Sports: Cycling
Available data suggest that cycling with racing bicycles does
not overload intervertebral
discs or facet
joints substantially. Although in flexion, cyclists are exerting
a great deal of pressure on the anterior part of the intervertebral
disc, they release the load usually supported by the interverterbral
disc and the spinal column by leaning on their arms. In fact, the
pressure sustained by vertebrae and discs in this posture is less
than the pressure in a standing position.
On the other hand, these same data reveal that cycling could produce
overloading or an imbalance in the back muscles and ligaments. First,
lumbar column flexion results in distension of the ligaments that
attach vertebrae on their posterior side. It has been proven that
if this distension is perpetuated it will cause muscle contracture
and back pain.
Second, sustaining the posture on a racing bicycle requires effort
from the dorsal and lumbar muscles. Available studies show that
the intensity of this effort is proportional to the pedaling force;
thus, the faster the pedaling or steeper the slope, the greater
the overload on the dorsal and lumbar musculature. This triggers
the onset of back pain.
Third, although the dorsal and lumbar musculature is constantly
working when cycling, the abdominal muscles are always relaxed and
do not work at all. This generates an instability that favors the
onset and recurrence of back pain.
Fourth, one of the body's processes to relieve the pressure exerted
on intervertebral discs is by increasing intra-abdominal pressure,
through the contraction of abdominal muscles. This process does
not function efficiently in cyclists, whose abdominal muscles are
not very developed. Wearing girdles or belts to compensate for this
weakness is not possible because of the associated breathing difficulty.
Lastly, when a cyclist leans on the lower part of the handlebars,
in the most aerodynamic and horizontal posture, he flexes his neck
back in order to see the road, which in itself overloads his dorsal
musculature.
Recommendations
Perform compensatory exercises designed to strengthen abdominal
musculature and to stretch the psoas-iliac muscle.
Use a sturdy but light bicycle with a seat that allows pelvic
stability. It is very important that the pelvis is absolutely
motionless while pedaling.
Adjust the seat level so that, with buttocks on the seat and legs
completely extended, the heel is at the lowest pedal position.
When pedaling, only use the tip of your foot, never your heel.
It is best to use a bicycle with handlebars that allow frequent
changes in arm support positions.
To avoid vibration as much as possible, choose flat routes until
your back and abdominal musculature is well developed. Therefore,
road cycling is recommended over mountain biking at first.
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