Potential factors associated with knee pain in cyclists: a systematic review The possible factors associated with overload damage and pain in cyclists supported by scientific evidence are still unclear. The present study aimed to determine the most important factors in connection with the overuse of knee pain and / or injury to cyclists on the basis of a systematic search for the latest findings. In the search, a possible mechanism in connection with knee pain or injuries was investigated, which could be used in clinical practice. Databases were searched and studies were included if presented results from original studies. They should preferably include, but not limited to, leisure and / or competitive athletes with or without knee pain. The quality of the item was evaluated.Eleven articles were considered for a full text test. The studies generally included the evaluation of biomechanical results in connection with knee pain in cyclists. Overall, the studies showed that cyclists with knee pain have greater knee adcreation and larger dorsalflexion of the ankle and differences in activation for Hamstring and QuadricePs muscles. Unclear results were observed for kneemoments, and no differences were observed for knee fluid angles, tibiofemoral and patellofemoral forces. It is important to mention that various types of knee pain were mixed in most studies, focusing on two studies on anterior-associated pain. Cyclists with excessive pain or injuries on the knees showed increased media projection of their knees and a changed activation of Vastus Medialis and Vastus Lateralis.
However, this limited evidence is based on retrospective studies in which cyclists are compared with and without pain, which concludes the conclusion of how cyclists develop knee pain, and which are the most important options for the treatment of knee pain. The whole work can be found under https://www.dovepress.com/articles.php?article_id=38468