Abstract Details

Title Cycling and Concussions: A Comparative Analysis Across Cycling Disciplines

Topic Neuro Trauma and Critical Care

Presentation(s) P10 - Poster Session 10 (5:00 PM-6:00 PM)

Poster/Presentation
Number 4-006

Objective To characterize the prevalence of concussions across various cycling disciplines.

Background Cycling is enjoyed both for commuting and non-commuting, which includes competitive and recreational cycling. All disciplines have a risk of traumatic brain injury (TBI). Prior research has focused on TBIs in competitive road cycling; limited studies compare the risk of TBIs across different disciplines. Still fewer include commuting and recreation.

Design/Methods A cross-sectional survey was distributed to collect information on concussion history and risk factors among cyclists of varying ages, races/ethnicities, genders, and experience levels. Concussion risk factors were assessed by chi-squared or fisher’s test (n < 10) for categorical variables, and Mann-Whitney-U non-parametric t-test for continuous variables. Benjamini-Hochberg correction was applied for multiple tests.

Results 87 concussions were reported from 200 respondents. The average age was 29.3 years (SD 12.1) and the mean cycling experience was 11.8 years (SD 9.1). 74.2% of concussions were reported by males and 25.8% of concussions were reported by females (p=0.74, BH p=1). Most concussions resulted from non-commuting road cycling (44%) or non-commuting mountain biking (38%), while 8% occurred during commuting and 23% in competition. 95.2% of those who reported having had a concussion were competitive cyclists, while 80.5% of those who never had a concussion cycled competitively (p=0.002, BH p=0.02). 97% of those with concussions were wearing helmets while 75% were not using high-visibility equipment.

Conclusions Road cycling and mountain biking accounted for the highest number of concussions. Although most concussions occurred during non-competitive riding, competitive cyclists were significantly more likely to report a history of concussion. The 8% of accidents sustained during commuting, along with most accidents occurring during non-competitive riding, highlight the need for better cycling infrastructure in the community and the widespread adoption of safety measures amongst cyclists.

Authors/Disclosures
Arihant Kalidindi PRESENTER	Mr. Kalidindi has nothing to disclose.
Megan Darrell, BA	Miss Darrell has nothing to disclose.
Alishah Ahmadi	Mr. Ahmadi has nothing to disclose.
Atikul Miah	Mr. Miah has nothing to disclose.
Rahim Hirani, MD/PhD candidate	Mr. Hirani has nothing to disclose.
Mill Etienne, MD, MPH, FAAN	Dr. Etienne has nothing to disclose.

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