A Wide-Range, Wireless Wearable Inertial Motion Sensing System for Capturing Fast Athletic Biomechanics in Overhead Pitching

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. The standard technology used to capture motion for biomechanical analysis in sports has employed marker-based optical systems. While these systems are excellent at providing positional information, they suffer from a limited ability to accurately provide fundamental quantities such as velocity and acceleration (hence forces and torques) during high-speed motion typical of many sports. Conventional optical systems require considerable setup time, can exhibit sensitivity to extraneous light, and generally sample too slowly to accurately capture extreme bursts of athletic activity. In recent years, wireless wearable sensors have begun to penetrate devices used in sports performance assessment, offering potential solutions to these limitations. This article, after determining pressing problems in sports that such sensors could solve and surveying the state-of-the-art in wearable motion capture for sports, presents a wearable dual-range inertial and magnetic sensor platform that we developed to enable an end-to-end investigation of high-level, very wide dynamic-range biomechanical parameters. We tested our system on collegiate and elite baseball pitchers, and have derived and measured metrics to glean insight into performance-relevant motion. As this was, we believe, the first ultra-wide-range wireless multipoint and multimodal inertial and magnetic sensor array to be used on elite baseball pitchers, we trace its development, present some of our results, and discuss limitations in accuracy from factors such as soft-tissue artifacts encountered with extreme motion. In addition, we discuss new metric opportunities brought by our systems that may be relevant for the assessment of micro-trauma in baseball

The modulation effect of longitudinal acupuncture on resting state functional connectivity in knee osteoarthritis patients

Recent advances in brain imaging have contributed to our understanding of the neural activity associated with acupuncture treatment. In this study, we investigated functional connectivity across longitudinal acupuncture treatments in older patients with knee osteoarthritis (OA). Over a period of 4 weeks (six treatments), we collected resting state functional magnetic resonance imaging (fMRI) scans from 30 patients before and after their first, third and sixth treatments. Clinical outcome showed a significantly greater pain subscore on the Knee Injury and Osteoarthritis Outcome Score (KOOS) (indicative of improvement) with verum acupuncture than with sham acupuncture. Independent component analysis (ICA) of the resting state fMRI data showed that the right frontoparietal network (rFPN) and the executive control network (ECN) showed enhanced functional connectivity (FC) with the rostral anterior cingulate cortex/medial prefrontal cortex, a key region in the descending pain modulatory system, in the verum groups as compared to the sham group after treatments. We also found that the rFPN connectivity with the left insula is (1) significantly associated with changes in KOOS pain score after treatments, and (2) significantly enhanced after verum acupuncture treatments as compared to sham treatment. Analysis of the acupuncture needle stimulation scan showed that compared with sham treatment, verum acupuncture activated the left operculum/insula, which also overlaps with findings observed in resting state analysis. Our results suggest that acupuncture may achieve its therapeutic effect on knee OA pain by modulating functional connectivity between the rFPN, ECN and the descending pain modulatory pathway.\ud \ud Clinical trial number: NCT0107939