Review of Real-Time Biomechanical Feedback Systems in Sport and Rehabilitation.

Real-time biomechanical feedback (BMF) is a relatively new area of research. The potential of using advanced technology to improve motion skills in sport and accelerate physical rehabilitation has been demonstrated in a number of studies. This paper provides a literature review of BMF systems in sports and rehabilitation. Our motivation was to examine the history of the field to capture its evolution over time, particularly how technologies are used and implemented in BMF systems, and to identify the most recent studies showing novel solutions and remarkable implementations. We searched for papers in three research databases: Scopus, Web of Science, and PubMed. The initial search yielded 1167 unique papers. After a rigorous and challenging exclusion process, 144 papers were eventually included in this report. We focused on papers describing applications and systems that implement a complete real-time feedback loop, which must include the use of sensors, real-time processing, and concurrent feedback. A number of research questions were raised, and the papers were studied and evaluated accordingly. We identified different types of physical activities, sensors, modalities, actuators, communications, settings and end users. A subset of the included papers, showing the most perspectives, was reviewed in depth to highlight and present their innovative research approaches and techniques. Real-time BMF has great potential in many areas. In recent years, sensors have been the main focus of these studies, but new types of processing devices, methods, and algorithms, actuators, and communication technologies and protocols will be explored in more depth in the future. This paper presents a broad insight into the field of BMF.

Decentralized Machine Autonomy for Manufacturing Servitization.

Blockchain ecosystems are rapidly maturing and meeting the needs of business environments (e.g., industry, manufacturing, and robotics). The decentralized approaches in industries enable novel business concepts, such as machine autonomy and servitization of manufacturing environments. Introducing the distributed ledger technology principles into the machine sharing and servitization economy faces several challenges, and the integration opens new interesting research questions. Our research focuses on data and event models and secure upgradeable smart contract platforms for machine servitization. Our research indicates that with the proposed approaches, we can efficiently separate on- and off-chain data and assure scalability of the DApp without compromising the trust. We demonstrate that the secure upgradeable smart contract platform, which was adapted for machine servitization, supports the business workflow and, at the same time, assures common identification and authorization of all the participants in the system, including people, devices, and legal entities. We present a hybrid decentralized application (DApp) for the servitization of 3D printing. The solution can be used for or easily adapted to other manufacturing domains. It comprises a modular, upgradeable smart contract platform and off-chain machine, customer and web management, and monitoring interfaces. We pay special attention to the data and event models during the design, which are fundamental for the hybrid data storage and DApp architecture and the responsiveness of off-chain interfaces. The smart contract platform uses a proxy contract to control the access of smart contracts and role-based access control in function calls for blockchain users. We deploy and evaluate the DApp in a consortium blockchain network for performance and privacy. All the actors in the solution, including the machines, are identified by their blockchain accounts and are compeers. Our solution thus facilitates integration with the traditional information-communication systems in terms of the hybrid architectures and security standards for smart contract design comparable to those in traditional software engineering.

Use of IMU in Differential Analysis of the Reverse Punch Temporal Structure in Relation to the Achieved Maximal Hand Velocity.

To achieve good performance, athletes need to synchronize a series of movements in an optimal manner. One of the indicators used to monitor this is the order of occurrence of relevant events in the movement timeline. However, monitoring of this characteristic of rapid movement is practically limited to the laboratory settings, in which motion tracking systems can be used to acquire relevant data. Our motivation is to implement a simple-to-use and robust IMU-based solution suitable for everyday praxis. In this way, repetitive execution of technique can be constantly monitored. This provides augmented feedback to coaches and athletes and is relevant in the context of prevention of stabilization of errors, as well as monitoring for the effects of fatigue. In this research, acceleration and rotational speed signal acquired from a pair of IMUs (Inertial Measurement Unit) is used for detection of the time of occurrence of events. The research included 165 individual strikes performed by 14 elite and national-level karate competitors. All strikes were classified as slow, average, or fast based on the achieved maximal velocity of the hand. A Kruskal-Wallis test revealed significant general differences in the order of occurrence of hand acceleration start, maximal hand velocity, maximal body velocity, maximal hand acceleration, maximal body acceleration, and vertical movement onset between the groups. Partial differences were determined using a Mann-Whitney test. This paper determines the differences in the temporal structure of the reverse punch in relation to the achieved maximal velocity of the hand as a performance indicator. Detecting the time of occurrence of events using IMUs is a new method for measuring motion synchronization that provides a new insight into the coordination of articulated human movements. Such application of IMU can provide additional information about the studied structure of rapid discrete movements in various sporting activities that are otherwise imperceptible to human senses.

A Random Forest-Based Accuracy Prediction Model for Augmented Biofeedback in a Precision Shooting Training System.

In the military, police, security companies, and shooting sports, precision shooting training is of the outmost importance. In order to achieve high shooting accuracy, a lot of training is needed. As a result, trainees use a large number of cartridges and a considerable amount of time of professional trainers, which can cost a lot. Our motivation is to reduce costs and shorten training time by introducing an augmented biofeedback system based on machine learning techniques. We are designing a system that can detect and provide feedback on three types of errors that regularly occur during a precision shooting practice: excessive hand movement error, aiming error and triggering error. The system is designed to provide concurrent feedback on the hand movement error and terminal feedback on the other two errors. Machine learning techniques are used innovatively to identify hand movement errors; the other two errors are identified by the threshold approach. To correct the excessive hand movement error, a precision shot accuracy prediction model based on Random Forest has proven to be the most suitable. The experimental results show that: (1) the proposed Random Forest (RF) model achieves the prediction accuracy of 91.27%, higher than any of the other reference models, and (2) hand movement is strongly related to the accuracy of precision shooting. Appropriate use of the proposed augmented biofeedback system will result in a lower number of rounds used and shorten the precision shooting training process.

Sport Biomechanics Applications Using Inertial, Force, and EMG Sensors: A Literature Overview.

In the last few decades, a number of technological developments have advanced the spread of wearable sensors for the assessment of human motion. These sensors have been also developed to assess athletes' performance, providing useful guidelines for coaching, as well as for injury prevention. The data from these sensors provides key performance outcomes as well as more detailed kinematic, kinetic, and electromyographic data that provides insight into how the performance was obtained. From this perspective, inertial sensors, force sensors, and electromyography appear to be the most appropriate wearable sensors to use. Several studies were conducted to verify the feasibility of using wearable sensors for sport applications by using both commercially available and customized sensors. The present study seeks to provide an overview of sport biomechanics applications found from recent literature using wearable sensors, highlighting some information related to the used sensors and analysis methods. From the literature review results, it appears that inertial sensors are the most widespread sensors for assessing athletes' performance; however, there still exist applications for force sensors and electromyography in this context. The main sport assessed in the studies was running, even though the range of sports examined was quite high. The provided overview can be useful for researchers, athletes, and coaches to understand the technologies currently available for sport performance assessment.

A sensor-based wrist pulse signal processing and lung cancer recognition.

Pulse diagnosis is an efficient method in traditional Chinese medicine for detecting the health status of a person in a non-invasive and convenient way. Jin's pulse diagnosis (JPD) is a very efficient recent development that is gradually recognized and well validated by the medical community in recent years. However, no acceptable results have been achieved for lung cancer recognition in the field of biomedical signal processing using JPD. More so, there is no standard JPD pulse feature defined with respect to pulse signals. Our work is designed mainly for care giving service conveniently at home to the people having lung cancer by proposing a novel wrist pulse signal processing method, having an insight from JPD. We developed an iterative slide window (ISW) algorithm to segment the de-noised signal into single periods. We analyzed the characteristics of the segmented pulse waveform and for the first time summarized 26 features to classify the pulse waveforms of healthy individuals and lung cancer patients using a cubic support vector machine (CSVM). The result achieved by the proposed method is found to be 78.13% accurate.

Suitability of Strain Gage Sensors for Integration into Smart Sport Equipment: A Golf Club Example.

Wearable devices and smart sport equipment are being increasingly used in amateur and professional sports. Smart sport equipment employs various sensors for detecting its state and actions. The correct choice of the most appropriate sensor(s) is of paramount importance for efficient and successful operation of sport equipment. When integrated into the sport equipment, ideal sensors are unobstructive, and do not change the functionality of the equipment. The article focuses on experiments for identification and selection of sensors that are suitable for the integration into a golf club with the final goal of their use in real time biofeedback applications. We tested two orthogonally affixed strain gage (SG) sensors, a 3-axis accelerometer, and a 3-axis gyroscope. The strain gage sensors are calibrated and validated in the laboratory environment by a highly accurate Qualisys Track Manager (QTM) optical tracking system. Field test results show that different types of golf swing and improper movement in early phases of golf swing can be detected with strain gage sensors attached to the shaft of the golf club. Thus they are suitable for biofeedback applications to help golfers to learn repetitive golf swings. It is suggested that the use of strain gage sensors can improve the golf swing technical error detection accuracy and that strain gage sensors alone are enough for basic golf swing analysis. Our final goal is to be able to acquire and analyze as many parameters of a smart golf club in real time during the entire duration of the swing. This would give us the ability to design mobile and cloud biofeedback applications with terminal or concurrent feedback that will enable us to speed-up motor skill learning in golf.

Clustering by fast search and merge of local density peaks for gene expression microarray data.

Clustering is an unsupervised approach to classify elements based on their similarity, and it is used to find the intrinsic patterns of data. There are enormous applications of clustering in bioinformatics, pattern recognition, and astronomy. This paper presents a clustering approach based on the idea that density wise single or multiple connected regions make a cluster, in which density maxima point represents the center of the corresponding density region. More precisely, our approach firstly finds the local density regions and subsequently merges the density connected regions to form the meaningful clusters. This idea empowers the clustering procedure, in which outliers are automatically detected, higher dense regions are intuitively determined and merged to form clusters of arbitrary shape, and clusters are identified regardless the dimensionality of space in which they are embedded. Extensive experiments are performed on several complex data sets to analyze and compare our approach with the state-of-the-art clustering methods. In addition, we benchmarked the algorithm on gene expression microarray data sets for cancer subtyping; to distinguish normal tissues from tumor; and to classify multiple tissue data sets.

Evaluation of Smartphone Inertial Sensor Performance for Cross-Platform Mobile Applications.

Smartphone sensors are being increasingly used in mobile applications. The performance of sensors varies considerably among different smartphone models and the development of a cross-platform mobile application might be a very complex and demanding task. A publicly accessible resource containing real-life-situation smartphone sensor parameters could be of great help for cross-platform developers. To address this issue we have designed and implemented a pilot participatory sensing application for measuring, gathering, and analyzing smartphone sensor parameters. We start with smartphone accelerometer and gyroscope bias and noise parameters. The application database presently includes sensor parameters of more than 60 different smartphone models of different platforms. It is a modest, but important start, offering information on several statistical parameters of the measured smartphone sensors and insights into their performance. The next step, a large-scale cloud-based version of the application, is already planned. The large database of smartphone sensor parameters may prove particularly useful for cross-platform developers. It may also be interesting for individual participants who would be able to check-up and compare their smartphone sensors against a large number of similar or identical models.

A Pulse Rate Estimation Algorithm Using PPG and Smartphone Camera.

The ubiquitous use and advancement in built-in smartphone sensors and the development in big data processing have been beneficial in several fields including healthcare. Among the basic vitals monitoring, pulse rate monitoring is the most important healthcare necessity. A multimedia video stream data acquired by built-in smartphone camera can be used to estimate it. In this paper, an algorithm that uses only smartphone camera as a sensor to estimate pulse rate using PhotoPlethysmograph (PPG) signals is proposed. The results obtained by the proposed algorithm are compared with the actual pulse rate and the maximum error found is 3 beats per minute. The standard deviation in percentage error and percentage accuracy is found to be 0.68 % whereas the average percentage error and percentage accuracy is found to be 1.98 % and 98.02 % respectively.

Suitability of Smartphone Inertial Sensors for Real-Time Biofeedback Applications.

This article studies the suitability of smartphones with built-in inertial sensors for biofeedback applications. Biofeedback systems use various sensors to measure body functions and parameters. These sensor data are analyzed, and the results are communicated back to the user, who then tries to act on the feedback signals. Smartphone inertial sensors can be used to capture body movements in biomechanical biofeedback systems. These sensors exhibit various inaccuracies that induce significant angular and positional errors. We studied deterministic and random errors of smartphone accelerometers and gyroscopes, primarily focusing on their biases. Based on extensive measurements, we determined accelerometer and gyroscope noise models and bias variation ranges. Then, we compiled a table of predicted positional and angular errors under various biofeedback system operation conditions. We suggest several bias compensation options that are suitable for various examples of use in real-time biofeedback applications. Measurements within the developed experimental biofeedback application show that under certain conditions, even uncompensated sensors can be used for real-time biofeedback. For general use, especially for more demanding biofeedback applications, sensor biases should be compensated. We are convinced that real-time biofeedback systems based on smartphone inertial sensors are applicable to many similar examples in sports, healthcare, and other areas.