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Postural stability in cyclists

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Abstract

Aim

Age-related loss of postural stability (or balance) is a main contributing factor to hospital admissions for falls in the elderly, with a sharp decline in balance starting in the fifth decade of life. Core stability exercises have been well documented as having a positive effect on balance, but the effect of cycling on balance has not been widely considered. With the continued increase in uptake of recreational cycling, this investigation could offer valuable insight, with implications for fall risk reduction in later life. The progression of portable technology offers the opportunity to transfer clinical balance testing to the field. The study used the SWAY™ app on a mobile phone to investigate balance in two different disciplines of recreational cycling – road cycling (RC) and mountain biking (MTB). It aimed to ascertain whether cycling promotes better balance as compared with an age-matched sedentary control (CN), and which cycling discipline promotes the better balance.

Methods

Forty-two adults (53 ± 7 y), RC N = 14, MTB N = 14 and CN N = 14, balanced with eyes closed in five stances as instructed by the SWAY app on a mobile phone held to the chest, which gave the mean of five stances as a total balance score.

Results

RC had significantly better balance than CN (p < 0.001); MTB had significantly better balance than CN (p = 0.004); RC had significantly better balance than MTB (p = 0.046).

Conclusion

MTB balance was worse than RC balance, but both cycling groups were found to have better balance scores than the control. These findings have implications for public health, as cycling, an inexpensive and accessible activity already known to offer substantial health benefits, could additionally help maintain postural stability and potentially reduce risk of falls in later life.

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Data availability

Data is available upon request, from the researcher.

Code availability

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Acknowledgements

This study was undertaken at London Metropolitan University. The authors would like to thank all participants and cyclists of Herne Hill Velodrome, Penge Cycle Club, London and South East Cyclo-Cross League.

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Dr Karl Grainger participated in the design and supervision of the study and contributed to the technical elements. Paul Starrs contributed to the supervision of the study. All authors agree with the content and give consent to submit.

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Correspondence to Mia Preece.

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By the Ethics Review Board at London Metropolitan University.

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The authors declare that they have no competing interests.

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Preece, M., Grainger, K. & Starrs, P. Postural stability in cyclists. J Public Health (Berl.) (2023). https://doi.org/10.1007/s10389-023-01992-4

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