RT Journal Article SR Electronic T1 Discomfort, pain and fatigue levels of 160 cyclists after a kinematic bike-fitting method: an experimental study JF BMJ Open Sport & Exercise Medicine JO BMJ OPEN SP EX MED FD BMJ Publishing Group Ltd SP e001096 DO 10.1136/bmjsem-2021-001096 VO 7 IS 3 A1 Robson Dias Scoz A1 Cesar Ferreira Amorim A1 Thiago Espindola A1 Mateus Santiago A1 Jose Joao Baltazar Mendes A1 Paulo Rui de Oliveira A1 Luciano Maia Alves Ferreira A1 Romulo Nolasco Brito YR 2021 UL http://bmjopensem.bmj.com/content/7/3/e001096.abstract AB Objective To analyse rider’s subjective responses after a standardised bicycle ergonomic adjustment method.Methods 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).Results All variables demonstrated statistical significance between groups pre and post bike-fit session (p<0001). FEEL, OMNI and VAS-knee demonstrated large effect sizes (d=1.30; d=1.39 and d=0.86, respectively). VAS-hands, VAS-neck and VAS-back indicated moderate effect size (d=0.58; d=0.52 and d=0.43, respectively). VAS-groin and VAS-ankle indicated a small size effect (d=0.46 and d=0.43, respectively).Conclusions 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.No data are available. Data from this research were not allowed to be shared. Additional data was not allowed to be shared by the participants.