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    A Saddle sores among female competitive cyclists: A systematic scoping review

    81779.pdf (997.0Kb)
    Access Status
    Open access
    Authors
    Bury, K.
    Leavy, Justine
    Lan, C.
    O'Connor, A.
    Jancey, Jonine
    Date
    2020
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Bury, K. and Leavy, J.E. and Lan, C. and O'Connor, A. and Jancey, J. 2020. A Saddle sores among female competitive cyclists: A systematic scoping review. Journal of Science and Medicine in Sport.
    Source Title
    Journal of Science and Medicine in Sport
    DOI
    10.1016/j.jsams.2020.10.006
    ISSN
    1440-2440
    Faculty
    Faculty of Health Sciences
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/81736
    Collection
    • Curtin Research Publications
    Abstract

    © 2020 Sports Medicine Australia

    Objectives: Saddle sores are a prominent but an under investigated health issue among female competitive cyclists. To identify and describe existing evidence of the prevalence, prevention and treatment of saddle sores among female competitive cyclists.

    Design: Systematic scoping review and expert consultation. Methods: Primary studies and grey literature investigating saddle sores for competitive female cyclists were identified from six databases which were systematically searched (Medline; PubMed; Scopus; SPORTDiscus; Embase; Advanced Google Scholar) from 1990 onwards. An online survey was distributed to consultants in the female Australian competitive cycling community to obtain information and expert perspectives outside the published literature.

    Results: Of the 401 studies identified, 10 met the inclusion criteria – 4 were case-series, 4 were cross-sectional, and 2 were brief intervention trials. There was limited empirical evidence to determine the prevalence, and identify prevention and treatment approaches for saddle sores. Handlebar positioning relative to the saddle and reducing perineal pressure had some evidence. Saddle sore treatments appear to be limited to antibiotics and surgical intervention when they worsen or become infected. Yet, three-quarters of the consultants (n = 16) indicated saddle sores were frequent among female competitive cyclists, identifying prevention and management strategies as topical creams, maintaining good hygiene, wearing appropriate clothing, leg elevation and taking time off the bike.

    Conclusions: There is limited research investigating the prevalence, prevention and treatment of saddle sores among female competitive cyclists, although it has been described as a common occurrence by those in the cycling community. Research is required to understand its prevalence, along with trials to investigate prevention and management methods, so that evidence informed guidelines and/or protocols can be developed.

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