Fear, Anxiety, and Return to Sport After Cycling Crashes : A Survey of Cyclists - 17/11/21

Doi : 10.1016/j.pmr.2021.08.008

Dana H. Kotler, MD ^a,^b,^c,^d,^⁎ , Daniel M. Cushman, MD ^e, Sarah Rice, PhD, DPT ^f, Christopher Gilbert, AM ^g, Saurabha Bhatnagar, MD ^a,^b,^h, C. Greg Robidoux, PT ^c , Mary Alexis Iaccarino, MD ^a,^b,ⁱ
^a Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA
^b Spaulding Rehabilitation Hospital, Boston, MA, USA
^c Spaulding Outpatient Center-Wellesley, Wellesley, MA, USA
^d Newton-Wellesley Hospital, Newton, MA, USA
^e Division of Physical Medicine and Rehabilitation, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA
^f Athletico Physical Therapy, Chicago, IL, USA
^g Harvard University Extension, 51 Brattle Street, Cambridge, MA 02138, USA
^h US Department of Veterans Affairs, 1722 I St NW, Washington, DC, USA
ⁱ Massachusetts General Hospital, Boston, MA, USA

^∗Corresponding author. Spaulding Outpatient Center – Wellesley, 65 Walnut Street, Suite 250, Wellesley, MA 02481.Spaulding Outpatient Center – Wellesley65 Walnut StreetSuite 250WellesleyMA02481

Résumé

After cycling crashes, orthopedic and neurologic complaints are often the focus of evaluation and management. However, the trauma sustained may not be limited to physical injury; psychological issues brought on by or comorbid with the crash also warrant treatment. In this original research, we evaluated the presence of fear or anxiety after cycling crashes and examined factors associated with this mechanism of injury through a survey. Post-crash fear or anxiety was associated with female gender, a history of depression, and greater crash severity. Few cyclists received treatment and most returned to cycling at their previous level, but the timeline varied.

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Keywords : Bicycle, Trauma, Injury, Psychological, Concussion