| Impaired anal sphincter function in professional cyclists. | |
| | |
MedLine Citation:
|
PMID: 17427020 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The purpose of our study was to assess anal function in professional mountain bikers, as an increasing number of cycling enthusiasts report functional and morphological problems in the anal region. We tried to find out if constant saddle vibration suffered by professional cyclists could lead to defecation disorders. METHODS: 19 professional male mountain bikers took part in this study. The findings were compared with those of a control group (CG) of healthy volunteers who rode bikes less frequently. Both groups underwent rectal examination and anorectal manometry. Rectal sensation, rectal compliance and the anorectal inhibitory reflex were also assessed. Information on anal pain, blood on the toilet tissue, history of hemorrhoids, anal fissure, abscess formation and problems with defecation was collected by questionnaire and local examination was carried out. RESULTS: Sphincter resting pressures (89 +/- 27 mmHg vs CG: 69 +/- 16 mmHg), squeeze pressures (137 +/- 36 mmHg vs CG: 96 +/- 19 mmHg) and sphincter volumes (resting vector volume: 513 +/- 277 cc vs CG 273 +/- 170 cc, squeeze vector volume: 1389 +/- 867 cc vs CG: 490 +/- 219 cc) were significantly higher in the professional mountain bikers. Values reflecting rectal sensation (sensory threshold: 51 +/- 32 ml vs CG: 46 +/- 12 ml) were not significantly different between the groups. CONCLUSION: Proctological problems are very common in professional mountain bikers. Permanent microtrauma through constant saddle vibration may lead to chronic inflammation and anal fissure resulting in anal pain and therefore high sphincter pressure. Muscle hypertrophy as a consequence may lead to defecation disorders. |
| | |
Authors:
|
Tonja Sauper; Monika Lanthaler; Matthias Biebl; Helmut Weiss; Hermann Nehoda |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Wiener klinische Wochenschrift Volume: 119 ISSN: 0043-5325 ISO Abbreviation: Wien. Klin. Wochenschr. Publication Date: 2007 |
Date Detail:
|
Created Date: 2007-04-11 Completed Date: 2007-08-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 21620870R Medline TA: Wien Klin Wochenschr Country: Austria |
Other Details:
|
Languages: eng Pagination: 170-3 Citation Subset: IM |
Affiliation:
|
Department of General & Transplant Surgery, University Hospital Innsbruck, Innsbruck, Austria. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Anal Canal / injuries, innervation, physiopathology* Bicycling* Defecation / physiology Fissure in Ano / diagnosis, physiopathology Humans Male Manometry Middle Aged Occupational Diseases / diagnosis, physiopathology* Pain / etiology, physiopathology Proctitis / diagnosis, physiopathology Risk Factors Sensory Thresholds |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Family medicine practice and research: survey of physicians' attitudes towards scientific research i...
Next Document: Suicidal ideation among Viennese high school students.