Research has demonstrated that properly adjusting saddle height is important for both performance and injury prevention during cycling. Peer-reviewed literature recommends the use of a 25 degrees to 35 degrees knee angle for injury prevention and 109% of inseam for optimal performance. Previous research has established that these 2 methods do not produce similar saddle heights. Previous research has also compared anaerobic power among a 25 degrees knee angle, a 35 degrees knee angle, and 109% of inseam and found an increase in anaerobic power at a 25 degrees knee angle. While anaerobic power production has been compared between these 2 methods, aerobic power and economy have not been. The purpose of this study was to determine the difference in economy between these 2 methods of adjusting saddle height. Fifteen subjects, consisting of 5 cyclists (all men) and 10 noncyclists (2 men and 8 women), participated in this study. A graded exercise protocol was utilized in order to determine intensity for the remaining trials. On the last 3 trials, subjects rode for 15 minutes at the resistance at which they reached 70% of Vo2max on a cycle ergometer. Vo2, heart rate (HR), and rating of perceived exertion (RPE) were compared to detect differences in economy between saddle heights. No significant differences were noted in HR or RPE. Vo2 was found to be significantly lower at a saddle height set with a 25 degrees knee angle when compared to a 35 degrees knee angle and 109% of inseam. Findings from this study support the use of a 25 degrees knee angle for both performance and injury prevention.
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http://dx.doi.org/10.1519/JSC.0b013e318173dac6 | DOI Listing |
Proc Inst Mech Eng H
January 2025
Institute of Medical and Biological Engineering, University of Leeds, Leeds, UK.
Subject-specific finite element models of knee joint contact mechanics are used in assessment of interventions and disease states. Cartilage thickness distribution is one factor influencing the distribution of pressure. Precision of cartilage geometry capture varies between imaging protocols.
View Article and Find Full Text PDFJ Biomech
January 2025
Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC - Institut de Biomécanique Humaine Georges Charpak, HESAM Université, 151 boulevard de l'Hôpital, 75013 Paris, France. Electronic address:
Improper socket fitting in lower-limb prostheses can lead to significant complications, including pain, skin lesions, and pressure ulcers. Current suspension and socket design practices rely predominantly on visual inspection of the residual limb and patient feedback. Monitoring stress distribution at the residual limb/socket interface offers a more objective approach.
View Article and Find Full Text PDFJ Diabetes Investig
January 2025
Diabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences, Tokushima University, Tokushima, Japan.
Aims/introduction: This study examined the effects of high-intensity interval walking training (IWT) compared to moderate-intensity continuous walking training (CWT) on muscle strength, walking ability, and health-related quality of life (QOL) in people with diabetes accompanied by lower extremity weakness.
Materials And Methods: People with diabetes accompanied by low isometric knee extensor strength using a simple manual dynamometer (n = 50) were screened and randomly divided into 2 groups: CWT (n = 25) and IWT (n = 25). Both groups were instructed by a physical therapist to perform walking training with the goal of 120 min/week over a 5-month period.
J Orthop Surg Res
January 2025
Department of Joint Surgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266000, China.
Background: This study aimed to (1) determine the association between varus knee deformity and ipsilateral foot and ankle morphology, and (2) evaluate the relationship between varus knee deformity and foot and ankle pain in patients with end-stage varus knee osteoarthritis (KOA).
Methods: A total of 213 patients who underwent primary total knee arthroplasty for end-stage varus KOA were enrolled in this study and divided into a 'severe varus group' (n = 119) and a 'mild varus group' (n = 94) based on preoperative knee varus degree. Morphological parameters and pain incidence in the foot and ankle were compared between the two groups.
World J Clin Cases
January 2025
Division of Knee, Hospital Italiano de Buenos Aires, Buenos Aires 1109, Argentina.
The surgical approach for patellar instability usually refers to reconstruction of the medial patellofemoral ligament associated with an osteotomy of the tibial tuberosity or a trochleoplasty when required. The medial patellotibial ligament and the medial patellomeniscal ligament are secondary stabilizers of the patella. Despite this, both the medial patellotibial and patellofemoral ligaments aid in patellar rotation and tilt when the knee is flexed beyond 45°.
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