Fear, Anxiety, and Return to Sport After Cycling Crashes: A Survey of Cyclists.

After cycling crashes, orthopedic and neurologic complaints are often the focus of evaluation and management. However, the trauma sustained may not be limited to physical injury; psychological issues brought on by or comorbid with the crash also warrant treatment. In this original research, we evaluated the presence of fear or anxiety after cycling crashes and examined factors associated with this mechanism of injury through a survey. Post-crash fear or anxiety was associated with female gender, a history of depression, and greater crash severity. Few cyclists received treatment and most returned to cycling at their previous level, but the timeline varied.

A Practical Approach to the Evaluation of a Cyclist with Overuse Injury.

Cycling has grown in popularity over the past 20 to 30 years, serving as transportation, fitness, and sport. Cycling is unique for several reasons: it is a non-weight-bearing sport, nearly all of the motion is in the sagittal plane, and it is one of the only sports where an individual remains attached to a machine for a long duration. As such, the cycling athlete has unique needs compared with other endurance-based athletes. The complex biomechanical interaction of bicycle and rider requires a systematic process for assessment, which provides the framework for understanding, evaluating, and treating overuse injury in cyclists.