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Velo physio Cycling Physiotherapy Services. Benjamin Clarsen. Introduction. Introduction. Velo physio Cycling Physiotherapy Services. Treatment of cycling-related pain and injury Bicycle technique and position analysis Tailored physical programs for cyclists.
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VelophysioCycling Physiotherapy Services Benjamin Clarsen
Introduction Introduction
VelophysioCycling Physiotherapy Services • Treatment of cycling-related pain and injury • Bicycle technique and position analysis • Tailored physical programs for cyclists
VelophysioCycling Physiotherapy Services Bike-Fit • Commercial Fit Systems • Formula-Based • Customised Fit • Medically-Based Fit
VelophysioCycling Physiotherapy Services 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
VelophysioCycling Physiotherapy Services 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
VelophysioCycling Physiotherapy Services “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
VelophysioCycling Physiotherapy Services Bike-FitGoals • Stable and Symmetrical Pelvis • Knees and hips moving through range that reflects rider’s flexibility and injury history • Knees tracking straight in frontal plane • Comfortable neck, shoulders, arms, wrists and hands • Optimal balance and handling • Optimal aerodynamics
VelophysioCycling Physiotherapy Services 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?
VelophysioCycling Physiotherapy Services Example: Poor Knee Tracking in Frontal Plane
VelophysioCycling Physiotherapy Services 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
VelophysioCycling Physiotherapy Services 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