Considerations When Placing Your Client/Patient on a Stationary Bike

Seat Height:
You may initially use a high seat position to allow full pedal revolution. However, this position may not be the most beneficial for clients with ACL injuries/reconstructions or those suffering from Iliotibial Band Syndrome. A low seat position is not advised for those with Patello-Femoral Pain Syndrome (PFPS).
Recumbent Bike or Upright:
There is minimal to no difference in the required Knee ROM to pedal either type. However, there is less load on the ACL using the recumbent bike, so it is advised for ACL patients/clients.
Direction of pedaling:?
Retro or backward pedaling may be used for meniscus conditions and Tibio-Femoral osteoarthritis, but is not advised for ACL or PFPS conditions. Retro-pedaling creates increased stress on the patella-femoral joint due to the increase activity of the quadriceps relative to the hamstrings. Also, when the knee is fully extended in retro-pedaling, the ACL is most vulnerable.
Summary:
For patients/clients with ACL conditions, use a recumbent bike, avoid a high seat position and retro-pedaling.
For patients/clients with Patella-Femoral Pain Syndrome (PFPS), avoid a low seat position as well as retro-pedaling.

For More Blog Articles, Check out: www.kbfitnessonline.com or http://kbfitnessonline.com/blog/