Impact of a Bike Fitting Assessment and Interventions by a Physiotherapist in Recreational Cyclists With Knee Pain: A Prospective Observational Study.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Knee pain during cycling numeric pain rating scale
研究概览
简要总结
Background Cycling is a very popular activity and has various health benefits. Knee pain is very common among recreational cyclists and often limits cyclists to perform their sport. Physiotherapy care including a bike fit is often a recommended treatment for cyclists with knee pain.
Objective The aim of this proposal is to prospectively describe physiotherapy care (bike fit, education and exercises) and evaluate change in knee-related pain and disability among recreational cyclists with knee pain.
Methods In this prospective observational study, 70 recreational cyclists consulting for knee pain at Physiovélo will be recruited. Physiovélo is a physiotherapy clinic specialized in bike fitting and in the assessment of cyclists with musculoskeletal disorders. Main findings from the bike fit assessment as well as interventions provided in terms of bike fit adjustment, education, advice and exercises will be collected. Various outcomes related to cycling such as cycling distance per week will also be collected. The primary outcome will knee pain during cycling measured with the numerical pain rating scale (NPRS, 0-10). Secondary outcomes will include disability measured with the Knee Outcome Survey of the Activities of Daily Living Scale (KOS-ADLS) and with a modified version of the Knee Outcome Survey Sports Activities Scale (KOS-SAS) for cyclist. Satisfaction with care will be measured with the visit-specific satisfaction questionnaire (VSQ-9). Adverse events related to the interventions will be collected. Outcomes will be collected on initial assessment and at 4 and 12 weeks after the consultation. Intention-to-treat analyses will be performed.
详细描述
Background With the COVID-19 pandemic, cycling became more popular in many Western countries including Canada. Despite all its health benefits, cycling is often associated with non-traumatic injuries. Among these, knee pain represents one of the most prevalent injuries that leads to stop cycling and to seek medical assistance. Knee pain can be due to changes in cycling parameters and/or positioning on the bicycle.
Bike fitting was first destined to the professional cyclist and has really taken off in the glorious years of Lance Armstrong in the 1990s. In the 2000s, with the increase in popularity of recreational cycling, the access to a bike fit became more accessible for the population and is commonly used to decrease pain, discomfort and fatigue while cycling. Howsoever, the bike fit done in clinics by a physiotherapist is quite new. During these sessions, the physiotherapist will assess the cyclist's physical condition and capacity, training habits and fitting on the bike. In terms of interventions, the physiotherapist will optimize the cyclist position on the bike, while providing education and prescribe exercises when indicated.
Since 2015, the Physiovélo clinic has been a pioneer in the care of cyclists in physiotherapy in Quebec. Through constant growth over the past few years, the clinic served more than 1000 cyclists in 2021. Our physiotherapy service is distinguished by the evaluation and cycling positioning that allow patients to be received with their own bike in order to address cycling pathologies at the source by ensuring optimal adjustments on the bike.
However, the clinical efficacy of a bike fit among cyclists with knee pain has yet to be formally evaluated.
Objectives and Hypothesis The aim of this proposal is to prospectively describe physiotherapy care (bike fit, education and exercises) and evaluate change in knee-related pain and disability among recreational cyclists with knee pain.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •cyclists with knee pain
- •consulting for a BikeFit at Physiovélo for the first time
- •at least 18 years old
- •legally able to consent
- •understand and speak French or English
排除标准
- 未提供
结局指标
主要结局
Knee pain during cycling numeric pain rating scale
时间窗: 12 weeks (change from baseline)
Worst, least \& average combined (0-10; 0=better)
次要结局
- Knee Outcome Survey of the Activities of Daily Living Scale(12 weeks (change from baseline))
- Training volume(12 weeks)
- Knee Outcome Survey Sports Activities Scale (adapted for cyclists)(12 weeks (change from baseline))
- Adverse events(12 weeks)
- Treatment and compliance(12 weeks)
- Current knee pain numeric pain rating scale(12 weeks (change from baseline))
- Global Rating of Change Score(12 weeks)
- Visit-specific satisfaction questionnaire (modified)(0 week (post initial consultation))