Physical Medicine and Rehabilitation Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Return to Cycling Following Brain Injury
Cycling is an important form of exercise, recreation, and transportation. Following traumatic brain injury, the benefits of cycling for health, fitness, and community mobility must be considered alongside potential risk for recurrent injury. In addition to medical concerns and exercise tolerance, key domains include motor function, attention, and visuospatial and executive function, which have previously been explored with regard to driving. Cycling skill is a combination of cognitive and motor function, and can be trained with appropriate education and intervention. We discuss the relationship of brain injury rehabilitati...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 20, 2021 Category: Rehabilitation Authors: Dana H. Kotler, Mary Alexis Iaccarino, Sarah Rice, Seth Herman Source Type: research

Infrastructure and Injury Prevention in Cycling
The focus of this article centers on bicycle injury prevention and related infrastructure. The article discusses the current epidemiology of cycling injuries, and known prevention strategies, specifically individual recommended practices related to helmet use in both adult and pediatric populations. The article also discusses different ways in which the environment plays a role in protecting cyclists from injuries, and what environmental changes have been adopted to reduce the likelihood for cycling injuries. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - October 20, 2021 Category: Rehabilitation Authors: Kevin Rix, Isabell Sakamoto Source Type: research

Nutrition in Cycling
Cycling is predominantly an endurance sport in which fuel utilization for energy production relies on the availability and delivery of oxygen to exercising muscle. Nutrition and training interventions to improve endurance performance are continually evolving, but ultimately, prescription should aim to generate improvements in cycling power and velocity while prioritizing athlete health and well-being. The wide range of cycling events and the different environments in which events take place pose a variety of nutrition-related challenges for cyclists. This review addresses some of these challenges and highlights recent adva...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 20, 2021 Category: Rehabilitation Authors: Namrita Kumar Brooke, Ludmila Cosio-Lima Source Type: research

A Coaching Perspective on Modern Training Metrics and Return from Injury and Illness
Guiding cyclists in their return from illness and injury can be managed in many ways. Understanding how cyclists use power-derived training metrics can give care providers a common language to aid in this return. A general understanding of these metrics may be used to monitor cyclists for signs of nonfunctional overreaching or overtraining. Understanding aspects of training and detraining, particularly hematological, is helpful in communicating fitness expectations. Three populations of cyclists are discussed in terms of their expected knowledge of these metrics, typical training volume and intensity, and relationship with...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 20, 2021 Category: Rehabilitation Authors: Kolie Moore Source Type: research

Cycling Medicine
It is our honor to present the first issue of Cycling Medicine for the Physical Medicine and Rehabilitation Clinics of North America. We are cycling medicine physicians and dedicated cyclists; as such, we are invested in the enrichment of this growing field. Our contributing authors have a wide range of expertise, and all share a commitment to improving athlete performance, improving safety, and facilitating return from injury. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - October 20, 2021 Category: Rehabilitation Authors: Angela N. Cortez, Dana H. Kotler Tags: Preface Source Type: research

Adaptive Cycling
This article aims to provide up-to-date information for clinicians about available adaptations, participation options, and resources. We review the para-cycling classification system and 4 main categories of cycles. There are multiple considerations for fit and customization depending on an individual ’s disability to improve efficiency and comfort. Virtual platforms that allow riders to train and compete online have grown in popularity among para-cycling communities and offer an alternative to riding outdoors. Many national and local organizations offer communities and grants to assist with ad aptive equipment. (Source:...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 19, 2021 Category: Rehabilitation Authors: Gabrielle T. Goodlin, Lindsey Steinbeck, Deborah Bergfeld, Alexandria Haselhorst Source Type: research

Adaptive Cycling
Para-cycling has high rates of acute injuries. The underlying medical conditions of para-athletes predispose these cyclists to injury patterns and sequelae different from those of their able-bodied counterparts. Such injuries include an increased incidence of upper-extremity and soft tissue injuries, along with predisposition for respiratory, skin, genitourinary, and heat-related illnesses. There are no validated sideline assessment tools or return-to-play protocols for sports-related concussion in wheelchair user para-athletes or those with balance deficits. Para-cyclists may be at increased risk for relative energy defic...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 19, 2021 Category: Rehabilitation Authors: Gabrielle T. Goodlin, Lindsey Steinbeck, Deborah Bergfeld, Alexandria Haselhorst Source Type: research

A Dynamic Approach to Cycling Biomechanics
Cycling biomechanics is a complex analysis of the cyclist and the bicycle. It is important to assess the cyclist dynamically because kinematics and muscle patterns are influenced by their type of riding and fatigue and intensity. Intrinsic factors such as anthropometrics and flexibility should guide the initial bicycle configuration. Static kinematics are a valid and reliable tool in the process of bike fitting, providing an initial fast and cost-effective method of assessing the cyclist. Dynamic assessment methods should then be used to fine tune the bicycle configuration according to the specific needs and workloads of t...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 13, 2021 Category: Rehabilitation Authors: Wendy Holliday, Jeroen Swart Source Type: research

Cervical Spine, Upper Extremity Neuropathies, and Overuse Injuries in Cyclists
Upper extremity nerve injuries in cyclists include carpal tunnel syndrome and ulnar neuropathy at the wrist. Electromyography and nerve conduction studies aid in the diagnosis of neuropathies. Diagnostic ultrasonography or MRI can also be helpful for evaluation. Overuse injuries in the upper extremity includes biker ’s elbow, or a tendinopathy of the common flexor or extensor tendons, which is more common in mountain biking. Neck pain is also a common issue for cyclists. Treatment of these conditions varies from conservative management to surgical options, but a bicycle fit assessment is recommended for any o ngoing symp...
Source: Physical Medicine and Rehabilitation Clinics of North America - October 13, 2021 Category: Rehabilitation Authors: Andrea Cyr Source Type: research

Shoulder Ablation Approaches
This article summarizes the current evidence for radiofrequency ablation as a useful treatment option for chronic shoulder pain as well as the described techniques for performing this promising procedure. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 28, 2021 Category: Rehabilitation Authors: Angela Samaan, David Spinner Source Type: research

Non-Spine Ablation Procedures
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 - September 28, 2021 Category: Rehabilitation Authors: SANTOS F. MARTINEZ Source Type: research

Copyright
ELSEVIER (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 28, 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 - September 28, 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 - September 28, 2021 Category: Rehabilitation Source Type: research

Forthcoming Issues
Cycling (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 28, 2021 Category: Rehabilitation Source Type: research