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Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia

BACKGROUND: Cyclists are predisposed to different types of injuries whose patterns and distribution change over time. During bicycling, the high demand on lower extremities to produce speed places high load on the legs resulting in overuse injuries of which pain in the Achilles tendon is one. This s...

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Autores principales: Althunyan, Abdullatif K., Darwish, Magdy A., Sabra, Amr A., Alqahtani, Hatem A. M., Mutabgani, Sameerah M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927966/
https://www.ncbi.nlm.nih.gov/pubmed/33679187
http://dx.doi.org/10.4103/jfcm.JFCM_503_20
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author Althunyan, Abdullatif K.
Darwish, Magdy A.
Sabra, Amr A.
Alqahtani, Hatem A. M.
Mutabgani, Sameerah M.
author_facet Althunyan, Abdullatif K.
Darwish, Magdy A.
Sabra, Amr A.
Alqahtani, Hatem A. M.
Mutabgani, Sameerah M.
author_sort Althunyan, Abdullatif K.
collection PubMed
description BACKGROUND: Cyclists are predisposed to different types of injuries whose patterns and distribution change over time. During bicycling, the high demand on lower extremities to produce speed places high load on the legs resulting in overuse injuries of which pain in the Achilles tendon is one. This study assessed Achilles tendon pain in cyclists in the eastern province of Saudi Arabia. MATERIALS AND METHODS: This was a cross-sectional study of active cyclists in the eastern province of Saudi Arabia. Data were collected using validated and pretested web-based self-administered questionnaire. Of the 511 cyclists invited, 311 completed the questionnaire yielding 60.62% response rate. SPSS was used for data entry and analysis. Descriptive statistics included calculation of frequencies and percentages for categorical variables, and median, mean and standard deviation for continuous variables. Chi-square test measured the associations between Achilles pain and various risk factors. Student's t-test, or Mann–Whitney test as appropriate, was used to compare continuous variables. RESULTS: Ten percent of mature and 9.1% professional cyclists reported that they had Achilles tendon pain. The pain was reported by significantly higher proportion of cyclists who raced (25%) and cyclists who rode mountain bicycles off-road (60.0%); average duration of the Achilles tendon pain was 7 days. Of the cyclists who had Achilles tendon pain, 32.1% reported that the pain increased when they were in running load and 28.6% reported increased pain in cycling load. Most cyclists described the pain as mild (67.9%) and moderate (32.1%). Overweight and underweight cyclists reported significantly higher rates of Achilles tendon pain (60% and 12.5%) compared to other body mass index classes. CONCLUSION: Achilles tendon pain commonly affects both amateur and professional cyclists. The study underpins the importance of a gradual increase in the training load, proper conditioning, bike fitting, and the maintenance of ideal body weight of cyclists to prevent Achilles tendon pain.
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spelling pubmed-79279662021-03-05 Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia Althunyan, Abdullatif K. Darwish, Magdy A. Sabra, Amr A. Alqahtani, Hatem A. M. Mutabgani, Sameerah M. J Family Community Med Original Article BACKGROUND: Cyclists are predisposed to different types of injuries whose patterns and distribution change over time. During bicycling, the high demand on lower extremities to produce speed places high load on the legs resulting in overuse injuries of which pain in the Achilles tendon is one. This study assessed Achilles tendon pain in cyclists in the eastern province of Saudi Arabia. MATERIALS AND METHODS: This was a cross-sectional study of active cyclists in the eastern province of Saudi Arabia. Data were collected using validated and pretested web-based self-administered questionnaire. Of the 511 cyclists invited, 311 completed the questionnaire yielding 60.62% response rate. SPSS was used for data entry and analysis. Descriptive statistics included calculation of frequencies and percentages for categorical variables, and median, mean and standard deviation for continuous variables. Chi-square test measured the associations between Achilles pain and various risk factors. Student's t-test, or Mann–Whitney test as appropriate, was used to compare continuous variables. RESULTS: Ten percent of mature and 9.1% professional cyclists reported that they had Achilles tendon pain. The pain was reported by significantly higher proportion of cyclists who raced (25%) and cyclists who rode mountain bicycles off-road (60.0%); average duration of the Achilles tendon pain was 7 days. Of the cyclists who had Achilles tendon pain, 32.1% reported that the pain increased when they were in running load and 28.6% reported increased pain in cycling load. Most cyclists described the pain as mild (67.9%) and moderate (32.1%). Overweight and underweight cyclists reported significantly higher rates of Achilles tendon pain (60% and 12.5%) compared to other body mass index classes. CONCLUSION: Achilles tendon pain commonly affects both amateur and professional cyclists. The study underpins the importance of a gradual increase in the training load, proper conditioning, bike fitting, and the maintenance of ideal body weight of cyclists to prevent Achilles tendon pain. Wolters Kluwer - Medknow 2021 2021-01-07 /pmc/articles/PMC7927966/ /pubmed/33679187 http://dx.doi.org/10.4103/jfcm.JFCM_503_20 Text en Copyright: © 2021 Journal of Family and Community Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Althunyan, Abdullatif K.
Darwish, Magdy A.
Sabra, Amr A.
Alqahtani, Hatem A. M.
Mutabgani, Sameerah M.
Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia
title Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia
title_full Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia
title_fullStr Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia
title_full_unstemmed Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia
title_short Factors associated with Achilles tendon pain in cyclists in eastern province of Saudi Arabia
title_sort factors associated with achilles tendon pain in cyclists in eastern province of saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927966/
https://www.ncbi.nlm.nih.gov/pubmed/33679187
http://dx.doi.org/10.4103/jfcm.JFCM_503_20
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