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MSR: Cycling Performance and Injury Prevention


Cycle Race

Cycling, a widely embraced form of exercise, can play a pivotal role in shaping our health and overall wellness. This low-impact sport, characterized by its adaptability, is a universal activity that transcends age barriers, offering enjoyment to all. It's not just a pastime, but a gateway to improved health and vitality.


The biomechanics of cycling is a fascinating interplay of human anatomy and physics. It's a symphony of force generation and distribution, engaging key anatomical structures in a rhythm that propels the cyclist forward. Understanding this rhythm, the physics behind it, and the structures involved is the first step in enhancing performance and preventing injuries.


Article Index:

 


Manual Therapy on the Calf Muscles

Cycling and the Role of Manual Therapy


Biomechanics merges mechanical principles with biological functions to decode how we move, offering insights to enhance athletic performance. In cycling, it's pivotal, revealing how force, muscle action, and posture converge in every turn of the pedals, transitioning cycling into a high-efficiency, performance-driven endeavor.


Complementing this, manual therapy, particularly targeting motion restrictions, plays an instrumental role. It fine-tunes the body's biomechanics, leading to a more synchronized movement and reducing injury risks, ultimately refining the cycling experience and boosting performance through hands-on optimization of the body's mechanics.


 


Cycle Race

Dissecting the Pedal Cycle Phases


The pedal cycle is a rhythmic sequence that can be broken down into two primary phases: the downstroke and upstroke, each interspersed with transitional phases. Each phase involves specific anatomical structures and biomechanical processes.



The Downstroke Phase


The Powerhouse, this phase is the engine of the pedal cycle, where the cyclist applies force to the pedal to drive the bicycle forward. The main muscles involved are the quadriceps, gluteus maximus, and calf muscles.



Downward Arrow

Downstroke Dysfunction


  • Quadriceps: Dysfunction in the quadriceps could lead to difficulty in extending the knee fully. This could manifest as a decreased power output during the downstroke phase of cycling, resulting in a less efficient pedal stroke and potentially slower cycling speed.


  • Gluteus Maximus: If the gluteus maximus is not functioning optimally, the cyclist may struggle with hip extension. This could lead to a decreased ability to push the pedal down forcefully, reducing the overall power generated during the downstroke. It may also result in compensatory movement patterns, such as over-reliance on other muscles, which can lead to further imbalances and potential injuries.


  • Calf Muscles (Gastrocnemius and Soleus): Dysfunction in the calf muscles could result in difficulty with plantar flexion of the foot. This could manifest as a decreased ability to push off the pedal during the downstroke, reducing the overall force exerted on the pedal and potentially affecting cycling speed and efficiency.


The Upstroke Phase


The Momentum Keeper, while less forceful, the upstroke phase is essential for maintaining the pedal's momentum. The primary muscles involved are the hamstrings and hip flexors.


The hamstrings, located at the back of the thigh, perform knee flexion, pulling the pedal up after the downstroke. The hip flexors, particularly the iliopsoas, are responsible for hip flexion, aiding in lifting the leg during the upstroke.


Up Arrow

Upstroke Dysfunction


  • Hamstrings: If the hamstrings are not functioning properly, the cyclist may have difficulty flexing the knee, which is crucial for pulling the pedal up after the downstroke. This could result in a less smooth and efficient pedal stroke, potentially affecting the overall rhythm and speed of cycling.


  • Hip Flexors (particularly the Iliopsoas): Dysfunction in the hip flexors could lead to difficulty with hip flexion, which is important for lifting the leg during the upstroke. This could result in a less efficient pedal stroke and potentially slower cycling speed. It may also lead to compensatory movement patterns, such as overuse of the lower back muscles, which can increase the risk of injuries.


In all these cases, the individual might also experience pain, stiffness, or discomfort in the affected muscle groups during or after cycling. It's important to note that these symptoms could also be caused by other factors, such as poor bike fit or improper cycling technique, so a comprehensive assessment is recommended if such symptoms are experienced.


 

Cyclists

Common Cycling Injuries


Even though cycling is a low-impact sport, it is not entirely free from the risk of injuries. These injuries typically stem from overuse, improper cycling techniques, or posture-related problems. A range of common injuries that cyclists often encounter, are found in the following areas:


  • Cervical Spine: Cyclists often experience neck pain due to maintaining a forward-looking position for extended periods. This can lead to muscle strain and, in some cases, cervical radiculopathy (compressed nerve).

  • Shoulders: Overuse injuries such as rotator cuff tendinitis are common in cyclists due to maintaining a static position for long periods. In addition, cyclists can experience shoulder impingement syndrome.

  • Elbow: Cyclist's elbow, or handlebar palsy, is caused by compression of the ulnar nerve. Symptoms can include numbness, tingling, and weakness in the ring and little fingers.

  • Wrists: Cyclists can suffer from carpal tunnel syndrome, caused by the pressure exerted on the median nerve in the wrist. Handlebar palsy can also affect the wrists.

  • Lumbar Spine: Lower back pain is common in cyclists and can be due to a variety of reasons including poor bike fit, poor posture, and lack of core strength. Prolonged cycling can also lead to lumbar radiculopathy.

  • Knee: Patellofemoral pain syndrome (pain in the front of the knee), patellar tendinitis (inflammation of the tendon connecting the kneecap to the shinbone), and iliotibial band syndrome (pain on the outer side of the knee) are common in cyclists.

  • Feet: Cyclists can experience metatarsalgia (pain in the ball of the foot), plantar fasciitis (pain in the heel and bottom of the foot), and numbness or tingling in the feet due to pressure on the nerves.


Fortunately, there is a silver lining when it comes to these injuries. Each of these conditions can often be effectively managed and even prevented with the right approach. This typically involves a combination of manual therapy, such as Motion Specific Release (MSR), and a personalized exercise program.


Manual therapy like MSR works by addressing specific motion restrictions in the body, helping to restore normal movement and function. This can alleviate pain, enhance performance, and reduce the risk of further injury.


 


Cycling on a Forest Road

Performance Cycling


Targeting key anatomical structures with manual therapy can significantly enhance performance and reduce the risk of injuries. Here's how:


Active Range of Motion (AROM):

AROM refers to the degree of movement that a joint can achieve through a voluntary muscle action. In cycling, optimal AROM in the hip, knee, and ankle joints is crucial for efficient peddling. Manual therapy can help improve AROM by addressing any restrictions in joint mobility, thereby allowing for a fuller, more efficient pedal stroke.


Muscle Imbalances:

Cycling primarily involves the lower body muscles, which can lead to imbalances if the opposing or supporting muscle groups are not equally strong or flexible. For example, overdeveloped quadriceps coupled with weaker hamstrings can increase the risk of knee injuries. Manual therapy can help identify and correct these imbalances, promoting a more balanced muscle development and reducing injury risk.


Force Generation:

The science of force generation is central to cycling performance. The more force a cyclist can exert on the pedals (without compromising form or efficiency), the faster they can go. Manual therapy can help optimize force generation by improving muscle function and joint mobility. For instance, releasing tight hip flexors can allow for a more powerful downstroke, while addressing restrictions in the calf muscles can enhance the force exerted during the upstroke.


Motion Specific Release (MSR) Demonstration Video

In the following video Dr. Abelson demonstrates some very effective MSR procedures for targeting specific anatomical structures that can have a considerable effect on both cycling performance in injury prevention.


 

Mountain Biking

Conclusion


In conclusion, cycling is a dynamic sport that offers a myriad of health benefits and is accessible to individuals of all ages. The biomechanics of cycling, a complex interplay of force generation and distribution, is a fascinating aspect that can be optimized to enhance performance and prevent injuries. Manual therapy plays a pivotal role in this optimization process. By addressing specific motion restrictions, we can help cyclists achieve a smoother, more efficient pedal stroke, leading to improved performance and a decreased risk of injury.


Understanding the pedal cycle phases and the anatomical structures involved is crucial for manual therapies like MSR. Common cycling injuries, often originating from overuse, incorrect cycling mechanics, or postural issues, can be effectively addressed with manual therapy and exercise. The role of manual therapy in improving active range of motion, correcting muscle imbalances, and optimizing force generation is significant in enhancing cycling performance.


 

DR. BRIAN ABELSON, DC. - The Author


Photo of Dr. Brian Abelson

Dr. Abelson's approach to musculoskeletal health care reflects a deep commitment to evidence-based practices and continuous learning. In his work at Kinetic Health in Calgary, Alberta, he integrates the latest research with a compassionate understanding of each patient's unique needs. As the Motion Specific Release (MSR) Treatment Systems developer, he views his role as both a practitioner and an educator, dedicated to sharing knowledge and techniques that can benefit the wider healthcare community. His ongoing efforts in teaching and practice aim to contribute positively to the field of musculoskeletal health, with a constant emphasis on patient-centered care and the collective advancement of treatment methods.


 

Graphic Image of Cyclist Going Uphill

Revolutionize Your Practice with Motion Specific Release (MSR)!


MSR, a cutting-edge treatment system, uniquely fuses varied therapeutic perspectives to resolve musculoskeletal conditions effectively.


Attend our courses to equip yourself with innovative soft-tissue and osseous techniques that seamlessly integrate into your clinical practice and empower your patients by relieving their pain and restoring function. Our curriculum marries medical science with creative therapeutic approaches and provides a comprehensive understanding of musculoskeletal diagnosis and treatment methods.


Our system offers a blend of orthopedic and neurological assessments, myofascial interventions, osseous manipulations, acupressure techniques, kinetic chain explorations, and functional exercise plans.


With MSR, your practice will flourish, achieve remarkable clinical outcomes, and see patient referrals skyrocket. Step into the future of treatment with MSR courses and membership!


 

References


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  10. Fonda, B., & Sarabon, N. (2010). Kinematic and Electromyographic Analysis of the Pedaling Movement. Journal of Sports Science and Medicine, 9(2), 264-274.

  11. Holmes, J. C., Pruitt, A. L., & Whalen, N. J. (1994). Lower extremity overuse in bicycling. Clinics in Sports Medicine, 13(1), 187-205.

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  16. Sanner, W. H., & O'Halloran, W. D. (2000). The Biomechanics, Etiology, and Treatment of Cycling Injuries. The Journal of the American Podiatric Medical Association, 90(7), 354-376.

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  18. Wanich, T., Hodgkins, C., Columbier, J. A., Muraski, E., & Kennedy, J. G. (2007). Cycling injuries of the lower extremity. The Journal of the American Academy of Orthopaedic Surgeons, 15(12), 748-756.

  19. Wilber, C. A., Holland, G. J., Madison, R. E., & Loy, S. F. (1995). An Epidemiological Analysis of Overuse Injuries among Recreational Cyclists. International Journal of Sports Medicine, 16(3), 201-206.


 
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