Spring Knee: Difference between revisions
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== Introduction == | == Introduction == | ||
Cycling is great exercise and a wonderful way to explore your local area and bike trails. But too much too soon without enough preparation can lead to a soft tissue injury known as 'Spring Knee'. It is an overload injury more likely to occur when ramping up outdoor riding in early spring after undertraining in winter.<ref name=":0" /> This overloading frequently takes the type of 'mashing' up hills or through tough efforts utilizing big equipment to get fit after a reduction in biking activity over winter. | Cycling is great exercise and a wonderful way to explore your local area and bike trails. But too much too soon without enough preparation can lead to a soft tissue injury known as 'Spring Knee'.<ref>Clarsen B, Krosshaug T, Bahr R. Overuse injuries in professional road cyclists. The American journal of sports medicine. 2010 Dec;38(12):2494-501.[https://journals.sagepub.com/doi/full/10.1177/0363546510376816]</ref> It is an overload injury more likely to occur when ramping up outdoor riding in early spring after undertraining in winter.<ref name=":0" /> This overloading frequently takes the type of 'mashing' up hills or through tough efforts utilizing big equipment to get fit after a reduction in biking activity over winter. | ||
A Sudden increase in activity, either by a rapid increase in load, mileage, or intensity in an attempt at last-minute fitness gains is the commonest cause of spring knee.<ref>Guanziroli N, Billières J, Menetrey J. Cycling Injuries. InInjury and Health Risk Management in Sports 2020 (pp. 605-614). Springer, Berlin, Heidelberg.[https://link.springer.com/chapter/10.1007/978-3-662-60752-7_92]</ref> This could be an effect of both the training intensity and the duration. Both situations can give rise to knee pain. This type of soft tissue injury occurs because the new recruitment pattern may not be optimal, and at 5,400 pedal revolutions per hour, it adds up, leading to neurological reprogramming, muscle imbalance, and, ultimately, causing an overuse injury.<ref name=":0">Silberman MR. Bicycling injuries. Current sports medicine reports. 2013 Sep 1;12(5):337-45.[https://journals.lww.com/acsm-csmr/fulltext/2013/09000/bicycling_injuries.15.aspx]</ref> | A Sudden increase in activity, either by a rapid increase in load, mileage, or intensity in an attempt at last-minute fitness gains is the commonest cause of spring knee.<ref>Guanziroli N, Billières J, Menetrey J. Cycling Injuries. InInjury and Health Risk Management in Sports 2020 (pp. 605-614). Springer, Berlin, Heidelberg.[https://link.springer.com/chapter/10.1007/978-3-662-60752-7_92]</ref> This could be an effect of both the training intensity and the duration. Both situations can give rise to knee pain. This type of soft tissue injury occurs because the new recruitment pattern may not be optimal, and at 5,400 pedal revolutions per hour, it adds up, leading to neurological reprogramming, muscle imbalance, and, ultimately, causing an overuse injury.<ref name=":0">Silberman MR. Bicycling injuries. Current sports medicine reports. 2013 Sep 1;12(5):337-45.[https://journals.lww.com/acsm-csmr/fulltext/2013/09000/bicycling_injuries.15.aspx]</ref> | ||
Revision as of 17:10, 5 January 2021
This article is currently under review and may not be up to date. Please come back soon to see the finished work! (5/01/2021)
Original Editor - Puja Gaikwad
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Introduction[edit | edit source]
Cycling is great exercise and a wonderful way to explore your local area and bike trails. But too much too soon without enough preparation can lead to a soft tissue injury known as 'Spring Knee'.[1] It is an overload injury more likely to occur when ramping up outdoor riding in early spring after undertraining in winter.[2] This overloading frequently takes the type of 'mashing' up hills or through tough efforts utilizing big equipment to get fit after a reduction in biking activity over winter.
A Sudden increase in activity, either by a rapid increase in load, mileage, or intensity in an attempt at last-minute fitness gains is the commonest cause of spring knee.[3] This could be an effect of both the training intensity and the duration. Both situations can give rise to knee pain. This type of soft tissue injury occurs because the new recruitment pattern may not be optimal, and at 5,400 pedal revolutions per hour, it adds up, leading to neurological reprogramming, muscle imbalance, and, ultimately, causing an overuse injury.[2]
Knee Anatomy[edit | edit source]
The knee joint is fundamental in providing pedaling power on the bike. The torque applied through the downward segment of the pedal stroke is the highest area of force production, achieved through a combination of hip and knee extension.[4] The extension of the knee is a result of contracting the quadriceps muscles in the front of the thigh, which crosses the front of the knee joint and pulls against the lower leg. Since the quadriceps make up the largest muscle group (especially in cyclists) the knee joint deals with much of the overload during cycling.[5]
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References[edit | edit source]
- ↑ Clarsen B, Krosshaug T, Bahr R. Overuse injuries in professional road cyclists. The American journal of sports medicine. 2010 Dec;38(12):2494-501.[1]
- ↑ 2.0 2.1 Silberman MR. Bicycling injuries. Current sports medicine reports. 2013 Sep 1;12(5):337-45.[2]
- ↑ Guanziroli N, Billières J, Menetrey J. Cycling Injuries. InInjury and Health Risk Management in Sports 2020 (pp. 605-614). Springer, Berlin, Heidelberg.[3]
- ↑ Burnie LA. The effects of strength training on intermuscular coordination during maximal cycling (Doctoral dissertation, Sheffield Hallam University).[4]
- ↑ Bini RR, Hume PA. Effects of workload and pedalling cadence on knee forces in competitive cyclists. Sports biomechanics. 2013 Jun 1;12(2):93-107.[5]
