Investigating swimming technical skills by a double partition clustering of multivariate functional data allowing for dimension selection

Investigating technical skills of swimmers is a challenge for performance improvement, that can be achieved by analyzing multivariate functional data recorded by Inertial Measurement Units (IMU). To investigate technical levels of front-crawl swimmers, a new model-based approach is introduced to obtain two complementary partitions reflecting, for each swimmer, its swimming pattern and its ability to reproduce it. Contrary to the usual approaches for functional data clustering, the proposed approach also considers the information of the residuals resulting from the functional basis decomposition. Indeed, after decomposing into functional basis both the original signal (measuring the swimming pattern) and the signal of squared residuals (measuring the ability to reproduce the swimming pattern), the method fits the joint distribution of the coefficients related to both decompositions by considering dependency between both partitions. Modeling this dependency is mandatory since the difficulty of reproducing a swimming pattern depends on its shape. Moreover, a sparse decomposition of the distribution within components that permits a selection of the relevant dimensions during clustering is proposed. The partitions obtained on the IMU data aggregate the kinematical stroke variability linked to swimming technical skills and allow relevant biomechanical strategy for front-crawl sprint performance to be identified

Refining the accelerometric measurement of physical activity

Advances in electronic sensor technologies have led to the increased use of accelerometers for measuring physical activity and sedentary behaviours. Accelerometers overcome many of the inherent limitations of other measurement methods; for example, unlike self-reported instruments, accelerometers are free from random and systematic errors introduced by respondents and interviewers, cultural tradition, and language. However, accelerometers have their own set of limitations; for example, not all accelerometers are created equal and raw accelerometer data require significant data mining procedures in order to yield meaningful outcome variables. Therefore the overall purpose of this three study dissertation was to determine the impact accelerometer model has on the development of a comprehensive physical activity and sedentary behaviour profile and to design and apply novel profiling methods in an order to gain new insights into children’s physical activity. Study One Purpose: To determine which of the three most commonly used accelerometer models has the best intra- and inter-instrument reliability using a mechanical laboratory setup. Secondly, to determine the effect acceleration and frequency have on these reliability measures. Methods: Three experiments were performed. In the first, five each of the Actical, Actigraph, and RT3 accelerometers were placed on a hydraulic shaker plate and simultaneously accelerated in the vertical plane at varying accelerations and frequencies. Six different conditions of varying intensity were used to produce a range of accelerometer counts. Reliability was calculated using standard deviation, standard error of the measurement, coefficient of variation, and intraclass correlation coefficients. In the second and third experiment, 39 Actical and 50 Actigraph accelerometers were put through the same six conditions. Results: Experiment One showed poor reliability in the RT3 (intra- and inter-instrument CV > 40%). Experiments Two and Three clearly indicated that the Actical (CVintra = 0.5%; CVinter = 5.4%) was more reliable than the Actigraph (CVintra = 3.2%; CVinter = 8.6%). Variability in the Actical was negatively related to the acceleration of the condition while no relationship was found between acceleration and reliability in the Actigraph. Variability in the Actigraph was negatively related to the frequency of the condition while no relationship was found between frequency and reliability in the Actical. Conclusion: Of the three accelerometer models measured in this study, the Actical had the best intra- and inter-instrument reliability. However, discrepant trends in the variability of Actical and Actigraph counts across accelerations and frequencies preclude the selection of a ‘superior’ model. More work is needed to understand why accelerometers designed to measure the same thing, behave so differently. Study Two The accurate measurement of habitual physical activity is fundamental to the study of the relationship between physical activity and health. However, many physical activity measurement techniques produce variables accurate to only the day level, such as total energy expenditure via self-report questionnaire, pedometer step counts or accelerometer measurements of minutes of moderate to vigorous physical activity. Monitoring technologies providing more detailed information on physical activity/sedentary behaviour can now be used to explore the relationships between health and movement frequency, intensity, and duration more comprehensively. This paper explores the activity and sedentary profile that can be acquired through objective monitoring, with a focus on accelerometry. Using previously collected objective data, a detailed physical activity profile is presented and case study examples of data utilization and interpretation are provided. The rich detail captured through comprehensive profiling creates new surveillance and study possibilities and could inform new physical activity guidelines. Data are presented in various formats to demonstrate the dangers of misinterpretation when monitoring population adherence to Canada’s Physical Activity Guidelines. Recommendations for physical activity and sedentary profiling are provided and future research needs identified. Study Three Purpose: This study explored the influence of modernity on the physical activity behaviours (e.g. intensity and timing) of children. Methods: Children aged 8-13 years living a traditional lifestyle (Old Order Amish; OOA n=68, Old Order Mennonite; OOM n=120) were compared with children living a contemporary lifestyle (rural Saskatchewan; RSK n=132 and urban Saskatchewan; USK n=93). Physical activity was objectively assessed for seven consecutive days using Actigraph 7164 accelerometers. Custom software was used to reduce the raw accelerometer data into standardized outcome variables. Results: On weekdays there were group differences in moderate physical activity between all lifestyle groups (OOA > OOM > USK > RSK). On the weekend, the group differences in moderate physical activity persisted between, but not within, lifestyle groups (OOA = OOM > USK = RSK). During school hours, all groups had similar activity and sedentary timings; however, they differed in magnitude with the OOA and OOM being both more sedentary and more active. Compared to in school, the OOA and OOM children had 44% lower sedentary time out of school compared to only 15% lower for RSK and USK children. Conclusions: Though cross-sectional, these data suggest that contemporary/modern living is associated with lower levels of moderate and vigorous intensity physical activity compared to lifestyles representative of earlier generations. Analyzing the physical activity and sedentary patterns of traditional lifestyle groups such as the OOA and OOM can provide valuable insight into the quantity and quality of physical activity necessary to promote health. General Conclusions: Together, these three studies will help contribute to the generation of best practices in the accelerometric profiling of both physical activity and sedentary behaviours

Methods and Instrumentation for Non-Invasive Assessment of the Cardiovascular Condition

Tese de doutoramento em Física (Pré-Bolonha), Especialidade de Física Tecnológica, apresentada à Faculdade de Ciências e Tecnologia da Universidade de CoimbraAs doenças cardiovasculares (DCVs) são a principal causa de morte a nível mundial e largamente responsáveis pelos custos crescentes nos sistemas de saúde. Nos últimos anos, a comunidade médica tem vindo a demonstrar um grande interesse na avaliação da rigidez arterial local, pressão arterial central e na análise da onda de pressão, devido aos seus valores preditivos no desenvolvimento deste tipo de patologias. Apesar da sua relevância, estes parâmetros hemodinâmicos permanecem particularmente difíceis de medir na prática clínica, já que a maioria dos dispositivos disponíveis exigem elevados conhecimentos técnicos (introduzindo a dependência de um operador), tecnologias dispendiosas ou apresentam abordagens de análise ineficientes. Este trabalho de investigação encontra assim a sua motivação no potencial impacto que instrumentação não-invasiva, exata e de fácil utilização pode ter na monitorização da condição hemodinâmica e no diagnóstico precoce e acompanhamento de DCVs. Neste contexto, uma nova geração de protótipos baseados na combinação de diferentes tipos de sensores eletromecânicos, bem como um conjunto de algoritmos de processamento de sinal adequados à extração de múltiplos parâmetros hemodinâmicos foram desenvolvidos. Dependendo do marcador de risco cardiovascular a ser avaliado, dois grandes grupos de dispositivos foram projetados. O primeiro grupo, focado na avaliação da rigidez arterial local, explorou uma configuração dupla inovadora com dois sensores acústicos ou piezoelétricos (PZs) para a medição da velocidade da onda de pulso (VOP) e outros índices temporais relevantes, num curto segmento da artéria carótida. O outro grupo, centrado na avaliação contínua da pressão arterial sanguínea (PAS) e onda de pressão arterial (OPA), também na artéria carótida, usou uma unidade vibrador-acelerómetro montada num mesmo suporte que permitiu ao acelerómetro detetar as vibrações produzidas, atenuadas e moduladas em amplitude quando em contacto mecânico com a parede do vaso. Os protótipos desenvolvidos foram extensivamente caracterizados em sistemas de bancada de teste, desenvolvidos para este efeito e capazes de reproduzir a variabilidade de uma ampla gama de situações clinicamente relevantes, bem como em condições in vivo. Relativamente à avaliação da rigidez arterial local, a primeira e segunda gerações de protótipos desenvolvidos apresentaram boa exatidão nos ensaios de resolução temporal realizados em tubos elásticos de bancadas de teste. O algoritmo de correlação cruzada exibiu a capacidade de medir VOPs altas (≈ 19 ms-1 e 14 ms-1) com erros relativos e coeficientes de variação inferiores a 10 % para os diferentes protótipos. Os sinais adquiridos provaram ser robustos e repetíveis, não sofrendo efeitos de crosstalk. Os resultados obtidos no estudo de validação pré-clínica em vinte indivíduos saudáveis com a segunda geração de protótipos foram ainda bastante satisfatórios. As VOPs carotídeas médias obtidas apresentaram uma correlação linear e forte entre si, estando os resultados próximos dos valores obtidos noutros estudos de referência. Além disso, a capacidade de reproduzir perfis de onda pressão distintos usando as sondas PZs foi também mostrada, quer utilizando o processo de desconvolução quer um circuito eletrónico integrador dedicado. No que diz respeito à avaliação da PAS e OPA, o processo de desmodulação produziu excelentes resultados na recuperação da morfologia da onda de pressão em condições de bancada de teste e in vivo. Para os dois protótipos desenvolvidos, várias formas de onda foram extraídas, com exatidão, das portadoras moduladas de aceleração, corrente ou potência elétricas, usando os algoritmos de deteção do envelope e do produto. Na bancada de teste foi possível reproduzir a forma de onda de pressão para posições de aplanação do tubo elástico sucessivamente mais elevadas com um erro quadrático médio de 2.4 ± 0.51 %, quando considerado o melhor método de extração. A eficácia de um novo método de calibração focado na utilização de curvas empíricas que convertem aceleração em pressão foi também demonstrado. Através da conservação da amplitude da portadora de aceleração, foi possível determinar os valores de pressão máximo, mínimo, médio e de pulso com erros relativos inferiores a 10 % em condições de bancada. Além disso, as diferenças de pressão entre o último protótipo desenvolvido e o sistema de referência foram, em média, ≤ 5 ± 8 mmHg, satisfazendo os critérios de exatidão de sistemas de medição de PAS clinicamente validados. Embora estudos de validação clínica sejam ainda necessários, os resultados globais obtidos neste trabalho para os dois principais tipos de protótipos dão bons indicadores quanto à sua utilização como alternativas válidas aos sistemas atualmente disponíveis, tanto em ambientes clínico quanto de investigação.Cardiovascular diseases (CVDs) are the leading cause of death worldwide and largely responsible for the ever increasing costs in healthcare systems. In the last few years, the medical community has demonstrated a great interest in local arterial stiffness, central blood pressure assessment and pressure waveform analysis, due to their predictive values in the development of this type of pathologies. Despite their significance, these hemodynamic parameters remain particularly challenging to measure in standard clinical practice since most available devices require high technical expertise (introducing operator dependence), burdensome technologies and/or present ineffective analysis approaches. This research work finds its motivation in the potential impact that non-invasive, accurate and easy-to-use instrumentation could have on the monitoring of hemodynamic condition and on the diagnosis and control of early stages of CVDs. In this context, a new generation of prototypes based on the combination of different types of electromechanical sensors, along with a set of signal processing algorithms suited to the extraction of multiple hemodynamic parameters were developed. Two major groups of devices were designed depending on the cardiovascular risk marker to be assessed. The first group, focused on local arterial stiffness evaluation, explored an innovative double headed probe configuration of acoustic or piezoelectric (PZ) sensors for the measurement of pulse wave velocity (PWV) and other relevant time-based indices, in a short segment of the carotid artery. The other main group, centered on the continuous assessment of arterial blood pressure (ABP) and arterial pressure waveform (APW), also at the carotid artery, used a vibrator-accelerometer unit mounted in a common support that enabled the accelerometer to sense the produced vibrations, attenuated and modulated in amplitude when in mechanical contact with the vessel wall. The developed prototypes were extensively characterized in test bench systems, purposely built and capable of reproducing the variability of a wide range of clinically relevant situations, as well as in in vivo conditions. Regarding local arterial stiffness evaluation, the first and second generations of developed prototypes presented good accuracy in time resolution experiments on elastic tubes at the test bench. Cross-correlation algorithm exhibited the capability of measuring high PWVs (≈ 19 ms-1 and 14 ms-1) with relative errors and coefficients of variation lower than 10 % for the different prototypes. The acquired signals proved to be robust and repeatable, not suffering from crosstalk effect. The results obtained in a pre-clinical validation trial of twenty healthy subjects with the second generation of prototypes were very satisfactory, demonstrating that the mean carotid PWVs obtained were linearly and strongly correlated and were in agreement with other reference studies. Additionally, the ability to reproduce distinct wave pressure profiles using the PZs probes was also shown, either using the demodulation algorithm-based process or a special circuit for electronic integration. Concerning APW and ABP assessment, the demodulation process yielded excellent results in recovering the morphology of pressure wave in test bench and in in vivo conditions. For the two developed prototypes, several waveforms were accurately extracted from the acceleration, current or power modulated carriers using the envelope and product detector algorithms. It was possible to reproduce the pressure waveform for successive higher applanation positions of the elastic tube at the test bench with a root mean square error of 2.4 ± 0.51 %, when considering the best extracting method. The effectiveness of a novel calibration method focused on the use of empirical curves which convert acceleration into pressure was also demonstrated. Through the conservation of the acceleration carrier amplitude, it was possible to determine the maximum, minimum, mean and pulse pressure values with relative errors lower than 10 % in bench conditions. Also, the mean pressure differences between the latest prototype and the reference system were, on average, ≤ 5 ± 8 mmHg, satisfying the accuracy criteria of clinically validated ABP devices. Although clinical validation studies are still required, the global results obtained in this work for the two major types of prototypes provide great prospects regarding their use as valid alternatives to currently available systems, both in clinical and research settings

Wearable and Nearable Biosensors and Systems for Healthcare

Biosensors and systems in the form of wearables and “nearables” (i.e., everyday sensorized objects with transmitting capabilities such as smartphones) are rapidly evolving for use in healthcare. Unlike conventional approaches, these technologies can enable seamless or on-demand physiological monitoring, anytime and anywhere. Such monitoring can help transform healthcare from the current reactive, one-size-fits-all, hospital-centered approach into a future proactive, personalized, decentralized structure. Wearable and nearable biosensors and systems have been made possible through integrated innovations in sensor design, electronics, data transmission, power management, and signal processing. Although much progress has been made in this field, many open challenges for the scientific community remain, especially for those applications requiring high accuracy. This book contains the 12 papers that constituted a recent Special Issue of Sensors sharing the same title. The aim of the initiative was to provide a collection of state-of-the-art investigations on wearables and nearables, in order to stimulate technological advances and the use of the technology to benefit healthcare. The topics covered by the book offer both depth and breadth pertaining to wearable and nearable technology. They include new biosensors and data transmission techniques, studies on accelerometers, signal processing, and cardiovascular monitoring, clinical applications, and validation of commercial devices

Assessment of strength and power capacities in elite male soccer: a systematic review of test protocols used in practice and research

Strength and power represent two crucial physical qualities for the attainment of a high level of performance considering the frequency and the importance of explosive actions occurring during elite soccer match-play. Evaluation of strength and power is a multifaceted concept involving a vast array of tests and outcome variables. Nevertheless, a comprehensive and systematic search of strength and power assessment procedures in elite soccer has yet to be undertaken. The aims of this systematic review were to: (1) identify the tests and outcome variables used to assess strength and power of elite male soccer players; (2) provide normative values for the most common tests of strength and power across different playing levels; and (3) report the reliability values of these strength and power tests. A systematic review of the academic databases MEDLINE, CINAHL, SPORTDiscus, Web of Science and OVID for studies published until August 2023 was conducted, following the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were eligible for inclusion if they: (1) were original research studies, published in a peer-reviewed journal, and written in English language; (2) had the primary aim to assess strength and/or power; (3) players were male and older than 17 years of age (i.e., mean age of the group); and (4) their playing level was defined as "professional", "international" or "elite". Regarding strength testing, 115 studies and 29 different tests were identified. The three most frequent strength tests were the knee extensor isokinetic strength test (58 studies), the knee flexor isokinetic strength test (55 studies) and the Nordic hamstring strength test (13 studies). In terms of power testing, 127 studies with 31 different tests were included. The three most frequent power tests were the countermovement jump with hands fixed on hips (99 studies), the squat jump (48 studies) and the vertical jump with arm swing (29 studies). The wide range of different tests and outcome variables identified in this systematic review highlights the large diversity in the employed testing procedures. The establishment of a hybrid testing approach, combining standardised and widely accepted tests for establishing normative standards and enabling comparisons across different contexts, with flexible context-specific testing batteries, has the potential to maximise the impact of testing information for practitioners. In addition, the limited reporting of reliability data across studies highlights the need for practitioners to establish their own reliability measure within their specific contexts, informing the selection of certain tests and outcome variables

Evaluating the Walking Ability of Pekin Ducks Using A Treadmill Performance Test

Reduced walking ability is one of the most important welfare concerns facing the commercial duck industry. This is due to the likelihood that impaired walking is associated with pain, and may inhibit a duck’s ability to reach needed resources, such as food and water. Additionally, ducks with severe walking impairments are culled from the flock, which poses an economic challenge for the producer. Therefore, strategies for evaluating reduced walking ability are important for monitoring the prevalence of affected ducks within a flock. Currently, gait scoring is the most popular method for assessing walking ability on-farm. Gait scoring requires an observer to rank walking ability by assigning a categorical description of walking behavior to a duck as it walks on a flat surface (severity of reduced walking ability increases with category number). These systems are criticized for being subjective and their validity is often questioned. Further, observed differences in gait, alone, do not indicate whether a duck’s welfare is impacted

Trends supporting the in-field use of wearable inertial sensors for sport performance evaluation: a systematic review

Recent technological developments have led to the production of inexpensive, non-invasive, miniature magneto-inertial sensors, ideal for obtaining sport performance measures during training or competition. This systematic review evaluates current evidence and the future potential of their use in sport performance evaluation. Articles published in English (April 2017) were searched in Web-of-Science, Scopus, Pubmed, and Sport-Discus databases. A keyword search of titles, abstracts and keywords which included studies using accelerometers, gyroscopes and/or magnetometers to analyse sport motor-tasks performed by athletes (excluding risk of injury, physical activity, and energy expenditure) resulted in 2040 papers. Papers and reference list screening led to the selection of 286 studies and 23 reviews. Information on sport, motor-tasks, participants, device characteristics, sensor position and fixing, experimental setting and performance indicators was extracted. The selected papers dealt with motor capacity assessment (51 papers), technique analysis (163), activity classification (19), and physical demands assessment (61). Focus was placed mainly on elite and sub-elite athletes (59%) performing their sport in-field during training (62%) and competition (7%). Measuring movement outdoors created opportunities in winter sports (8%), water sports (16%), team sports (25%), and other outdoor activities (27%). Indications on the reliability of sensor-based performance indicators are provided, together with critical considerations and future trends