Conservative Management for a Traumatic Cervical Spine Cycling Injury
Journal Title: Journal of Science and Cycling - Year 2015, Vol 4, Issue 1
Abstract
Competitive cycling holds an inherent risk of traumatic injury often resulting in fracture. Questions regarding the probability of return to sport then arise. The purpose of this case report is to describe the treatment approach and likelihood of returning to cycling after traumatic fracture of the cervical spine and clavicle. This case report describes the use of an original combination of interventions for a C1 fracture with an associated open reduction internal fixation of a left clavicle fracture in a 39-year-old male cyclist. The patient lost control of his bike while descending a slippery slope and was propelled over the handlebars landing head first. The resultant cervical spine and clavicle fractures required twelve weeks in a cervical collar. Physical therapy interventions focused on regaining strength and functional mobility of the cervical spine and shoulder. Following treatment a minimal detectable change was seen for range of motion (>6%) of the cervical spine and shoulder, the Numerical Pain Rating Scale (3 point change), and the Disabilities of the Arm, Shoulder and Hand (29.2% change). The patient returned to his prior level of function at home and work. Medical clearance was received to return to training, with a hopeful prognosis of eventually returning to competition.
Authors and Affiliations
Rebecca Yde| Aurora BayCare Sports Medicine, Green Bay, USA, Kate Jochimsen| University of Wisconsin- Green Bay Athletic Trainer, Aurora BayCare Sports Medicine, USA, Jacklyn Goddard| Aurora BayCare Sports Medicine, Green Bay, USA
Keywords
Related Articles
- EP ID EP2900
- DOI -
- Views 459
- Downloads 25
The relationship between vertical leg stiffness and gross mechanical efficiency in cyclists
Background: Professional cyclists have been shown to have a mechanical efficiency that is 11% higher compared to amateur cyclists (Coyle et al. 1991: Med Sci Sports Exerc, 23 (1), 93-107). The variations in power between...
Relationship between physiological and biomechanical variables with aerobic power output in cycling
Performance in cycling may be determined by physiological and biomechanical parameters. The aim of this study was to assess the relationship between biomechanical and physiological variables with aerobic power output in...
Modelling of cycling power data and its application for anti-doping
Since the introduction of the Athlete Biological Passport (ABP), research studies have suggested that there is risk of false-positive results due to a variety of factors that act to compromise its sensitivity to detect u...
The effect of aerodynamic characteristics on the drafting effect in track cycling
Since the aim of the men’s team pursuit is to accomplish a distance of 4000m as fast as possible, reducing aerodynamic drag by means of drafting can attribute in achieving this goal. Broker et al.1 quantified the average...
Modeling intermittent cycling performance in hypoxia using the critical power concept
Recently, a novel model derived from the critical power (CP) concept was developed to determine W’ balance (W’BAL) during variable intensity exercise. The purpose of this study was to investigate the effect of hypoxia...