Incorporating End-User Feedback in the Development and Validation of a Smart Textile for assessing Sports Training and Performance

Objectives: The aims of the research project were to explore the need and desire of a new sport wearable within applied practice by creating dialogue with the end-users. Furthermore, the research project sets out to quantify the reliability and validity a new sports wearable, KiTT (Knitted intelligent Textile Tracker), against the current gold-standard three-dimensional motion-analysis counter-part. Methods: Study 1 will utilise semi-structured interviews to create dialogue between the researcher and end-users. This will help provide an image into the current use of technology within applied practice. Furthermore, study 2 will capture and calculate the relative knee angles from KiTT’s raw resistance, and compare the results to that of Vicon, where reliability and validity will be assessed; this is imperative before task-specific research. Results: Study 1 identified a need, and requirement for new sport wearables, specifically in the form of e-textiles. This would enable end-users to adopt technology into their work, potentially enhancing their output. In addition, study 2 suggests that KiTT serves as a valid and reliable tool at recording relative knee angle across five commonly used sporting exercises, with high degrees of accuracy. Conclusion: End-users stated a need and requirement for technology such as KiTT to be created for adoption within their practice. Current systems are often inaccessible and can lead to performance losses. KiTT serves as a valid alternative to motion-capture, whilst offering more benefits to the user (cost-friendly, easy to use, and portable). When investigating an individual’s relative knee angle, KiTT should be considered especially in specific testing conditions

E-Textiles for Sports and Fitness Sensing: Current State, Challenges, and Future Opportunities

E-textiles have emerged as a fast-growing area in wearable technology for sports and fitness due to the soft and comfortable nature of textile materials and the capability for smart functionality to be integrated into familiar sports clothing. This review paper presents the roles of wearable technologies in sport and fitness in monitoring movement and biosignals used to assess performance, reduce injury risk, and motivate training/exercise. The drivers of research in e-textiles are discussed after reviewing existing non-textile and textile-based commercial wearable products. Different sensing components/materials (e.g., inertial measurement units, electrodes for biosignals, piezoresistive sensors), manufacturing processes, and their applications in sports and fitness published in the literature were reviewed and discussed. Finally, the paper presents the current challenges of e-textiles to achieve practical applications at scale and future perspectives in e-textiles research and development

Wearable Technology Supported Home Rehabilitation Services in Rural Areas:– Emphasis on Monitoring Structures and Activities of Functional Capacity Handbook

The sustainability of modern healthcare systems is under threat. – the ageing of the population, the prevalence of chronic disease and a need to focus on wellness and preventative health management, in parallel with the treatment of disease, pose significant social and economic challenges. The current economic situation has made these issues more acute. Across Europe, healthcare expenditure is expected to rice to almost 16% of GDP by 2020. (OECD Health Statistics 2018). Coupled with a shortage of qualified personnel, European nations are facing increasing challenges in their ability to provide better-integrated and sustainable health and social services. The focus is currently shifting from treatment in a care center to prevention and health promotion outside the care institute. Improvements in technology offers one solution to innovate health care and meet demand at a low cost. New technology has the potential to decrease the need for hospitals and health stations (Lankila et al., 2016. In the future the use of new technologies – including health technologies, sensor technologies, digital media, mobile technology etc. - and digital services will dramatically increase interaction between healthcare personnel and customers (Deloitte Center for Health Solutions, 2015a; Deloitte Center for Health Solutions 2015b). Introduction of technology is expected to drive a change in healthcare delivery models and the relationship between patients and healthcare providers. Applications of wearable sensors are the most promising technology to aid health and social care providers deliver safe, more efficient and cost-effective care as well as improving people’s ability to self-manage their health and wellbeing, alert healthcare professionals to changes in their condition and support adherence to prescribed interventions. (Tedesco et al., 2017; Majumder et al., 2017). While it is true that wearable technology can change how healthcare is monitored and delivered, it is necessary to consider a few things when working towards the successful implementation of this new shift in health care. It raises challenges for the healthcare systems in how to implement these new technologies, and how the growing amount of information in clinical practice, integrates into the clinical workflows of healthcare providers. Future challenges for healthcare include how to use the developing technology in a way that will bring added value to healthcare professionals, healthcare organizations and patients without increasing the workload and cost of the healthcare services. For wearable technology developers, the challenge will be to develop solutions that can be easily integrated and used by healthcare professionals considering the existing constraints. This handbook summarizes key findings from clinical and laboratory-controlled demonstrator trials regarding wearables to assist rehabilitation professionals, who are planning the use of wearable sensors in rehabilitation processes. The handbook can also be used by those developing wearable sensor systems for clinical work and especially for use in hometype environments with specific emphasis on elderly patients, who are our major health care consumers

Wearable Sensors for Monitoring the Internal and External Workload of the Athlete

The convergence of semiconductor technology, physiology, and predictive health analytics from wearable devices has advanced its clinical and translational utility for sports. The detection and subsequent application of metrics pertinent to and indicative of the physical performance, physiological status, biochemical composition, and mental alertness of the athlete has been shown to reduce the risk of injuries and improve performance and has enabled the development of athlete-centered protocols and treatment plans by team physicians and trainers. Our discussions in this review include commercially available devices, as well as those described in scientific literature to provide an understanding of wearable sensors for sports medicine. The primary objective of this paper is to provide a comprehensive review of the applications of wearable technology for assessing the biomechanical and physiological parameters of the athlete. A secondary objective of this paper is to identify collaborative research opportunities among academic research groups, sports medicine health clinics, and sports team performance programs to further the utility of this technology to assist in the return-to-play for athletes across various sporting domains. A companion paper discusses the use of wearables to monitor the biochemical profile and mental acuity of the athlete

A Reconfigurable and wearable wireless sensor system and its case study in the training of hammer throwers

Wearable sensors have been popularly used in many applications with the development of computer science and engineering. However, wearables for biomechanical feedback in motor learning and training are still rare. Therefore, this thesis focuses on developing an efficient and cost-effective wireless sensor system through a case study on the hammer throw. The results have shown that the proposed reconfigurable and wearable system can implement real-time biomechanical feedback in the hammer-throw training. Furthermore, the experimental results suggest that various throw-control patterns could be identified by using one tension-sensor and two inertial measurement units (i.e., more superior practicality than 3D motion capture), indicating that the low-cost wearable system has potential to substitute the expensive 3D motion capture technology. The proposed system can be easily modified and applied to many other applications, including but not limited to healthcare, rehabilitation, and smart homes, etc.National Science and Engineering Research Council of Canada (NSERC

Gait analysis in neurological populations: Progression in the use of wearables

Gait assessment is an essential tool for clinical applications not only to diagnose different neurological conditions but also to monitor disease progression as it contributes to the understanding of underlying deficits. There are established methods and models for data collection and interpretation of gait assessment within different pathologies. This narrative review aims to depict the evolution of gait assessment from observation and rating scales to wearable sensors and laboratory technologies, and provide possible future directions. In this context, we first present an extensive review of current clinical outcomes and gait models. Then, we demonstrate commercially available wearable technologies with their technical capabilities along with their use in gait assessment studies for various neurological conditions. In the next sections, a descriptive knowledge for existing inertial based algorithms and a sign based guide that shows the outcomes of previous neurological gait assessment studies are presented. Finally, we state a discussion for the use of wearables in gait assessment and speculate the possible research directions by revealing the limitations and knowledge gaps in the literature

Stretch sensors for measuring knee kinematics in sports

The popularity of wearable technology in sport has increased, due to its ability to provide unobtrusive monitoring of athletes. This technology has been used to objectively measure kinetic and kinematic variables, with the aim of preventing injury, maximising athletic performance and classifying the skill level of athletes, all of which can influence training and coaching practices. Wearable technologies overcome the limitations of motion capture systems which are limited in their capture volume, enabling the collection of data in-field, during training and competition. Inertial sensors are a common form of technology used in these environments however, their high-cost and complex calibration due to multiple sensor integration can make them prohibitive for widespread use. This thesis focuses on the development of a strain sensor that can be used to measure knee range of motion in sports, specifically rowing and cycling, as a potential low-cost, lightweight alternative to inertial sensors which can also be integrated into clothing, making them more discreet. A systematic review highlighted the lack of alternate technologies to inertial sensors such as strain sensors, as well as the limited use of wearable technologies in both rowing and cycling. Strain sensors were fabricated from a carbon nanotube-natural rubber composite using solvent exchange techniques and employed a piezoresistive sensing mechanism. These were then characterised using mechanical testing, to determine their electrical properties under cyclical strain. The strain sensors displayed hysteretic behaviour, but were durable, withstanding over 4500 strain cycles. Statistical analysis indicated that over 60% of the tests conducted had good intra-test variability with regards to the resistance response range in each strain cycle and sensor response deviating by less than 10% at strain rates below 100 mm/min and less than 20% at a strain rate of 350 mm/min. These sensors were integrated into a wearable sensor system and tested on rowing and cycling cohorts consisting of ten athletes each, to assess the translational use of the strain sensor. This preliminary testing indicated that strain sensors were able to track the motion of the knee during the rowing stroke and cycling pedalling motion, when compared to the output of a motion capture system. Perspectives of participants on the wearable system were collected, which indicated their desire for a system that they could use in their sport, and they considered the translation of this system for real-life use with further development to improve comfort of the system and consistency of the sensor response. The strain sensors developed in this project, when integrated into a wearable sensor system, have the potential to provide an unobtrusive method of measuring knee kinematics, helping athletes, coaches and other support staff make technical changes that can reduce injury risk and improve performance.Open Acces

Design and and validation of an improved wearable foot-ankle motion capture device using soft robotic sensors

Soft robotic sensors (SRSs) are a class of pliable, passive sensors which vary by some electrical characteristic in response to changes in geometry. The properties of SRSs make them excellent candidates for use in wearable motion analysis technology. Wearable technology is a fast-growing industry, and the improvement of existing human motion analysis tools is needed. Prior research has proven the viability of SRSs as a tool for capturing motion of the foot-ankle complex; this work covers extensive effort to improve and ruggedize a lab tool utilizing this technology. The improved lab tool is validated against a camera-based motion capture system to show either improvement or equivalence to the previous prototype while introducing enhanced data throughput, reliability, battery life, and durability

The 3rd International Conference on the Challenges, Opportunities, Innovations and Applications in Electronic Textiles

This reprint is a collection of papers from the E-Textiles 2021 Conference and represents the state-of-the-art from both academia and industry in the development of smart fabrics that incorporate electronic and sensing functionality. The reprint presents a wide range of applications of the technology including wearable textile devices for healthcare applications such as respiratory monitoring and functional electrical stimulation. Manufacturing approaches include printed smart materials, knitted e-textiles and flexible electronic circuit assembly within fabrics and garments. E-textile sustainability, a key future requirement for the technology, is also considered. Supplying power is a constant challenge for all wireless wearable technologies and the collection includes papers on triboelectric energy harvesting and textile-based water-activated batteries. Finally, the application of textiles antennas in both sensing and 5G wireless communications is demonstrated, where different antenna designs and their response to stimuli are presented