Document Detail


The influence of glove and hand position on pressure over the ulnar nerve during cycling.
MedLine Citation:
PMID:  21458120     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Chronic ulnar nerve compression is believed to be the primary cause of sensory and motor impairments of the hand in cyclists, a condition termed Cyclist's Palsy. The purpose of this study was to quantitatively evaluate the effects that hand position and glove type can have on pressure over the ulnar nerve, specifically in the hypothenar region of the hand. METHODS: Thirty-six experienced cyclists participated. Subjects rode at a constant cadence and power output on a stationary bicycle with their hands in the tops, drops and hoods of a standard drop handlebar. A high resolution pressure mat was used to record hand pressure with no gloves, unpadded gloves, foam-padded gloves and gel-padded gloves. Wrist posture was simultaneously monitored with a motion capture system. Laser scans of the subject's hand were separately acquired to register pressure maps onto the hand anatomy. FINDINGS: Average peak hypothenar pressures of 134-165kPa were recorded when cyclists did not wear gloves. A drops hand position induced the greatest hypothenar pressure and most extended wrist posture. Padded gloves were able to reduce hypothenar pressure magnitudes by 10 to 28%, with slightly better pressure reduction achieved using thin foam padding. INTERPRETATION: The hand pressure magnitudes and loading patterns seen in steady-state cycling are of sufficient magnitude to induce ulnar nerve damage if maintained for long periods. Wearing padded gloves and changing hand position can reduce the magnitude and duration of loading patterns, which are both important to mitigate risk for Cyclist's Palsy during extended rides.
Authors:
Josh Slane; Mark Timmerman; Heidi-Lynn Ploeg; Darryl G Thelen
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-30
Journal Detail:
Title:  Clinical biomechanics (Bristol, Avon)     Volume:  -     ISSN:  1879-1271     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-4-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8611877     Medline TA:  Clin Biomech (Bristol, Avon)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Elsevier Ltd.
Affiliation:
Department of Mechanical Engineering, University of Wisconsin-Madison, United States; Materials Science Program, University of Wisconsin-Madison, United States.
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