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Akuthota V, Plastaras C, Lindberg K.Am J Sports Med 2005;33:1224–30
Professor Martin P Schwellnus, University of Cape Town, South Africa
Background: Distal ulnar neuropathies (cyclist palsy) are postulated to be an entrapment neuropathy of the ulnar nerve in the Guyon canal of the wrist – previous nerve conduction studies have not been prospective in nature.
Research question/s: Is there evidence of neuropathy (electrophysiologic change) in the ulnar and median nerves after a long-distance multi-day cycling event?
Methodology: Subjects: 14 cyclists (28 adult hands) participating in a 6-day, 420-mile bike tour.
Experimental procedure: All the subjects underwent median and ulnar motor and sensory nerve conduction studies (documenting peak latency, peak to peak latency in sensory nerve conduction, onset latency and amplitude in motor nerve conductions) of both hands before and after the 6-day tour. In addition, a questionnaire was also administered after the ride, evaluating
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