{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:48:56Z","timestamp":1788522536413,"version":"build-2803163510"},"reference-count":35,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2021,7,26]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To analyse rider\u2019s subjective responses after a standardised bicycle ergonomic adjustment method.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Experimental study of 160 healthy, amateur mountain bikers analysed previously and 30 days after a bike-fitting session. The main outcome measures were subjective comfort level (Feeling Scale, FEEL), fatigue (OMINI Scale) and pain (Visual Analogue Scale, VAS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>All variables demonstrated statistical significance between groups pre and post bike-fit session (p&lt;0001). FEEL, OMNI and VAS-knee demonstrated large effect sizes (d=1.30; d=1.39\u2009and d=0.86, respectively). VAS-hands, VAS-neck and VAS-back indicated moderate effect size (d=0.58; d=0.52\u2009and d=0.43, respectively). VAS-groin and VAS-ankle indicated a small size effect (d=0.46\u2009and d=0.43, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Overall discomfort, fatigue and pain in healthy mountain biker adults improved according to all three scales. The major improvements in pain levels were detected on the knee, hands, back and neck compared with presession values. Groin and ankle pain had smaller improvements but were still significant. Future clinical trials should address the bias effects of this experimental study.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2021-001096","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T12:20:13Z","timestamp":1630326013000},"page":"e001096","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Discomfort, pain and fatigue levels of 160 cyclists after a kinematic bike-fitting method: an experimental study"],"prefix":"10.1136","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2500-5388","authenticated-orcid":false,"given":"Robson Dias","family":"Scoz","sequence":"first","affiliation":[{"name":"Programa de Mestrado e Doutorado em Fisioterapia, Universidade Cidade de Sao Paulo (UNICID), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar Ferreira","family":"Amorim","sequence":"additional","affiliation":[{"name":"Programa de Mestrado e Doutorado em Fisioterapia, Universidade Cidade de Sao Paulo (UNICID), Sao Paulo, Brazil"},{"name":"Physical Therapy, Florida International University, Miami, Florida, USA"},{"name":"Centro de Investiga\u00e7\u00e3o Interdisciplinar Egas Moniz (CiiEM), Escola Superior de Sa\u00fade Egas Moniz (ESSEM), Caparica, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiago","family":"Espindola","sequence":"additional","affiliation":[{"name":"Curso de Gradua\u00e7\u00e3o em Fisioterapia, Universidade do Sul de Santa Catarina, Palhoca, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateus","family":"Santiago","sequence":"additional","affiliation":[{"name":"Curso de Gradua\u00e7\u00e3o em Fisioterapia, Universidade do Sul de Santa Catarina, Palhoca, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Joao Baltazar","family":"Mendes","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o Interdisciplinar Egas Moniz (CiiEM), Escola Superior de Sa\u00fade Egas Moniz (ESSEM), Caparica, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Rui de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Programa de Mestrado e Doutorado em Fisioterapia, Universidade Cidade de Sao Paulo (UNICID), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano Maia Alves","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o Interdisciplinar Egas Moniz (CiiEM), Escola Superior de Sa\u00fade Egas Moniz (ESSEM), Caparica, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romulo Nolasco","family":"Brito","sequence":"additional","affiliation":[{"name":"Curso de Gradua\u00e7\u00e3o em Fisioterapia, Universidade do Sul de Santa Catarina, Palhoca, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"2025083112562832000_7.3.e001096.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0211197","article-title":"A retrospective International study on factors associated with injury, discomfort and pain perception among cyclists","volume":"14","author":"Priego Quesada","year":"2019","journal-title":"PLoS One"},{"key":"2025083112562832000_7.3.e001096.2","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1177\/1941738116676260","article-title":"Relationship between body positioning, muscle activity, and spinal kinematics in cyclists with and without low back pain: a systematic review","volume":"9","author":"Streisfeld","year":"2017","journal-title":"Sports Health"},{"key":"2025083112562832000_7.3.e001096.3","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1080\/02640414.2016.1215496","article-title":"Effect of bike-fit in the perception of comfort, fatigue and pain","volume":"35","author":"Priego Quesada","year":"2017","journal-title":"J Sports Sci"},{"key":"2025083112562832000_7.3.e001096.4","unstructured":"Dinsdale N , Dinsdale N . 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