Innovations in Cycling Lecture @ Chrysler World Headquarters

In keeping with our community outreach and injury prevention, Dr. Brian Adams spoke to a group of 150 Chrysler employees during a “lunch and learn” at the FCA / Chrysler / Fiat Headquarters in Auburn Hills, MI.

The sold-out event was directed specifically to cyclists and how to optimize training, improve cycling form and address injury prevention through off season training. Time was also spent outlining the benefits of a professional bike fit.

Dr. Adams discussed the basic anatomy, biomechanics and physiology of cycling, and how to best utilize the off season to address soft tissue and strength issues with off-the-bike training and mobility.

Just one of the many ways our team is effective at treating sports injuries after they occur… but we are also doing our best to prevent them!


Chrysler Cycling Presentation

Dr. Adams speaking to cyclists at the Fiat/Chrysler Headquarters in Auburn Hills, MI


Medicine of Cycling Conference 2017


The Eighth Annual Medicine of Cycling Conference will be held at USA Cycling in Colorado Springs, CO August 18-20, 2017. The conference is presented by the University of California, San Francisco School of Medicine and Medicine of Cycling in collaboration with USA Cycling.

We are once again honored to be a part of the International Bike Fitting Symposium this year, with our very own Dr. Brian Adams, PT presenting an “Anatomy of Bike Fitting” lecture and collaborating with the Medical Bike Fitting Round Table.

If you are a part of the cycling community, either as a medical professional, coach, fitter or athlete, there is something for everyone at this phenomenal conference.

Medicine of Cycling 2016


We had a great weekend in Colorado Springs at the 2016 Medicine of Cycling Conference discussing cycling and sports medicine, exercise physiology, training, bike fitting, clinical evaluations, injury prevention and trauma management. I was honored by the invitation to come and present a lecture on common medical diagnoses seen in bike fitting, which complemented the other presentations/lab work.

Special thank you to the Medicine of Cycling leadership: Anna Abramson, Aaron Goldberg and Curtis Cramblett for all of their hard work and efforts in organizing the 2016 Conference. And thank you to all of the faculty, presenters and participants who made this such a wonderful learning experience for all.

If you missed the conference, mark your calendars for 2017 and we will see you there!

BikeFit Clinical Level 2 Course


We are excited to host some of the best and brightest clinicians from around the region to our BikeFit Clinical Level 2 Course, taking place Saturday and Sunday (February 20-21, 2016). The course builds off of the BikeFit Level 1 course, taking a comprehensive look at performing a concise bicycle fitting for your athletes and cyclists from multiple disciplines (Road, Mountain, Cross, Triathlon) and allows the clinician to drive a evidence-based approach to their bike fit process. We take special consideration to common injuries and ailments that can affect the athlete.


Curious about the medical bike fitting process that we offer here at Adams Sports Medicine? Please give us a call or stop into the clinic.
Want to find out more about the BikeFit education offered around the globe? Take a look here: BikeFit Education

Clinical Bike Fit Course – March 15-16 (Level 1)

Biomechanics of Cycling, Bike Fit Skills

& Physical Therapy Interventions

—Adams Sports Medicine & Physical Therapy, Novi, MI.—

We are very excited to announce our next education course to be hosted here at Adams Sports Medicine, and it is geared towards one of our biggest passions: cycling, and the optimum fit of the cyclist and bike. Please read on…space is limited to approximately 8 clinicians, so be sure to contact BikeFit to register as soon as possible. Please let us know if you have any questions!



Adams Sports Medicine Bike Fitting

Professional Bike Fitting at Adams Sports Medicine, with focus on foot/shoe/cleat interface.

BikeFit Clinical Bike Fit Course hosted by Adams Sports Medicine & Physical Therapy (Novi, MI).

Clinical BikeFit Pros have two certified fitting levels: Level 1 and Level 2. This course hosted by Adams Sports Medicine & Physical Therapy is a Level 1 course, which is dedicated to the hands-on skills necessary for road bike fitting in the clinical setting. Expect to get greasy. This class includes functional diagnosis of cycling pathologies and overuse syndromes associated with cycling. You will develop the hands-on skills necessary to fix the mechanism of injury occurring on the bike. The foot-pedal interface is a key component to this class and focuses on adjusting the cleat in fore-aft, medial-lateral, rotation, canting and elevation as appropriate for the specific cyclist. This class focuses on road fit but includes aspects of mountain and tri as appropriate.

Plan on extensive HANDS-ON training, with special emphasis on the important Foot-Pedal Interface. Time will be spent on assessment of normal and pathological cycling mechanics, including functional differential diagnosis, as well as problem solving & training for appropriate adjustments on the bike for cyclists. Clinical considerations (billing, time, marketing) for bike fitting in a clinical setting.

Dates: (Saturday March 15th • 8:30am – 6pm & Sunday March 16th• 8am – 5pm)

Audience:  This weekend course is geared towards the healthcare professional, such as Doctors, Physical Therapists, Athletic Trainers, etc.


    • Paul Swift, Owner – BikeFit Systems, and an 8-time National Elite Track Cycling Champion.
    • Brian Adams, PT, DPT, OCS, CSCS, Elite level cyclist and BikeFit Pro.

CEUs: 18 contact hours available. Continued support is provided after the course is completed. E-mailed educational tips and helpful hints, along with other premium benefits will be provided upon completion of the course. Phone consultations with instructors will also be available.

Registration:  Call 425-821-7237 ext #104, e-mail [email protected]

For more information and for registration, please contact BikeFit at:

See the Clinical Bike Fit course flyer here:

For questions about Adams Sports Medicine, how to find us, or where to stay, please call our clinic at 248-513-3003 or email: [email protected] 

Cost: $800 per person ($200 registration deposit required, with final payment due one week prior to class). If you would like to repeat (audit a class), cost is $275. Class size is 8 students with 4:1 student to instructor
ratio. Call or email now to reserve your spot as the seminar spaces fill quickly. Please note: all attendees will be offered a $5 coupon for our online course with their course registration.  If you complete the course prior the training date, we will deduct $100 from your balance due – an actual savings of over $200!



Biomechanics of Cycling, Bike Fit Skills & Physical Therapy Interventions
@ Adams Sports Medicine & Physical Therapy, Novi, MI.

The fundamental goal of this class is to further the understanding of normal and pathological movement patterns of cycling. As physical therapists, we tell patients to “ride a bike to get some exercise and take pressure off your joints.” However, that may not be as simple as it sounds.  As humans, we are asymmetrical creatures. Yet, we place ourselves and our patients on very symmetrical bicycles. Thus, the dilemma from the least experienced cyclist to the most advanced racer.

For a brief introduction, please see the BikeFit overview page here:

Therefore, the objectives of this class include but are not exclusive to:

1) Understand the basic biomechanics of cycling (static and dynamic assessment).
2) Identify patterns of motion that indicate inefficiency and potential pathology.
3) Identify and Associate the significance of physical therapy testing (manual, static,
dynamic) procedures to cycling biomechanics.
4) Bike Fit Skills: Learn how to alter the bike to better accommodate the patient’s
biomechanical needs, including stem length/angle, seat height, seat fore-aft and
handle bar position.
5) Identify specific foot types and unique LE architecture and their implications in
cycling biomechanics.
6) Bike Fit Skills: Learn how to address the foot/pedal interface to accommodate the
patient’s biomechanical needs, including fore-aft, rotation, medial-lateral and canting
of the foot.
7) Discuss the role and relevance of OTC inserts & custom orthotics for cyclists.
8) Discussion of the triathlete position versus the “comfort position” and it’s relevance
in performance.
9) Building a relationship with a local bike shop.

We hope you enjoy this class as much as we enjoy teaching it.

Sprint Interval Training (SIT)

(C) Erika Fulk

Do you incorporate high intensity efforts into your training plan? As a runner or cyclist, endurance training is KING….but neglecting the high intensity will only hinder your growth and progression within the sport. More important, for those with limited time for training, studies show that getting the higher intensities into the workouts tends to help “supplement” the lack of training duration.

In an article published in the October edition of Sports Medicine, researchers out of Atlanta conducted a literature review (meta-analysis) of studies conducted with high intensity, short duration (30s) efforts and their effect on aerobic capacity. They found that the effects on endurance trained athletes were not convincing, but in those with lower conditioning levels (or less training volume) responded favorably.  See the Abstract:


Sprint interval training (SIT) involving repeated 30-s “all out” efforts have resulted in significantly improved skeletal muscle oxidative capacity, maximal oxygen uptake, and endurance performance. The positive impact of SIT on cardiorespiratory fitness has far-reaching health implications.


The objective of this study was to perform a systematic review of the literature and meta-analysis to determine the effects of SIT on aerobic capacity.


A search of the literature was conducted using the key words ‘sprint interval training’, ‘high intensity intermittent training/exercise’, ‘aerobic capacity’, and ‘maximal oxygen uptake’. Seventeen effects were analyzed from 16 randomized controlled trials of 318 participants. The mean ± standard deviation number of participants was 18.7 ± 5.1. Participant age was 23.5 ± 4.3 years.


The effect size calculated for all studies indicates that supramaximal-intensity SIT has a small-to-moderate effect (Cohen’s d = 0.32, 95 % CI 0.10-0.55; z = 2.79, P < 0.01) on aerobic capacity with an aggregate improvement of ~3.6 mL·kg(-1)·min(-1) (~8 % increase). The effect is moderate to large in comparison with no-exercise control groups (Cohen’s d = 0.69, 95 % CI 0.46-0.93; z = 5.84, P < 0.01) and not different when compared with endurance training control groups (Cohen’s d = 0.04, 95 % CI -0.17 to 0.24; z = 0.36, P = 0.72).


SIT improves aerobic capacity in healthy, young people. Relative to continuous endurance training of moderate intensity, SIT presents an equally effective alternative with a reduced volume of activity. This evaluation of effects and analysis of moderating variables consolidates the findings of small-sample studies and contributes to the practical application of SIT to improve cardiorespiratory fitness and health.

Granted, there is a “time and a place” for these efforts, but the bottom line: rev your engine to anaerobic levels to improve your aerobic capacity!

 Nicholas H. GistMichael V. FedewaRod K. DishmanKirk J. Cureton Sprint Interval Training Effects on Aerobic Capacity: A Systematic Review and Meta-Analysis. Sports Medicine October 2013

How safe is cycling?

IN a recent blog/post by New York Times writer Gian Kolata, the concept of safety in cycling is discussed. And with good merit. It is a good read, complete with statistics and insight from well-respected medical professionals.

One consideration I would like to add is that the mechanism of injury (MOI) for many cycling injuries is overlooked. In the article, it is assumed that the MOI for cycling is traumatic in nature, as in a collision or fall. Yet they compare this to running (stress fractures) and swimming (rotator cuff tendinitis), which are typically non-traumatic.

Unlike injuries in other sports — a stress fracture from running or a rotator cuff tear from swimming — cycling injuries do not come on gradually.

Many cycling MOIs are repetitive-use, over-use or cumulative load injuries resulting in inflamed tissues, soft tissue compression, tendinitis and often times tendinosis. A significant amount of these are preventable with a well structured training plan (with focus on hydration/nutrition and recovery), proper bike fit and special attention to the any of the cyclist’s biomechanical faults.

Read her article HERE

And enjoy the ride….

Bike Fit from Medicine of Cycling


Another great publication from the Medicine of Cycling group. Curtis gives a great bike fit overview. Not all cyclists come with the same goals, the same experience nor the same equipment. Moreover, their strength, flexibility and riding technique all play a part in the bike fit process. Each should be addressed on an individual basis!

The next MoC conference will be held again next fall!


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 or click on this link: Bike Fit: It’s All About the Bike – UCTV – University of California Television.

Medicine of Cycling — Mini Medical School for the Public Presented by UCSF Osher Center for Integrative Medicine – UCTV – University of California Television

These guys are doing more than their part to help advance and blend the two worlds of cycling and medicine. Congrats, and keep up the great work!


Medicine of Cycling — Mini Medical School for the Public Presented by UCSF Osher Center for Integrative Medicine – UCTV – University of California Television.