Injury Prevention and Treatment


Off Road Cycling Injuries

The majority of off road cycling injuries are minor. Most bicycle injuries are due to off-road riding, and the majority of injured riders are male. Approximately 4% of off road injuries are serious. 12

Overall injury rates for XC racing is approximately 0.37 injured riders per 100hours riding time. DH riding has injury rates of about 4.34 injured riders per 100 hours racing. Note that although DH injuries were more common on a per hour basis, since DH races are much shorter, the chance of being injured during a race is roughly equal for DH and XC events, but DH riders are at greater risk over the long term. Women XC racers seem to be injured more often then men. 13

Women seem to exhibit a different pattern of off-road injuries than men. In general, women are about twice as likely to sustain a serious injury during a mountain-bike race than men, and about four times more likely to sustain a fracture. This is particularly true for Dual Slalom events. Women are also more likely to categorize the cause of injury as 'loss of control' while men are more likely to cite 'mechanical failure' as the cause of injury. In both sexes the majority of injuries occur while descending, regardless of whether the race is XC, DS, or DH. However, the overall largest risk of injury occurs among male professional DH races. Professional DH racers are 3.5 times more likely to be injured than amateur DH racers. 60


Principles of Rehabilitation 48


Hypothermia50

Hypothermia is a common potential injury for cyclists. Particularly in temperate climates, cyclists are often faced with potential for cold injury. Hypothermia begins when the bodies core temperature drops below its usual temperature of 37.6c.

Symptoms of Hypothermia at Various Core Temperatures49


36c. Metabolic rate increases
34c. Amnesia and slurred speech develop. Maximum respiratory rate
33c. Ataxia and Apathy Develop
31c. Shivering Stops
30c. Cardiac arrhythmia develops
23c. No corneal reflexes
20c. Lowest temp for resumption of cardiac activity
18c. Asystole
16c. Lowest accidental hypothermia survival in an adult
15c. Lowest accidental hypothermia survival in an infant
9c. Lowest therapeutic hypothermia survival

Treatement of Various Symptoms of Hypothermia

Rewarming

This is all fine for hospital treatement....But what can you do when you're out on the road and it gets cold ?
  1. Always be prepared. Dress well in clothes that will stay dry even during exertion.
  2. Have a backup plan on how to stop the ride early if conditions necessitate.
  3. Ensure that extremeties are warm. Wear mits and booties.
  4. Feet Cold? Try wearing a hat. A cold face and head will contribute to extremity vasoconstriction and cold feet.
  5. If stuck out on the trail and hands are cold, try windmilling. Spin the arm around and around rapidly, like you were swimming. This raises blood pressure in the arms markedly, and will overcome any vasoconstriction and lead to returned flow of blood to the hands.
  6. Make sure hand and foot covering is not too tight. Tight clothing is a major cause of reduced blood flow.


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