numb - Kontact Bike
Transcription
numb - Kontact Bike
If you have never gone numb or cursed in pain from riding on a bicycle seat, you are probably lying or don't ride much. Long roads often start with unemphatic beginnings. At least that is how my journey of studying bicycle seat design started. I was a stressed out graduate student trying to pick a thesis topic that would hold my interest for, at least, the next couple of years. I have been a die-hard cyclist since I was 12 years old, and it was actually my mother who, after hearing me complain about bicycle seats my entire life, suggested I delve into the topic of bicycle seat design. At first, I didn't take her seriously, until I researched it further and determined that it actually was possible. After a lot of research, recruiting subjects, analyzing data, and getting my research published, I was finally finished and graduated! Other cyclists kept asking me what I had learned, so I finally wrote it all down in my first book on bicycle seats, Finding the Perfect Bicycle Seat. That book laid out much of the very detailed scholarly research on seat design and anatomy that I had accumulated for my thesis. The response from readers has been fantastic and I'm certain that it has helped many people gain an understanding of the science and research behind seat design. (Even some large seat companies read the book!) You can't study bicycle seats for years without developing your own ideas about an improved design, though. Along the way, I developed my own seat design, patented it, sold it internationally, and was even interviewed by major newspapers like the New York Times and the LA Times. I completely understand, however, that not everyone wants to read about all of the scientific details and research studies that have investigated bicycle seats. Moreover, since my first book, it seems that saddle design has become even more “marketingdriven,” so it made sense to me to write a new book that distills the scholarly research – using a more graphical, easy-to-understand approach – into a guide to help riders quickly navigate through the large array of bicycle seat designs and choose the best bike seat for them based on their anatomy, riding style and typical riding position. Q: BICYCLE SEATS HAVE ALWAYS LOOKED THE SAME. SO THE “TRADITIONAL” SEAT DESIGN IS THE BEST, RIGHT? Actually, bicycle seats have come a long way since the earliest ancestors of the modern bicycle. Early devices, such as the Draisine (circa 1817), had a simple, upholstered saddle area to support the rider. As bicycles progressed to high wheelers, the seats began to appear more triangular, though still much wider than many modern seats. Current research has shown that the “traditional” bicycle seat design significantly restricts blood flow to the rider's anatomy by creating areas of increased pressure without regard for which areas are able to tolerate increased pressure and which are too sensitive to support any of the rider's weight. As research and understanding of the bicycle/rider interface expands, many new designs have been created to fill the performance and comfort needs of every cyclist. There is still plenty of room for improvement from the traditional racing seat design that we are all familiar with. Many hundreds of bicycle saddle designs have been patented to improve comfort and decrease soreness since the first version of the bicycle was ridden almost 200 years ago. Today, there remains a multitude of saddles to choose from and a dearth of concrete information regarding how to make the best choice for your riding style. Most people will tell you, “saddles are really a personal choice” and, “one saddle won't work for everyone.” The decision making process is not as ambiguous as people make it out to be, though. By understanding the anatomy, your riding style and typical riding position, you can quickly narrow down your saddle choices to make a much more informed buying decision. 1 Lumbar Spine The lower five vertebrae of the spine contribute the majority of forward flexion to the spine that allows the rider to lean forward without rotating the pelvis on the seat. (There is normally approximately 60 degrees of forward flexion provided by the lumbar spine.) The flexibility in this region is one predictor of how flat and aerodynamic a position the rider will be able to achieve. 2 Sacrum The lumbar spine rests on the sacrum, which wedges between the two wings of the pelvis. The connection between these bones is referred to as the sacroiliac joint, or SI joint. There is little movement between the two sides of the pelvis and the sacrum due to many thick, fibrous ligaments and interlocking bone surfaces that hold everything closely together in a normal, healthy pelvis. 3 Coccyx Connecting below the sacrum, this vestigial remnant of a tail is not without function. Many small muscles of the pelvic floor attach to this structure. It may contact the seat when riding in upright postures. 4 Pubic Symphysis A dense cartilaginous tissue that connects the front of the two halves of the pelvis. In men, the pudendal nerve and artery structures pass beneath the pubic symphysis as they branch to the penile structures. Compression can occur between the pubic symphysis and the seat when the pelvis is rotated forward in aerodynamic postures. 5 Ischial Tuberosities The ischial tuberosities, commonly called the “sit bones,” are the point of attachment for many muscles of the lower extremity. These muscle forces create the wider, flatter surface on the bottom of the sit bones. Although you do put pressure on these bones if you sit on a hard flat surface, they really aren't “meant” to be sat on for long periods. The pressure created between the bony prominences and the sitting surface causes decreased blood flow to the soft tissues between the two structures. 5 6 Inferior Pubic Rami The pubic rami form the inferior connection between the ischial tuberosities and the pubic symphysis.The pudendal nerves, arteries, and veins are located along the inner borders of the pubic rami. There is a lot more than just bones between your pelvis and the bicycle seat. This region, between the pubic symphysis, sit bones, and coccyx, is referred to as the perineum or perineal region. Large portions of the genitals are actually inside the pelvis. Erectile tissues of the genitals, such as the corpus spongiosum in the male and the homologous vestibular bulbs in the female, can be susceptible to pressure from the seat. There are additional layers of adipose (fat), muscle, fascia, and skin tissues on top of that as well. Prolonged pressure compresses blood vessels in the skin and leads to tissue breakdown and saddle sores. In an office chair, the sitting pressure is distributed over a much larger surface area (i.e. the buttocks and hamstrings). Even then, everyone moves around in the chair to alternate pressure areas. People who aren't able to move their lower body (e.g. people with paraplegia) have to consciously remember to vary their sitting position to avoid developing pressure sores. There are no bicycle seats that you can expect to sit on for multiple hours without shifting and taking breaks to relieve the pressure and still be comfortable. There is simply too small asurface area and too much weight placed on it. Adapted from the Wikimedia Commons file "Skin_layers.png" Different studies have investigated sit bone distances and reported the average difference between male and female sit bone widths is between 12mm and 18mm, depending on the study. This relatively small margin (about a 9% difference on average) suggests that there is likely overlap between the sexes regarding sit bone width. Women also have significantly larger and more rounded infrapubic angles to allow for childbirth. This wider pelvic opening makes women more susceptible to perineal pressure from narrow seats. Although many shops purport to select your best seat by measuring your sit bone width, Potter et al. found that the width of seat pressure spots while cycling was always smaller than the sit bone width. (80mm vs 114mm for males in the tops position) So don't rule out seats purely on the basis of your measured sit bone width. There's also no compelling reason for a man to avoid trying a seat designed for a woman. Unless you simply hate the colors, the dimensions may be exactly what you need. Finally, don't rely on any company's designation of “male” vs “female” seats. Evaluate the dimensions yourself to determine if the seat fits your needs. The pudendal nerves and blood vessels that supply the genitals can be injured by repeated compression from the seat. In women, these structures converge at the clitoris. Some companies claim that women's saddles should have a narrower channel for pressure relief than seats designed for men. However, other structures in this area, such as the vestibular bulbs, are not designed for weightbearing, either. Therefore,both sexes would benefit from pressure relief throughout the perineal region. In both men and women, the pudendal structures run together through a channel, termed Alcock's Canal, along the inner borders of the inferior pubic rami. Unilateral pressure on blood vessels might not produce immediate discomfort, since the other side will still supply blood. Unilateral nerve compression, though, will create immediate discomfort or numbness. Prolonged compression of nerve or blood vessels (bilateral or unilateral) can lead to injury and related symptoms. In males, the pudendal nerves and arteries traverse under the pubic arch as they exit the pelvis to supply the penis. The pubic symphysis is a common region for the pudendal structures to be compressed in males, making it particularly important not to ride on the nose of seats that press directly into this region. Outside of the pelvis there are also soft tissue structures that contact the bicycle seat. These include the hamstring muscle region and the adductor muscle region (the muscles on the inside of the thigh). The three letters above are perhaps the most important, and least understood, in seat design and comfort. The amount of pressure (P) that the seat exerts on your pelvis is equal to the amount of downward force (F) divided by the contact surface area (A). This simple equation has a profound impact on seat comfort. Force can be affected by the distribution of weight among your handlebars, pedals, and the seat. Therefore, a rider who puts more force through the pedals and/or bars will experience proportionally less pressure from the seat. Area is affected by the contact surface that the seat provides to support your pelvis. A common approach to seat design has been to remove large sections from the center of the seat. But think about that in terms of the pressure equation. Cut-out seats reduce contact area and increase pressure on the borders of the cutout. Depending on the width and curvature of your pelvis, this could directly increase the pressure on the pudendal structures. A more sensible approach is to maintain maximal surface area and utilize other contours of the seat, such as depressed regions with smooth borders or flatter rear support areas to elevate the perineum, which effectively redistributes pressure without creating high levels of stress on the pudendal structures. Pressure maps from various studies showing that less contact area caused by cut-outs can create more pressure on surrounding areas. Rodano et al. Frobose et al. Frobose et al. Q: What should I look at when choosing a seat? Y You probably know what size handlebar stem you need, and you know what size tires work best for your riding style. But what do you look for when buying a seat? Do you buy based on the seat's looks or width alone? It may well be impossible to suggest a particular seat for each person reading this, since there are new models and brands of bicycle seats coming out every year. Each person's anatomy and biomechanics will be different as well. By having a better understanding of what to look for when purchasing a new seat, however, you will be able to determine which one fits your personal riding style best, just like a set of tires. The following is a checklist of features to consider when comparing seat models. Seats can range from very rounded designs to much flatter support surfaces that avoid pressing up in between the sit bones, which reduces compression on the pudendal structures. The seat should be fairly flat to avoid pressing up into the pelvis. A small curvature, or rounding, may allow for the natural side-toside sway of the pelvis while riding, but the exact amount of curvature required remains uncertain. It is more important to avoid the central compression caused by a more tubular, or curved, design. Although seats with significant rear flares were outlawed from competition a while ago, seats still offer a variety of side profiles. These can serve to position the pelvis and offer posterior support for riding on inclines. Many current seats offer a flatter side profile to allow the rider to move forward and backward more easily. A dip will encourage the rider to stay in a specific position and may act to encourage rotation of the pelvis, which can increase pressure on the anterior portion of the pelvis. A flatter seat is generally better if you prefer to move forward and back frequently. Saddles vary significantly in regard to this curvature, depending on the manufacturer's paradigm of where you should sit and where the pressure should be placed. A gradual transition will create pressure between the rider's thighs and encourage them to slide forward onto the nose. A smaller angle of transition (a tighter curve between the rear support surface and the nose) will allow the rider to remain over the wider rear section without interfering with the pedal stroke. This region can also press up into the perineum if it does not offer a rear support area that is flat and wide enough to support the sit-bone regions. Female pelvis Female pelvis Hands in drops Hands on tops When riders adopt a more aerodynamic posture and lean further forward, they tend to round their back and rotate their hips forward. Both sexes shift the weight away from the sit bones and toward the pubic rami. Men and women differ in respect to what happens to the pressure between their pelvis and the seat when they shift their hands from on top of the bars to riding in the drops. Women tend to create more pressure centrally and anteriorly. This is due, in part, to an increased rotation of the hips (~3o more than men), less tissue between the pubic symphysis and the seat, and a wider infrapubic angle that allows the seat to migrate further up in between the sit bones. Ploeg et al. Male pelvis Male pelvis Hands on tops Hands in drops low pressure high pressure F inding the best seat style for you depends on your riding style and positioning on the seat. Here are three general categories to help you determine which seat shapes may work for you. You can then try various seats with the general shapes that you are looking for to determine which fit well and which do not. THE UPRIGHT RIDER Riders who cycle in upright positions put much less pressure through their hands and feet than racing cyclists. That leaves the seat as the primary contact point, which creates a lot of pressure and force on a relatively small area. It's easy to see how a rider in a very upright position would want that force distributed over the largest seat surface possible. The trouble with many wider seats is that they have a gradual curvature from the rear support surface to the nose of the seat, which causes the rider to move forward to reduce the material between their thighs. (Otherwise they would feel friction and pressure on the inner/upper thigh tissues.) By sliding forward, however, all of the benefits of the wider support surface are lost! It is important to look for a seat that allows you to remain over the rear of the seat with a nose that does not interfere with your pedal stroke. Many larger, recreational seats are commonly over-padded. If the padding is too easily deformable, it can bulge up in between the sit bones and put pressure on the pudendal arteries and nerves, resulting in numbness or pain. If you can compress the padding substantially with just your thumb, it's too soft. If you're just riding around the block you might not notice a problem, but it will cause discomfort over longer rides. Look for a firm saddle with a flat rear and a narrow nose that stays out of your thighs' way. Noseless saddles are another option that are available to upright riders. They are a contentious option, though, because they do away with the nose entirely, which many people feel is necessary for safe handling of the bicycle. The upright rider pedaling at slower speeds will have the majority of their weight on the seat, thus creating more contact friction and “grip” on the seat than a triathlete who may have the majority of weight on the handlebars and pedals. It is this “grip” that allows the rider to stay in control of the bicycle, especially around turns. I would not recommend a noseless seat for any type of rider other than an upright rider. For this type of cyclist, who also wants to learn how to control the bicycle without the nose, it is an option that can greatly reduce pressure through the perineal region. Noseless bicycle seat (rear view) THE SPORT RIDER As a cyclist trains to ride faster, the rider will need to adopt a posture to reduce wind drag. To accomplish this, the rider will lean forward to reduce frontal surface area (the amount of surface that's exposed to the wind) and put more weight on the handlebars. They will also pedal harder to go faster, which takes additional weight off of the seat. Their pelvis will rock forward and some of the pressure will move from the sit bones to the pubic rami. Riders will also be moving around a lot more on the saddle (forward and back, on and off), as they sprint, climb, pace-line, attack.... This is a great thing, because it gives the arteries a chance to recover from prolonged static sitting positions. Casual riders or beginning sport riders aren't able to generate as much power through the pedals, so they tend to have more weight on the seat, which makes them more susceptible to seatrelated issues. This group of riders needs a firmer seat with a nose projection to assist in controlling the bicycle, whether they ride off-road, in packs, or quickly over varied road surfaces that require them to be able to correct their movement or balance at a moment's notice. The rear of the seat should be substantially flat to support the pelvis without pressing between the sit bones. The flatter the seat, the more the perineum will be elevated above the sitting surface. This is where the rider's preference will determine how much pressure to put through the perineum versus the sit bones and pubic rami. Once again, a smaller angle of transition from the nose to the rear support surface will allow the rider to remain over the rear support surface more comfortably. As discussed previously, seats with cut-outs remove the pressure from tissues directly in the open space, but they increase pressure all around the border of the hole. Whether this design is tolerable for you depends on the alignment of your pubic bones to the borders of the cut-out. If the seat contacts the inner borders of the pubic rami, you will experience greatly increased pressure on your pudendal structures. If it hits the outside borders of the pubic rami, it could irritate your adductor tendons. If it contacts you directly Kontact © bicycle seat on the pubic rami, Flatter rear support elevates perineum it could be tolerable. A better approach to maintaining maximal surface area would be to choose a seat with a flatter rear support surface to elevate the central soft tissues, as well as the possible addition of a central depression created Cut-out bicycle seat in the seat shell Edges may press into pudendal structures and covered with padding, THE TRIATHLETE In a quest to get even more aerodynamic, many triathletes and time trialists use aerobars and more aggressive frame geometry (i.e. steeper seat tube angles) that move the rider forward in relation to the bottom bracket. As a result, there has been a trend in triathlon to use seat designs that also allow the rider to adopt a very forward position relative to the bottom bracket. UCI regulations have attempted to maintain the traditional geometry of the bicycle by limiting the position of the seat in relation to the bottom bracket, which states that the nose of the seat needs to be at least 5cm behind the center of the bottom bracket. Recent additions to UCI regulations also state that the seat be tilted no greater than 3 degrees in either direction. Some relatively new seat designs encourage the rider to sit farther forward on the seat. Essentially, they remove the front of the nose of a “cut-out” seat design and move the remaining seat geometry forward in relation to the rails. The rider sits on the two forward nose projections, perching on the pubic rami while the front gap opening theoretically offers a route for the pudendal arteries and nerves to travel without being compressed. These “double nose” designs offer riders the advantage of being able to sit on the very tip of the seat. This design also greatly reduces the contact surface area, however. This design may be of interest to you if: 1. You require a very forward and aggressive riding position. 2. The front projections contact you precisely at your pubic rami. (If they press centrally, they will put pressure on the pudendal/ perineal structures. If they press laterally, they will put excess pressure on the adductor tendons.) 3. You can tolerate having a reduced contact area with the seat. This may be less of an issue if you are able to put more pressure through the pedals and aerobars with less weight on the seat. Riders who sit more upright, however, may find that the small contact region creates too much pressure to remain comfortable. Of course, this design of seat is by no means the only option for time trialists and triathletes. Some seats accommodate this forward position simply by adding more padding to the nose of the seat. The padding contours to the body and provides more comfort than a standard hard seat nose, albeit while providing less contact surface than the rear of the seat. Another option is to modify the fit of the bike to allow the rider to remain over the wider, rear portion of the saddle while in the aerobar position. This may not be as aggressive a position as the other option, but the aerodynamics of the Dual-nose bicycle seat forward position must always be balanced against the rider's ability to maximize power output, tolerate the position, and maintain enough chest excursion/ respiration to maintain their maximal power output (and comfort!) over the duration of the event. For the majority of recreational riders, it's probably a good idea to maximize seat contact surface to avoid seat-related issues. Q: DOES HAMSTRING LENGTH EFFECT MY SADDLE CHOICE? A: Not really, according to a study out of the Department of Biomedical Engineering, University of Wisconsin-Madison. They found that the differences in pelvic motion could not be explained by either ischial tuberosity width or hamstring flexibility. They reported that flexibility in the lumbar spine was the strongest determinant of anterior pelvic tilt during cycling. Q: WHAT ABOUT THE PROS? HOW DO THEY AVOID ALL THESE ISSUES? A: As mentioned earlier, pros probably put less pressure through the saddle because of increased power output and a more aggressive riding position that transitions more force toward the bars and pedals. That does not mean that they are immune to saddlerelated issues, however! Many pro riders have actually had to drop out of major races because of saddle sores. In 1976, the great Eddy Merckx could not even begin the Tour de France, despite having a very strong early season, because of saddle sores (which later required surgery). And it's not only Merckx; Laurent Fignon, Greg Lemond, and even Lance Armstrong were all hindered by the pain of seat-related issues during their careers. If you want to get more aerodynamic, take a look at If you have a tight lower your low back back, you will tend to roll your flexibility. hips further forward to compensate (putting more pressure onto your pubic rami). If you have a very flexible lower back, you will tend to sit with your pelvis more upright (on the sit bones). This preference towards a more upright pelvic posture may have been correlated with the design of the seat, but this was not addressed in the study - they used a traditional seat design. They also studied a younger age group of students who, most likely, did not suffer from severe hamstring tightness issues. Therefore, if you want to get more aerodynamic, take a look at your low back flexibility. (This doesn't mean that overly tight hamstrings won't affect your riding, though!) Unfortunately, professional riders usually aren't even able to choose their own seats due to sponsorship issues. So when pros develop saddle sores or seat-related issues, they deal with them the same way everyone else does - maybe with a little more grit and determination, but they use the same tricks. it. It's better to take a week off now rather than a month off because you avoided dealing with it and it worsened. Seat Safety Tips • Wear proper fitting shorts that do not bunch up while riding. • Use padded shorts that do not have seams at seat contact areas. (Thicker is not necessarily better.) • Do not wear underwear. (It can increase moisture against the skin, increase friction, and create seams at seat contact points that cause irritation.) If you need an extra barrier to the weather or to add padding to un-padded shorts/tights, there is cycling-specific underwear available. • Make sure your bicycle fits correctly so that you can sit on your seat correctly and comfortably. • Use a lubricant to reduce high friction areas. • Always wear clean shorts to prevent bacterial buildup. • Get out of your shorts and get dry immediately after you finish riding. • Move around on the seat and get out of your seat while riding – at least every 10 minutes. • Switch between seats. If you REALLY must continue riding, you could try swapping out to a different seat that contacts you at different points. • Use a supportive and well-designed seat. • Treat sores early on! If you experience a blistering/ pimple like area/ sore region, take the time to let it heal before it gets out of hand. For minor sores, you can simply take some time off of the bicycle and allow it to heal. If it doesn't improve, consult your doctor and do not ignore • Always stand up out of the seat when riding over rail-road tracks and other jarring terrain. Q: How should I care for my bicycle seat? A: Clean your seat regularly using water and neutral soap to remove grease and dirt if needed. Avoid petrol-based solutions and solvents. Also avoid using high-pressure washers to clean the seat, since it could damage the surface and gluing. It's also recommended to use room-temperature water to avoid damaging the seat's materials. Most seats with plastic/composite shells can be cleaned in this manner. If you choose to ride a tensioned leather seat (ex. Brooks), there are some good suggestions for proper care on the Brooks website as well as Sheldon Brown's website. If you take the time to understand your anatomy and biomechanics, and thoughtfully narrow down your seat choices, it will help you to continue to enjoy cycling with a better chance of avoiding seat issues and instead ride in relative comfort. A C K N O W L E D G E M E N T S Wonderful Open Source programs that made these graphics possible: Blender GNU Image Manipulation Program (GIMP) Inkscape Sources of motivation and support that ensured the completion of this guide: Shani Cohen John Marsh Milo