kandasamy, Vinayaka Missions Research Foundation

Faculty of Physiotherapy
Sankari Main Road (NH47), Salem, Tamil Nadu 636308, India
mohaan23@gmail.com

References

Decock, M., De Wilde, L., Bossche, L. Vanden, Steyaert, A., & Van Tongel, A. (2016). Incidence and aetiology of acute injuries during competitive road cycling. British Journal of Sports Medicine, 50(11), 669-672. https://doi.org/10.1136/bjsports-2015-095612 DOI: https://doi.org/10.1136/bjsports-2015-095612

Oja, P., Titze, S., Bauman, A., De Geus, B., Krenn, P., Reger‐Nash, B., & Kohlberger, T. (2011). Health benefits of cycling: a systematic review. Scandinavian Journal of Medicine & Science in Sports, 21(4), 496-509. https://doi.org/10.1111/j.1600-0838.2011.01299.x DOI: https://doi.org/10.1111/j.1600-0838.2011.01299.x

Antequera-Vique, J. A., Oliva-Lozano, J. M., & Muyor, J. M. (2022). Effects of cycling on the morphology and spinal posture in professional and recreational cyclists: a systematic review. Sports Biomechanics, 1-30. https://doi.org/10.1080/14763141.2022.2058990 DOI: https://doi.org/10.1080/14763141.2022.2058990

Nordengen, S., Ruther, D. C., Riiser, A., Andersen, L. B., & Solbraa, A. (2019). Correlates of commuter cycling in three Norwegian counties. International Journal of Environmental Research and Public Health, 16(22). https://doi.org/10.3390/ijerph16224372 DOI: https://doi.org/10.3390/ijerph16224372

Dinu, M., Pagliai, G., Macchi, C., & Sofi, F. (2019). Active Commuting and Multiple Health Outcomes: A Systematic Review and Meta-Analysis. Sports Medicine, 49(3), 437-452. https://doi.org/10.1007/s40279-018-1023-0 DOI: https://doi.org/10.1007/s40279-018-1023-0

Rasmussen, M. G., Grøntved, A., Blond, K., Overvad, K., Tjønneland, A., Jensen, M. K., & Østergaard, L. (2016). Associations between Recreational and Commuter Cycling, Changes in Cycling, and Type 2 Diabetes Risk: A Cohort Study of Danish Men and Women. PLoS Medicine, 13(7), 1-17. https://doi.org/10.1371/journal.pmed.1002076 DOI: https://doi.org/10.1371/journal.pmed.1002076

Du Toit, Francois, Schwellnus, M., Wood, P., Swanevelder, S., Killops, J., & Jordaan, E. (2020). Epidemiology, clinical characteristics and severity of gradual onset injuries in recreational road cyclists: A cross-sectional study in 21,824 cyclists-SAFER XIII. Physical Therapy in Sport, 46, 113-119. https://doi.org/10.1016/j.ptsp.2020.08.006 DOI: https://doi.org/10.1016/j.ptsp.2020.08.006

Van der Walt, A., van Rensberg, D. C. J., Fletcher, L., Grant, C. C., & Van Der Walt, A. J. (2014). Non-traumatic injury profile of amateur cyclists. South African Journal of Sports Medicine, 26(4), 119-122. https://doi.org/10.7196/sajsm.555 DOI: https://doi.org/10.7196/SAJSM.555

De Bernardo, N., Barrios, C., Vera, P., Laíz, C., & Hadala, M. (2012). Incidence and risk for traumatic and overuse injuries in top-level road cyclists. Journal of Sports Sciences, 30(10), 1047-1053. DOI: https://doi.org/10.1080/02640414.2012.687112

Barrios, C., Bernardo, N. D., Vera, P., Laíz, C., & Hadala, M. (2015). Changes in sports injuries incidence over time in world-class road cyclists. International Journal of Sports Medicine, 36(03), 241-248. https://doi.org/10.1055/s-0034-1389983 DOI: https://doi.org/10.1055/s-0034-1389983

Lebec, M. T., Cook, K., & Baumgartel, D. (2014). Overuse injuries associated with mountain biking: Is single-speed riding a predisposing factor? Sports, 2(1), 1-13. https://doi.org/10.3390/sports2010001 DOI: https://doi.org/10.3390/sports2010001

Priego Quesada, J. I., Kerr, Z. Y., Bertucci, W. M., & Carpes, F. P. (2019). A retrospective international study on factors associated with injury, discomfort and pain perception among cyclists. PLoS ONE, 14(1), 1-16. https://doi.org/10.1371/journal.pone.0211197 DOI: https://doi.org/10.1371/journal.pone.0211197

Marsden, M. (2010). Lower back pain in cyclists: A review of epidemiology, pathomechanics and risk factors. International SportMed Journal, 11(1), 216-225.

Streisfeld, G. M., Bartoszek, C., Creran, E., Inge, B., McShane, M. D., & Johnston, T. (2017). Relationship between body positioning, muscle activity, and spinal kinematics in cyclists with and without low back pain: A systematic review. Sports Health, 9(1), 75-79. https://doi.org/10.1177/1941738116676260 DOI: https://doi.org/10.1177/1941738116676260

Bini, R. R., & Hunter, J. R. (2021). Pain and body position on the bicycle in competitive and recreational road cyclists: A retrospective study. Sports Biomechanics, 1-14. https://doi.org/10.1080/14763141.2021.1942967 DOI: https://doi.org/10.1080/14763141.2021.1942967

Turpin, N. A., & Watier, B. (2020). Cycling biomechanics and its relationship to performance. Applied Sciences, 10(12), 4112. https://doi.org/10.3390/app10124112 DOI: https://doi.org/10.3390/app10124112

Peveler, W., Bishop, P., Smith, J., Richardson, M., & Whitehorn, E. (2005). Comparing methods for setting saddle height in trained cyclists. Journal of Exercise Physiology Online, 8(1).

Wanich, T., Hodgkins, C., Columbier, J.-A., Muraski, E., & Kennedy, J. G. (2007). Cycling injuries of the lower extremity. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 15(12), 748-756. https://doi.org/10.5435/00124635-200712000-00008 DOI: https://doi.org/10.5435/00124635-200712000-00008

Chen, Y.-L., & He, K.-C. (2012). Changes in human cervical and lumbar spine curves while bicycling with different handlebar heights. Work, 41(Supplement 1), 5826-5827. https://doi.org/10.3233/wor-2012-0964-5826 DOI: https://doi.org/10.3233/WOR-2012-0964-5826

du Toit, François, Schwellnus, M., Wood, P., Swanevelder, S., Killops, J., & Jordaan, E. (2020). Epidemiology, clinical characteristics and severity of gradual onset injuries in recreational road cyclists: A cross-sectional study in 21,824 cyclists - SAFER XIII. Physical Therapy in Sport, 46, 113-119. https://doi.org/10.1016/j.ptsp.2020.08.006 DOI: https://doi.org/10.1016/j.ptsp.2020.08.006

Priego Quesada, J. I., Kerr, Z. Y., Bertucci, W. M., & Carpes, F. P. (2018). The categorization of amateur cyclists as research participants: Findings from an observational study. Journal of Sports Sciences, 36(17), 2018-2024. https://doi.org/10.1080/02640414.2018.1432239 DOI: https://doi.org/10.1080/02640414.2018.1432239

Teyeme, Y. W., Malengier, B., Tesfaye, T., Ciocci, M.-C., Vasile, S.-I., & Van Langenhove, L. (2019). An empirical analysis of potential cyclist injuries and cycling outfit comfort. Journal of Textile Science & Fashion Technology, 4(1). https://doi.org/10.33552/jtsft.2019.04.000578 DOI: https://doi.org/10.33552/JTSFT.2019.04.000578

Clarsen, B. M. (2015). Overuse injuries in sport: development, validation and application of a new surveillance method.

Mellion, M. B. (1994). Neck and back pain in bicycling. Clinics in Sports Medicine, 13(1), 137-164. https://doi.org/10.1016/s0278-5919(20)30360-4 DOI: https://doi.org/10.1016/S0278-5919(20)30360-4

Schultz, S. J., & Gordon, S. J. (2010). Recreational cyclists: The relationship between low back pain and training characteristics. International Journal of Exercise Science, 3(3), 79.

Fonda, B., & Šarabon, N. (2012). Biomechanics and energetics of uphill cycling: A review. Kinesiology, 44(1), 5-17.

Ansari, S., & Sharma, S. (2022). Prevalence and risk factors of chronic low back pain in university athletes: a cross-sectional study. The Physician and Sportsmedicine, 1-10. https://doi.org/10.1080/00913847.2022.2108351 DOI: https://doi.org/10.1080/00913847.2022.2108351

Rostami, M., Ansari, M., Noormohammadpour, P., Mansournia, M. A., & Kordi, R. (2015). Ultrasound assessment of trunk muscles and back flexibility, strength and endurance in off-road cyclists with and without low back pain. Journal of Back and Musculoskeletal Rehabilitation, 28(4), 635–644. https://doi.org/10.3233/bmr-140559 DOI: https://doi.org/10.3233/BMR-140559

Salai, M., Brosh, T., Blankstein, A., Oran, A., & Chechik, A. (1999). Effect of changing the saddle angle on the incidence of low back pain in recreational bicyclists. British Journal of Sports Medicine, 33(6), 398-400. https://doi.org/10.1136/bjsm.33.6.398 DOI: https://doi.org/10.1136/bjsm.33.6.398

Rees, H., Matthews, J., Persson, U. M., Delahunt, E., Boreham, C., & Blake, C. (2022). The knowledge and attitudes of field hockey athletes to injury, injury reporting and injury prevention: A qualitative study. Journal of Science and Medicine in Sport. https://doi.org/10.1016/j.jsams.2022.07.001 DOI: https://doi.org/10.1016/j.jsams.2022.07.001

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Published

2023-02-28

How to Cite

Purushothaman, V. K., Chen, W. V., Subramaniam, A., Subbarayalu, A. V., Maruthey, N., & Kandasamy, M. (2023). Survey on Low Back Pain among Cyclists: Prevalence, Risk Factors and Knowledge of Injury Prevention Strategies. Physical Education Theory and Methodology, 23(1), 85–91. https://doi.org/10.17309/tmfv.2023.1.12

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