Effects of Bike-Fitting on Lower Back Pain in Cyclists: A Systematic Review
Cristina Barrajón, Alejandro Legaz-Arrese, Rafel Cirer-Sastre, Isaac López-Laval, Sebastian Sitko

TL;DR
This review finds that personalized bike-fitting can reduce lower back pain in cyclists by improving posture and comfort.
Contribution
The study systematically evaluates the effectiveness of bike-fitting interventions in reducing lower back pain among cyclists.
Findings
Individualized bike-fitting significantly reduces lower back pain or discomfort in cyclists.
Optimized pelvic tilt and spinal alignment are key factors in pain reduction.
Dynamic and workload-tailored fitting is more effective than standard approaches.
Abstract
Lower back pain (LBP) is one of the most common overuse complaints among cyclists and is frequently linked to suboptimal bicycle configuration. Bike-fitting seeks to optimize the interaction between rider and bicycle to enhance comfort, efficiency, and injury prevention. This systematic review examined the effects of bike-fitting interventions on LBP in cyclists. A comprehensive search was conducted in PubMed, Scopus, Web of Science, SPORTDiscus, and the Cochrane Library up to October 2025 to identify studies evaluating any bike-fitting or ergonomic adjustment aimed at reducing LBP or related discomfort. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale for randomized trials and the Methodological Index for Non-Randomized Studies (MINORS) checklist for non-randomized studies. Three studies met the inclusion criteria: one randomized controlled…
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Taxonomy
TopicsInjury Epidemiology and Prevention · Occupational Health and Performance · Urban Transport and Accessibility
