This article explains why competitive cyclists in search of marginal gains should be comprehensively screened for anatomical and biomechanical abnormalities before a Bikefit.
Efficient, injury-free cycling is reliant on pedalling symmetry, which is reliant on efficient lower-limb biomechanics, correct foot function, and a stable, level pelvis. The structure and function of the foot dictate how effectively pedal forces are transmitted via the foot/pedal interface down to the cranks, and potentially how deleterious forces are transmitted up the kinetic chain, creating pelvic disruption. Leg- length inequality must be clearly differentiated into anatomical and functional and then addressed appropriately to achieve a successful outcome.
Biomechanical problems can be addressed successfully only if they are recognised and diagnosed. Ideally, the screening process should involve a sports medicine therapist with specialist knowledge of cycling biomechanics and foot function. In competition, marginal gains can represent the difference between success and failure
SportEX Dynamics (2011) (28) 17-20