Members of the Chain Gang cycling club participate in a group ride on Tuesday, May 30, 2017 in Kalamazoo, Mich. Wednesday, June 7, marks the first anniversary of the incident in which cyclists with the Chain Gang Bicycle Club were mowed down from behind by a pickup truck driven by Pickett Jr. in Kalamazoo. Police say Pickett ingested handfuls of pain pills and muscle relaxers before the accident.(Jake Green /Kalamazoo Gazette-MLive Media Group via AP)

KALAMAZOO (AP) — The four survivors of a Michigan bike crash that killed five cyclists say they’ve been dealing with lasting physical and psychological trauma in the year since the accident.

Wednesday marks the first anniversary of the crash in which cyclists with the Chain Gang Bicycle Club were struck from behind by a pickup truck in Kalamazoo.

Police said the truck’s driver, Charles Pickett Jr., ingested handfuls of pain pills and muscle relaxers before the accident. Five cyclists died at the scene, while the other four were severely injured.

“It was a pretty grim and unfortunate realization that it was the four of us in the front that survived,” survivor Paul Gobble said.

Gobble was wearing a helmet when he was struck, but he still sustained a shearing brain injury, a broken leg, broken ribs and fractured vertebrae in his neck and back.

He said he still deals with a numbed feeling, general pain and endurance issues, but he can ride again.

“I am humbled and amazed that I have been through what I have been through and recovered as I have,” Gobble said. “It is fascinating when I speak with the doctors and they talk about the brain, and it has a lot of capacity to adapt or be fixed. While I still have challenges that I deal with, I am comforted.”