Predictors of injury among 1638 riders in a recreational long-distance bicycle tour: Cycle Across Maryland

Andrew L. Dannenberg, Scott Needle, Daniel Mullady, Kenneth B. Kolodner

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


To assess the incidence of and risk factors for injuries in a group of bicyclists with a well-defined exposure to bicycling, we conducted a prospective study of 1638 recreational bicyclists who rode in the 6-day 339- mile Cycle Across Maryland tour in 1994. The mean age of participants was 39 years (range, 7 to 79), and two-thirds were male. All riders wore helmets. During the tour there were 85 acute traumatic injuries (15.4 per 100,000 person-miles), 76 overuse injuries (13.7 per 100,000 person-miles), and 37 other medical problems (6.7 per 100,000 person-miles). Acute traumatic injuries were associated with a history of racing versus none (relative risk = 2.2, 95% confidence limits = 1.3, 3.7) and with inexperience, no previous Cycle Across Maryland tours versus one or more (relative risk = 1.7, 95% confidence limits = 1.04, 2.8), but not with sex, training, or prior injuries. Inexperience and lack of preride conditioning were risk factors for overuse injuries. The most common overuse injuries and medical problems were knee pain, hand or wrist numbness, foot blisters, insect stings and bites, and heat and dehydration. Study results provide exposure-based incidence rates of bicyclist injuries and suggest overuse injuries may be reduced by increased preride conditioning.

Original languageEnglish
Pages (from-to)747-753
Number of pages7
JournalAmerican Journal of Sports Medicine
Issue number6
StatePublished - 1996


Dive into the research topics of 'Predictors of injury among 1638 riders in a recreational long-distance bicycle tour: Cycle Across Maryland'. Together they form a unique fingerprint.

Cite this