presented by Jay Dicharry
Your patient is having chronic anterior knee pain on the bike, so it makes sense to look at their mechanics on the bike. But where do you begin? How to you differentiate between body limitations in your cyclist, and in fit limitations? And how would you systematically progress through the fit process to optimize cycling economy and minimize stress to the rider? In the Clinical Bike Fit Process, we’ll address specifically how to adjust the contact points of the bike to the individual variation you see within your patient. This new skill will enable you to “close the loop” between your clinic goals and the stress your patients and clients see while logging hours on the bike. This course will harness your MSK assessment skills, and teach you a new revenue generating skill you can use tomorrow in the clinic.
Jay Dicharry built his international reputation as an expert in biomechanical analysis as Director of the SPEED Clinic at the University of Virginia. Through this innovative venture, Jay was able to blend the fields of clinical practice and engineering to better understand and eliminate the cause of overuse injuries in endurance athletes. His unique approach goes outside the traditional model of therapy and aims to correct imbalances before they affect your performance. Jay wrote a book on running gait assessments: he is author of “Anatomy for Runners”, writes columns for numerous magazines, and has published over 30 peer-reviewed journal articles. Having taught in the Sports Medicine program at UVA, he brings a strong bias towards patient education, and continues to teach nationally to elevate the standard of care for Therapists, Physicians, and Coaches working with endurance athletes. Originally from New Orleans LA, Jay completed the Masters of Physical Therapy degree at Louisiana State University Medical Center and is a Board-Certified Sports Clinical Specialist. Jay has had an active research career, and consults for numerous footwear companies, the US Air Force and USA Track and Field. His research focus on footwear and the causative factors driving overuse injury continues at Rebound, and provides his patients with an unmatched level of innovation and success. In addition to his clinical distinction, Jay is a certified coach through both the United States Track and Field Association and the United States Cycling Federation, and certified Golf Fitness Instructor through Titleist Performance Institute. He has a competitive history in swimming, triathlon, cycling, and running events on both the local and national level, and has coached athletes from local standouts to national medalists.
There is a systematic way to think through and conduct a bike fitting. We’ll discuss the importance of listening to the rider’s goals, identifying critical issues that impact their fit, take the guesswork out of the science of bike fitting, and instruct how to adjust the contact points on the bike for success.
Cleat is the link between your feet and the pedals, the height of the rider above the pedals greatly affects the length-tension relationship of the lower quarter, and position of the upper body dictates comfort and handling. This chapter takes the learner through the bike fit process for these individual steps.
Cycling lore runs deep. It is essential to educate yourself, your patients, athletes, and local cycling community to get discussion moving in the right direction. We’ll discuss some common questions that are out there with respect to differences in fit on road bikes, time trial fits, cyclocross fits, and mountain bike fits. We’ll also discuss pedaling styles, frame stiffness, and some of the science behind the need for aerodynamics. Better understanding equal better outcomes.