NCT03442933

Brief Summary

Introduction: Cycling represents a very important level of practice, being among the most practiced sports in Spain. As in any other sport discipline, its practice is associated with the appearance of overloads and sports injuries. Specifically, the 2 most affected areas are the lumbar and knee areas, with an annual prevalence of 58% and 36%, respectively. There is no clear hypothesis to explain the low back pain associated with the practice of cycling, but several authors agree that it may be due to holding an inverted posture of the rachis and the characteristics associated with this sport: long duration, static posture, high intensities, vibrations generated by the terrain, and so forth. The project proposes to analyze the acute effect of a long-lasting bicycle trip (3 hours) on the muscles involved in low back and knee pain, see, lumbar paravertebral, quadriceps and hamstrings, by means of tensiomyography (TMG). Objectives: the main objective of this study is to evaluate the behavior of the mechanical characteristics of the lower back and thigh muscles, by means of tensiomyography, in amateur cyclists after an acute effort on road and mountain bikes, and to study their possible relationship with low back pain (LBP).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2017

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 14, 2017

Completed
Same day until next milestone

Study Start

First participant enrolled

December 14, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 22, 2018

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 5, 2018

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 13, 2018

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

August 12, 2019

Completed
Last Updated

August 12, 2019

Status Verified

June 1, 2019

Enrollment Period

5 months

First QC Date

December 14, 2017

Results QC Date

July 27, 2018

Last Update Submit

June 27, 2019

Conditions

Keywords

Muscle FatigueCyclingMTBTensiomiography

Outcome Measures

Primary Outcomes (3)

  • Low Back Pain Perception (LBPP)

    This variable records the intensity pain perceived on the lumbar region (LBPP) by using a 0 to 10 numeric pain-rating scale (NPRS). This is an 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). The LBPP was measured before and after completing each time trial.

    Change between Baseline and 3 hours

  • Maximal Radial Displacement (Dm)

    The variable Dm is given by the radial displacement of the muscular belly in a transverse plane, expressed in milimeters (mm) and depends on muscle tone or stiffness. A low Dm is related to a high muscle tone or an excess of stiffness, while a high Dm value indicates a lack of muscle tone or stiffness defect.

    Baseline and after 3 hours

  • Pressure Pain Threshold (PPT)

    Measured from 0 to 10kg/cm2 with a manual mechanical algometer (FDK/FDN, Wagner Instruments, 1217 Greenwich, CT 06836), which has bilaterally shown an excellent reliability, reproducibility, and sensitivity on the lumbar erector spinae muscles.

    Baseline and after 3 hours

Secondary Outcomes (1)

  • Roland-Morris Questionnaire (RMQ)

    Baseline

Study Arms (2)

Road Cycling first, then Mountain Biking

ACTIVE COMPARATOR

First Intervention (3 hours: Road cycling), followed by a 7 days washout, and the second Intervention (3 hours: Mountain Biking).

Other: 3 hours Road Cycling Time TrialOther: 3 hours Mountain Biking Time Trial

Mountain Biking first, then Road Cycling

ACTIVE COMPARATOR

First Intervention (3 hours: Mountain Biking), followed by a 7 days washout, and the second Intervention (3 hours: Road cycling).

Other: 3 hours Road Cycling Time TrialOther: 3 hours Mountain Biking Time Trial

Interventions

The road itinerary is a mixed route profile of 90 km, an elevation gain of 900 m, with mixed sections, flat, uphill and down over roads with little traffic.

Mountain Biking first, then Road CyclingRoad Cycling first, then Mountain Biking

The mountain itinerary, is a mixed route of 55 km, an elevation gain of 600 m, with sections of wide tracks and trails, flat, uphill and down, with a medium technical difficulty.

Mountain Biking first, then Road CyclingRoad Cycling first, then Mountain Biking

Eligibility Criteria

Age18 Years - 55 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Be a man
  • Aged between 18 and 55 years.
  • Minimum experience in the practice of cycling over 3 years
  • Accumulate at least 200 hours of training each year.
  • Not having received specific treatment in the musculature evaluated in the last 4 weeks, or being subjected to any treatment at present.
  • No pathology diagnosed in the anatomical regions interested in the study (lumbar, thigh, hip or knee).
  • Sign the informed consent.

You may not qualify if:

  • Have had strenuous exercise in the previous 48 hours
  • Having taken energy drinks in the last 48 hours
  • Have ingested alcohol or caffeine in the 3 hours prior to taking data.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Universidad Europea de Madrid

Villaviciosa de Odón, Madrid, 28670, Spain

Location

MeSH Terms

Conditions

Musculoskeletal Pain

Condition Hierarchy (Ancestors)

Muscular DiseasesMusculoskeletal DiseasesPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Gerson Garrosa Martín
Organization
Universidad Europea de Madrid

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: A cross-over study with a single group (n = 40) of amateur cyclists subjected to each 2 different intervention conditions: a road bike time trial (CA) and a mountain bike time trial (MT).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Gerson Garrosa Martín, PhD Candidate

Study Record Dates

First Submitted

December 14, 2017

First Posted

February 22, 2018

Study Start

December 14, 2017

Primary Completion

May 5, 2018

Study Completion

June 13, 2018

Last Updated

August 12, 2019

Results First Posted

August 12, 2019

Record last verified: 2019-06

Locations