الفهرس 
Review of Literature
Rehabilitations of Cycling InjuriesOnly 14 pages are availabe for public view
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Abstract
The aim of this study is to determine the prevalent soft tissue injuries
in the top cyclists of the national teams and to emphasize the importance of
early diagnosis and treatment.
This study was conducted on 100 cyclists from the national team.
Fifty of them were juniors (15-17 years), while the other 50 were
seniors (17-30 years)
All these cyclists were males who were selected from the attendants of
the sports medicine specialized hospital - EI Gizera, Cairo, complaining of
diffrent forms of soft tisue injuries. They were examined clinically, after a
medical history, generally and locally according to the site of injury with
special tests of the involved parts to be imphasize the diagnosis. The patients
were subjected to full investigations according to the nature of their
complaint. These investigations included,
* Laboratory investigations:
Complete blood count (CBC).
Erythro cyte sedimentation rate (ESR).
Serum uric acid.
Rheumatoid factor.
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Urine analysis.
Radiological examination.
Arthroscopic examination.
Ultrasonography for suspected soft tissue lesions.
Muscle testing for detection of muscle injury.
Nerve conduction studies:
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The injuries were recorded according to season of competition (early
season, mid season and end of season) and according to performance of
cyclists (first group, second group and third group).
The total no. of injuries in our study were 75 (1()()%) in the seniors and
65 (1()()%) in jeniors the lower limb injuries came in the first place of all
body injuries where it comprised 61.5 % in junior cyclists and 68% in senior
cyclists.
The knee injuries comprised 30.8% in juniors and 33.9% in seniors
while the thigh, leg and foot represented 30.8% in juniors and 44.6% in
seruors.
The most common injuries of the lower limb in seruors were:
chondromalacia patellae (20%) and tendo Achillis tendinitis (13.3 %) while in
juniros they were: tibial apophysitis (18.5%) and calcaneal apophysitis
(13.8%).
The upper limb injuries comprised 23.1% in juniros and 18.7% in
seniors. The most common upper limb injuries in juniors were: lower ulnar
epiphysits (10.8%), ulnar tunnel syndrom (4.6%) and olecranon bursitis
(4.6%) while in seniors the ulnar tunnel syndrome represented (13.3%) and
carpal tunnel syndrome (5.3%).
Back injuries in our study were 13.4% in senior cyclists and 15.4% in
junior cylists.
In our study most injuries affected cyclists III the third level of
performance capacity (37.3% of seniors and 37% of juniors) while the
injuries were less in the high level of performance (8% of senior injuries and
12.3% of junior injuries). Also most injuries occurred at the end of season
(49.2% of junior injuries and 36% of senior injuries), due to overuses or over
training.
from our study it is concluded that most of injuries were chronic
lesions with no definite history of trauma but due to chronic repititive
rnicrotraumata with their cummulative effects, periodic full examination and
follow up of cyclists is the key of success in treatment of cycling injuriesThe most effective preventable precautions which are the way to reduce the
number of bicycle injuries are:
1. Proper positioning and technique.
2. Adequate materials as bicycles, shoes and gloves..
3. Suitable measurements of bicycle for each cyclist.
4. Good roads and tracks for competition.
The cyclists qualifications, sports equipment and facilities and
characteristics of cycling are important factors in relation to cycling injuries.
Prevention and early diagnosis is the key of success in treatment of
cycling injuries by periodic full examination and follow up of cyclists in
centers of sports medicine.