9fc44d4b_n_Bike_Race_Biting_Back_at_ALS__Impairment
[Description] As my upper body position moves away from vertical, I have increasing difficulty holding my head up. Cannot maintain an aggressive forward position for time trial or road racing. Adaptations. (1 ) I have added an adjustable stem to raise the bars, (2) I use a flat mountain bike bar in lieu of traditional road bars, and I do not use time trial bars, (3) I use a bungee cord support device as pictured below. [Impairment] 
Neck weakness
Oso High Endurance Sports and Oso High Mountain Bike Race Biting Back at ALS
Impairment