Contents
Santos F. Martinez (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - May 1, 2022 Category: Rehabilitation Source Type: research

Forthcoming Issues
Wound and Skin Care (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - May 1, 2022 Category: Rehabilitation Source Type: research

A Maturing Field
I thank Dr Nagpal for this update on treatment parameters, which should help guide our options in treating a difficult patient population. Interventional approaches for pain management is truly an art, continues to expand, and certainly complements other rehabilitation services. This presentation hits on many of the most common bread-and-butter procedures with objective data so that an informed approach can best benefit the patients. This informational approach confirms further basis and reasoning when offering such strategies and also raises attention to additional needed research to further our efforts. (Source: Physical...
Source: Physical Medicine and Rehabilitation Clinics of North America - March 25, 2022 Category: Rehabilitation Authors: S.F. Martinez Tags: Foreword Source Type: research

Cycling
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 17, 2021 Category: Rehabilitation Authors: Angela N. Cortez, Dana H. Kotler Source Type: research

Copyright
ELSEVIER (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 17, 2021 Category: Rehabilitation Source Type: research

Contributors
SANTOS F. MARTINEZ, MD, MS (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 17, 2021 Category: Rehabilitation Source Type: research

Contents
Santos F. Martinez (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 17, 2021 Category: Rehabilitation Source Type: research

Forthcoming Issues
Comprehensive Evidence Analysis for Interventional Procedures Used to Treat Chronic Pain (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 17, 2021 Category: Rehabilitation Source Type: research

Cycling to the Finish
My first memories regarding cycling take me back to when I was about 5 or 6 years old and my older brother (8 years old) was so kind to mentor me. The technique went something like this. You found a hill, and with precision, pushed the unsuspecting novice down it, and of course, the first commandment was to keep pedaling. Naturally, you needed a protective barrier at the bottom, which in our case was the garage. Unfortunately, it was not until my second lesson that I learned about brakes. I do not think this is what they had in mind when using the epigram of “hitting the wall.” It is amazing how your proficiency improv...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 29, 2021 Category: Rehabilitation Authors: S.F. Martinez Tags: Foreword Source Type: research

A Practical Approach to the Evaluation of a Cyclist with Overuse Injury
Cycling has grown in popularity over the past 20 to 30  years, serving as transportation, fitness, and sport. Cycling is unique for several reasons: it is a non–weight-bearing sport, nearly all of the motion is in the sagittal plane, and it is one of the only sports where an individual remains attached to a machine for a long duration. As such, the c ycling athlete has unique needs compared with other endurance-based athletes. The complex biomechanical interaction of bicycle and rider requires a systematic process for assessment, which provides the framework for understanding, evaluating, and treating overuse injury in ...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 25, 2021 Category: Rehabilitation Authors: C. Greg Robidoux Source Type: research

Lumbar Spine and Lower Extremity Overuse Injuries
This article explores common lower extremity and lumbar back overuse injuries in cyclists and their medical management. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - October 25, 2021 Category: Rehabilitation Authors: Tracey Isidro, Elaine Gregory, Laura Lachman, Stacey Isidro, Angela Cortez Source Type: research

Unique Concerns of the Woman Cyclist
Previously a male-dominated activity, female cyclists now make up nearly half of all cyclists in the United States. Although cycling provides a significant number of health benefits, it is an activity that carries risk of injury, both traumatic and nontraumatic. Sex differences are seen in chest trauma and breast injury, as well as pelvic, given the inherent differences in anatomy. Understanding the relationship of the bicycle to the anatomy of the rider can help mitigate risks for injury. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - October 22, 2021 Category: Rehabilitation Authors: Rozanne M. Puleo, Antje Barreveld, Sarah Rice, Anne M. Althausen Plante, Dana H. Kotler Source Type: research

Acute Cycling Injuries
The overall activity of cycling, although profoundly heterogenous, often occurs with mechanisms consistent with motor vehicle collisions. Advanced trauma life support is the standard of care. Traumatic brain injury is the leading cause of death, and concussions are common in cyclists. Road rash is the most common injury, and management should be synonymous with other kinds of burns. A unique aspect of cycling medicine is that it often is done on public roadways in close proximity to the athletes during competition. Clinicians who care for cyclists in the field setting should be prepared to manage a broad spectrum of trauma...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 22, 2021 Category: Rehabilitation Authors: Mark Greve Source Type: research

Fear, Anxiety, and Return to Sport After Cycling Crashes
After cycling crashes, orthopedic and neurologic complaints are often the focus of evaluation and management. However, the trauma sustained may not be limited to physical injury; psychological issues brought on by or comorbid with the crash also warrant treatment. In this original research, we evaluated the presence of fear or anxiety after cycling crashes and examined factors associated with this mechanism of injury through a survey. Post-crash fear or anxiety was associated with female gender, a history of depression, and greater crash severity. Few cyclists received treatment and most returned to cycling at their previo...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 21, 2021 Category: Rehabilitation Authors: Dana H. Kotler, Daniel M. Cushman, Sarah Rice, Christopher Gilbert, Saurabha Bhatnagar, Greg Robidoux, Mary Alexis Iaccarino Source Type: research

Triathlon Considerations
Triathlon is an increasingly popular sport that includes swimming, cycling, followed by running. The triathlete should not be seen merely as a cyclist who also swims and runs. Notable differences are seen in the type of bike used, training patterns, lower extremity demands, and cumulative nature of the sport. Injury prevention and treatment strategies need to take into account the triathlon distance, the type of bike used, athletic experience, prior injuries, risk factors, and a thorough understanding of the demands placed on the body through all 3 disciplines (swim, bike, and run). (Source: Physical Medicine and Rehabilit...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 20, 2021 Category: Rehabilitation Authors: Daniel M. Cushman, Nathan Dowling, Meredith Ehn, Dana Kotler Source Type: research