1. Benjamin Clarsen Velophysio Cycling Physiotherapy Services

2. Introduction

3. Treatment of cycling-related pain and injury Bicycle technique and position analysis Tailored physical programs for cyclists Velophysio Cycling Physiotherapy Services

4. Bike-Fit Velophysio Cycling Physiotherapy Services Commercial Fit Systems –Formula-Based –Customised Fit Medically-Based Fit

5. Commercial Fit Systems – Formula Based +  Cheap  Good Starting Point  Better Than Nothing! -  Don’t consider individual strength, flexibility, or co-ordination of rider  Don’t often consider the goals, type of rider, injury history etc Velophysio Cycling Physiotherapy Services

6. Commercial Fit Systems – Customised Fit +  Much Better!  Consider the individual  More interactive, dynamic process -  Can compensate for, rather than address, riders’ physical imperfections due to lack of medical expertise of the fitter Velophysio Cycling Physiotherapy Services

7. “Medically Based” Bike-Fit  Includes musculoskeletal screening  Interactive process using digital video analysis  “Off-bike” solutions also offered to “on-bike” problems  Stretching  Strengthening  Stability / Co-ordination  Self-Treatment Velophysio Cycling Physiotherapy Services

8. Bike-Fit Goals 1.Stable and Symmetrical Pelvis 2.Knees and hips moving through range that reflects rider’s flexibility and injury history 3.Knees tracking straight in frontal plane 4.Comfortable neck, shoulders, arms, wrists and hands 5.Optimal balance and handling 6.Optimal aerodynamics Velophysio Cycling Physiotherapy Services

9. Example: Asymmetrical Pelvic Movement Structural assymetry? (e.g. Leg length difference) Functional assymetry? (e.g. twisted pelvis, flexibility imbalance, muscle activation pattern imbalance) Poor bike set up? Simply poor technique? Velophysio Cycling Physiotherapy Services

11. Example: Poor Knee Tracking in Frontal Plane Velophysio Cycling Physiotherapy Services

12. Example: Poor Knee Tracking in Frontal Plane Faulty Knee Tracking can be caused by “Top Down” and “Bottom- up” Factors Examples of “Bottom Up:” –Overpronation –Anatomical Variations (e.g. Tibial Varum, Forefoot Varus/Valgus) –Faulty Cleat position Examples of “Top Down:” –Unstable or asymmetrical pelvic movement –Tight hip lateral rotators –Muscle co-ordination issues e.g. overactive TFL muscle Velophysio Cycling Physiotherapy Services

14. Summary Velophysio Cycling Physiotherapy Services

15. Benjamin Clarsen Løp- og Idrettsklinikken Knud Askers Vei 26 1383 Asker, Norway (+47) 66 76 22 29 (+47) 98 48 12 04 ben_clarsen@yahoo.com.au