3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com
ISMJ
International SportMed Journal
1*
Professor Jos M Muyor, PhD, 2Professor Pedro A Lpez-Miarro, PhD,
1
Professor Antonio J Casimiro, PhD, 3Professor Fernando Alacid, PhD
1
Department of Physical Education. University of Almera, Almera, Spain
2
Department of Physical Education. University of Murcia, Murcia, Spain
3
Department of Sports Sciences. University of Murcia. Murcia, Spain
Abstract
Background: Sagittal spinal curvatures and pelvic tilt in master cyclists may be altered due to specific
cyclists postures. Research question: To analyse and compare the spinal and pelvic postures,
between two cyclist age-categories with different cycling experience. Type of study: Descriptive and
comparative. Methods: Participants: Fifty-five master 30 cyclists (between 30 and 39 years of age)
and 55 master 40 cyclists (between 40 and 49 years of age). Main measures of outcome: Sagittal
spinal curvatures and pelvic tilt in relaxed standing, slumped sitting and a sit-and-reach test were
measured using a Spinal Mouse system. Results: Greater lumbar lordosis and anterior pelvic tilt in
standing were found in master 30 cyclists (p < 0.05). However, no differences were found in the
thoracic spine between both groups in standing. Seated thoracic kyphosis was lower in master 30
cyclists than in master 40 cyclists (p < 0.01). Kyphotic lumbar postures and posterior pelvic tilting in
both groups were found in the slumped sitting and the sit-and-reach test. A high percentage of
thoracic hyperkyphosis and neutral lordosis in standing were found in both groups. Conclusion: Both
cyclists categories presented a high percentage of hyperkyphosis thoracic in the standing posture,
and master 40 cyclists showed a significantly lower lumbar lordosis and anterior pelvic tilt than master
30 cyclists. In the seated position, middle-aged cyclists presented a significantly higher thoracic
kyphosis than younger cyclists, although in maximal trunk flexion with knees extended, both groups
presented similar values. Keywords: cycling, spine, posture, kyphosis, lordosis
Figure 1: Sagittal spinal curvatures measured with the Spinal Mouse while in the slumped sitting
position
Figure 2: Spinal curvature measurement with the Spinal Mouse in the sit-and-reach test
Table 2: Mean values ( SD) of the thoracic, lumbar spine and pelvic tilt (degrees) in the postures and
sit-and-reach score (cm) evaluated in master 30 and master 40 cyclists
Thoracic
46.87 8.71 49.31 10.01 -2.43 (-5.98 to 1.11) 0.176 0.25
spine
Lumbar
Standing -26.04 6.04 -22.71 9.16 -3.32 (-6.26 to -0.39) 0.027 0.42
spine
Pelvic tilt 12.11 5.29 9.27 7.18 2.83 (0.45 to 5.22) 0.020 0.44
Thoracic
42.78 8.73 47.96 9.00 -5.18 (-8.53 to -1.83) 0.003 0.56
spine
Lumbar
Slumped sitting 17.38 9.71 17.16 11.98 0.21 (-3.90 to 4.34) 0.917 0.02
spine
Pelvic tilt -15.33 6.46 -15.71 9.01 0.58 (-2.38 to 3.54) 0.698 0.07
Thoracic
62.05 10.06 62.85 10.55 -0.80 (-4.69 to 3.09) 0.685 0.07
spine
Sit-and-reach Lumbar
30.09 8.44 27.27 10.16 2.81 (-0.71 to 6.35) 0.117 0.29
test spine
Pelvic tilt -12.47 9.64 -9.55 9.49 -2.92 (-6.54 to 0.69) 0.112 0.30
Sit-and-reach
Score 1.27 8.02 1.05 8.95 0.21 (-2.99 to 3.43) 0.858 0.03
test
The percentage of cyclists in each category of thoracic and lumbar spine angles in the standing
posture is presented in Figure 3. The data show a high percentage of thoracic hyperkyphosis and
neutral lordosis in both groups. The frequency of neutral postures in the thoracic and lumbar spine is
higher in master 30 cyclists than master 40 cyclists.
Figure 3: Percentage of subjects in each category of thoracic and lumbar angles in the relaxed
standing position
although they did not evaluate these specific with respect to the standing posture. The
26
postures. Recently, Muyor et al. found that lumbar spine was in a kyphotic posture while
young cyclists adopted a significantly lower the pelvis adopted a posterior tilt in both
thoracic kyphosis on their bicycles than in the groups. Thoracic and lumbar kyphotic postures
3
standing posture. They found a high frequency increase the spinal load , intervertebral disc
29-31
of thoracic hyperkyphosis in the standing pressure , creep deformation in the lumbar
32-34 35, 36
posture than on the bicycle. The thoracic tissues and low back pain . In the
hyperkyphosis may be related to other factors, current study, cyclists trained around 3 hours
such as inadequate postural habits, rather than per day, possibly with a maintained lumbar
13, 14
to the specific posture adopted in the sport. flexion on the bicycle . Prolonged sitting on
the bicycle has been related to low back pain
34
. After training, a maintained slumped sitting
Master 40 cyclists presented a significantly posture in daily activities may aggravate the
lower lumbar lordosis and anterior pelvic tilt low back pain. This may be a reason why low
38-41
than master 30 cyclists in the standing posture. back pain is frequent in cyclists .
There were two possible explanations for this.
The first might be that the lumbar flexion
13
(kyphotic posture) maintained on the bicycle Sit-and-reach test
over several years may modify the lumbar
13 The sit-and-reach test is a common field test in
spines configuration. Muyor et al. found that
physical fitness tests to evaluate hamstring
older cyclists presented a lower but not 42
and spinal flexibility . The analysis of spinal
significant lumbar lordosis and a significantly
angles and pelvic tilt in the sit-and-reach test is
lower anterior pelvic tilt than younger cyclists
necessary because in this posture the
with similar cycling experience (around 7
hamstrings are under tension and influence
years). However, in the current study, older 6, 43, 44
spinal curvature and pelvic position . In
cyclists (master 40) had more than 6 years
the current study, master 40 cyclists reach a
experience in cycling in comparison with
non-significant, lower lumbar flexion than
master 30 cyclists. The second possible
master 30 cyclists. This small difference may
explanation is the relation between aging and
be due to an age-related decrease in the
spinal curvature and pelvic tilt. Several studies 18, 45
lumbar range of motion , since both groups
reported changes in the configuration of spinal
had similar sit-and-reach scores. Lpez-
curvatures and pelvic position with age. Gelb 46
27 Miarro et al. found in kayakers a
et al. found in adults over 40 years old that
significantly greater lumbar flexion in the sit-
increasing age correlated to loss of distal
10 and-reach test than in runners. They
lumbar lordosis. Schawb et al. observed a
speculated that it may be an adaptation to
significant posterior pelvic tilt with advancing
28 maintained lumbar flexion in kayakers due to
age. Day et al. reported that the lumbar
prolonged sitting in the kayak.
curve is altered by the pelvic tilt where an
anterior tilt increases the lumbar lordosis and a
posterior tilt decreases the depth of the lumbar
The pelvic position in the sit-and-reach test has
spine. An important limitation of this current
shown a moderate-high relationship with
study was that there were no control groups for 6, 43, 44
hamstring extensibility . Lpez-Miarro
each cyclist category. Further research should 6
be done to analyse the relationships between and Alacid found that the hamstring muscles
spinal and pelvic postures in master cyclists extensibility influences the thoracic and pelvic
postures of young paddlers in the sit-and-reach
and matched-age sedentary subjects.
test. The master 40 cyclists reached lower
anterior pelvic tilting than master 30 cyclists
(mean difference: 2.92) but no significant
Slumped sitting 15
differences were found. McEvoy et al. found
Sitting is a habitual posture in daily activities greater anterior pelvic tilt in cyclists than
and it is the specific posture in cycling. This sedentary subjects when sitting on the floor
current study evaluated slumped sitting to with extended legs. In cyclists, this difference
determine the influence of a relaxed position may be due to some adaptation in flexion
and passive hip flexion on spinal curvatures postures to reach aerodynamic positions.
and pelvic position. Master 40 cyclists Moreover, a prolonged lumbar flexion and
presented a significantly greater thoracic intense training may generate adaptations in
47, 48
kyphosis than master 30 cyclists. This may be the spinal structures , greater spinal loads
2 3
due to a postural adaptation, although both , increased vertebral stress , intradiscal
29-31
groups showed an increased thoracic kyphosis pressure , and viscoelastic deformation of
129 Official Journal of FIMS (International Federation of Sports Medicine)
Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com
33
lumbar tissues . In this sense, several studies posture, middle-aged cyclists presented
have reported that low back pain is the most significantly higher thoracic kyphosis than
38-41
common overuse injury in cyclists . young cyclists, although in maximal trunk
Alterations in spinal curvatures may potentially flexion with knees extended both groups
influence the development of low back pain presented similar values.
35,36
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