In recent years, there have been a number of high-profile crashes within professional cycling time trials. This has led to concerns over the safety of cycling time trial positions. The main reason athletes are adopting these unsafe positions is to improve their aerodynamics. One of the techniques that athletes are utilizing is to ride with their head-down, which as a consequence severely reduces their visibility. This technique not only compromises the athletes` safety but there is also empirical evidence to suggest that it may not actually lead to improved aerodynamics. This brief review provides recommendations on an evidenced-based approach to dissuade athletes from employing this technique and improve the overall safety of cycling time trial positions.
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