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 441
- Downloads 25
The effect of deceptive information about receiving cooling on pacing pattern during a 20-km cycling time trial in the heat
Introduction Cooling during exercise in the heat has been shown to be beneficial for performance (Bongers et al. 2014), but it is still unclear to what extent this effect can be contributed to actual physiological or per...
Reliability of Time –Trial versus Time-to- Exhaustion Cycle Tests in healthy untrained subjects
In sport science and physiology, exercise performance tests are frequently used to examine the influence of experimental interventions on endurance performance. The reliability (or reproducibility) of performance of a te...
Acute effects of small changes in crank length on gross efficiency and pedalling technique during submaximal cycling
Background: To the best of our knowledge, only four experimental studies analysed the influence of the crank length in the efficiency of energy consumption. No significant differences were found on metabolic cost while p...
Comparison of power output demands for a top-10 ranking between Tour de France and Vuelta a España
Background: Grand Tours (GT) are extreme endurance cycling events with about 3500 km covered in twenty-one stages during three weeks. Using the heart rate measurement, Lucia et al. (Lucia et al., 2003: Medicine & Science...
The effect of IMT on cycling time-trial performance at ~16°c (cool) and ~26°c (hot) temperatures
Objective: The purpose of this study was to investigate whether inspiratory muscle training (IMT) improved cycling time-trial (CTT) performance in both cool (~16°C) and hot (~26°C) environmental conditions in well-traine...