Clinical Bike Screen

Each one of us is different

Human physiology as applied to all forms of movement, including on a cycle, is complex. There is no standardised formula for an optimum cycling position. By pursuing a perceived, standardised optimum position the gains are often offset by discomfort and worse a higher potential for injury.

It is primarily for this reason that Sevenoaks Physiotherapy have developed the Clinical Bike Screen,  designed and delivered by those who have years of experience at understanding how the human muscular skeletal system works: the physiotherapist. Consequently our process, in contrast to the traditional bike shop bike fit approach,  emphasises the changes that need to be made to the rider themselves rather than just the bike. We also recognise that the process is not a one off and that additional iterations maybe required both in the short term and potentially in the longer term as an individual hopefully improves strength and flexibility.

What is different about the Clinical Bike Screen to the traditional approach?

  • Delivered by a qualified physiotherapist

  • We do not make the changes to your bike; we recommend what changes are required. These can then either be done by yourself or we can recommend a shop for you.

  • We do not pressure you buy new equipment, indeed our gym is refreshing free of cycling paraphernalia.

  • A focus on the changes you need to make to your body to increase enjoyment and performance

  • An emphasis on helping you understand the process and longer term benefits

  • A second visit is provided as part of the overall package

Clinical Bike Screen Process

Stage 1

An interview designed to give us a detailed understanding of your history of exercise and, where appropriate, injury. This is probably one of the most important areas that is often not dealt with as deeply as it should be during a fitting. In contrast this is the kind of assessment a trained physio is doing every working day. Central to this is to see how an individual's movement patterns and physiology may affect an existing problem or indeed are storing up problems for later

Stage 2

The physio carries out a functional screening using both traditional screening tools and some specifically designed for the bike riders. This is useful for two reasons. First it provides further information to add to the subjective assessment carried out in stage 1. Second it creates a benchmarks in terms of strength and flexibility which the client and physio use to measure any improvements obtained via the exercise program provided later in the process

Stage 3

The existing riding position is analysed using Dartfish video technology. This will help identify problems resulting from the current riding position.

Stage 4

Taking account the data collected during stages 1 to 3 and using a combination of experience and previously developed analytical techniques the physio recommends a number of changes to the bike set up e.g. cleat position, stem length. More importantly the physio draws up a detailed program of strengthening and flexibility exercises tailored to the clients individual requirements and to meet their specific goals. These are taught to the client during the latter stages of the session. If any manual physiotherapeutic interventions are thought to be useful, these will be discussed with the client at this point.

Stage 5

A report is prepared and sent to the client. This includes the results of the screening report to provide a benchmark for the client for future testing, the list of recommended changes to the bike set up and detailed instructions of the specific rehabilitation program designed for the client.

The future

You return to us once the changes have been made and you have completed 10 hours on the bike. Another video is taken and analysed to demonstrate the changes that have been made. Also at this stage the client has the opportunity to discuss any other issues with the physio and if necessary further changes can be specified

Hopefully you will now be riding more comfortably and potentially for longer distance maybe at higher speeds. If the client maintains the exercise regime it may well be that further improvements can be envisaged and therefore we offer our existing clients a discounted sessions with our rehabilitation specialist 

Meet the practitioner

Michael Crebbin