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"The cleat can be adjusted in three ways. The best method is to use a Rotational Adjustment Device (RAD) pedal (Fit Kit Systems, Inc., Billings, Montana) while the cyclist is riding the bicycle on a wind-load simulator. The RAD™ pedal, developed by William Ferral of the New England Cycling Academy, sets the cleat in a position with no abnormal rotational force on the lower extremity. The RAD pedal is sensitive to transverse-plane force and can indicate to the cyclist when the cleat position minimizes rotational forces. When watching the RAD™ device in use, one can observe the amount of 'normal' lower-extremity rotation that occurs with each pedal cycle."
"The Biomechanics, Etiology, and Treatment of Cycling Injuries"
by William H. Sanner, DPM and William D. O'Halloran, DPM
Journal of the American Podiatric Medical Association
Volume 90, Number 7, July/August 2000
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