Recognition of Daily Activities in Adults With Wearable Inertial Sensors: Deep Learning Methods Study.

BACKGROUND: Activities of daily living (ADL) are essential for independence and personal well-being, reflecting an individual's functional status. Impairment in executing these tasks can limit autonomy and negatively affect quality of life. The assessment of physical function during ADL is crucial for the prevention and rehabilitation of movement limitations. Still, its traditional evaluation based on subjective observation has limitations in precision and objectivity. OBJECTIVE: The primary objective of this study is to use innovative technology, specifically wearable inertial sensors combined with artificial intelligence techniques, to objectively and accurately evaluate human performance in ADL. It is proposed to overcome the limitations of traditional methods by implementing systems that allow dynamic and noninvasive monitoring of movements during daily activities. The approach seeks to provide an effective tool for the early detection of dysfunctions and the personalization of treatment and rehabilitation plans, thus promoting an improvement in the quality of life of individuals. METHODS: To monitor movements, wearable inertial sensors were developed, which include accelerometers and triaxial gyroscopes. The developed sensors were used to create a proprietary database with 6 movements related to the shoulder and 3 related to the back. We registered 53,165 activity records in the database (consisting of accelerometer and gyroscope measurements), which were reduced to 52,600 after processing to remove null or abnormal values. Finally, 4 deep learning (DL) models were created by combining various processing layers to explore different approaches in ADL recognition. RESULTS: The results revealed high performance of the 4 proposed models, with levels of accuracy, precision, recall, and F1-score ranging between 95% and 97% for all classes and an average loss of 0.10. These results indicate the great capacity of the models to accurately identify a variety of activities, with a good balance between precision and recall. Both the convolutional and bidirectional approaches achieved slightly superior results, although the bidirectional model reached convergence in a smaller number of epochs. CONCLUSIONS: The DL models implemented have demonstrated solid performance, indicating an effective ability to identify and classify various daily activities related to the shoulder and lumbar region. These results were achieved with minimal sensorization-being noninvasive and practically imperceptible to the user-which does not affect their daily routine and promotes acceptance and adherence to continuous monitoring, thus improving the reliability of the data collected. This research has the potential to have a significant impact on the clinical evaluation and rehabilitation of patients with movement limitations, by providing an objective and advanced tool to detect key movement patterns and joint dysfunctions.

Lumbo-Pelvic Rhythm Monitoring Using Wearable Technology with Sensory Biofeedback: A Systematic Review.

As an essential lower-back movement pattern, lumbo-pelvic rhythm (LPR) during forward trunk flexion and backward return has been investigated on a large scale. It has been suggested that abnormalities in lumbo-pelvic coordination are related to the risk of developing low back disorders. However, considerable differences in the approaches used to monitor LPR make it challenging to integrate findings from those investigations for future research. Therefore, the aim of this systematic review was to summarize the use of wearable technology for kinematic measurement with sensory biofeedback for LPR monitoring by assessing these technologies' specific capabilities and biofeedback capacities and exploring their practical viability based on sensor outcomes. The review was developed following the PRISMA guidelines, and the risk of bias was analyzed using the PREDro and STROBE scales. PubMed, Web of Science, Scopus, and IEEEXPLORE databases were searched for relevant studies, initially returning a total of 528 articles. Finally, we included eight articles featuring wearable devices with audio or vibration biofeedback. Differences in protocols and limitations were also observed. This novel study presents a review of wearable tracking devices for LPR motion-mediated biofeedback for the purpose of correcting lower back posture. More research is needed to determine the long-term effectiveness of these devices, as well as their most appropriate corresponding methodologies.

Effects of Blood flow Restriction and Load on Mean Propulsive Velocity and Subjective Perceived Exertion During Squat and Bench Press Exercises.

BACKGROUND: The aim of this study was to determine the influence of different percentages of blood flow restriction (BFR) and loads on mean propulsive velocity (MPV) and subjective perceived exertion during squat (SQ) and bench press (BP) exercises. HYPOTHESIS: Higher percentages of BFR will positively affect dependent variables, increasing MPV and reducing perceived exertion. STUDY DESIGN: Cross-sectional study. LEVEL OF EVIDENCE: Level 3. METHODS: Eight healthy young male athletes took part. Two sets of 6 repetitions at 70% 1-repetition maximum (1RM), 2 sets of 4 repetitions at 80% 1RM, and 2 sets of 2 repetitions at 90% 1RM were performed randomly; 5-minute recoveries were applied in all sets. The varying arterial occlusion pressure (AOP) applied randomly was 0% (Control [CON]), 80%, and 100%. RESULTS: No statistically significant differences in MPV were found during the BP exercise at any percentage of BFR at any percentage 1RM. During the SQ exercise, MPV results showed statistically significant increases of 5.46% (P = 0.04; ηp2 = 0.31) between CON and 100% AOP at 90% 1RM. The perceived exertion results for the BP exercise showed statistically significant reductions of -8.66% (P < 0.01; ηp2 = 0.06) between CON and 100% AOP at 90% 1RM. During the SQ exercise, the perceived exertion results showed significant reductions of -10.04% (P = 0.04; ηp2 = 0.40) between CON and 100% AOP at 80% 1RM; -5.47% (P = 0.02; ηp2 = 0.48) between CON and 80% AOP at 90% 1RM; and -11.83% (P < 0.01; ηp2 = 0.66) between CON and 100% AOP at 90% 1RM. CONCLUSION: BFR percentages ~100% AOP at 90% 1RM improved acutely MPV (only in SQ exercises) and reduced acutely perceived exertion (in both exercises). These findings are important to consider when prescribing resistance training for healthy male athletes.

Transparency as a Means to Analyse the Impact of Inertial Sensors on Users during the Occupational Ergonomic Assessment: A Systematic Review.

The literature has yielded promising data over the past decade regarding the use of inertial sensors for the analysis of occupational ergonomics. However, despite their significant advantages (e.g., portability, lightness, low cost, etc.), their widespread implementation in the actual workplace has not yet been realized, possibly due to their discomfort or potential alteration of the worker's behaviour. This systematic review has two main objectives: (i) to synthesize and evaluate studies that have employed inertial sensors in ergonomic analysis based on the RULA method; and (ii) to propose an evaluation system for the transparency of this technology to the user as a potential factor that could influence the behaviour and/or movements of the worker. A search was conducted on the Web of Science and Scopus databases. The studies were summarized and categorized based on the type of industry, objective, type and number of sensors used, body parts analysed, combination (or not) with other technologies, real or controlled environment, and transparency. A total of 17 studies were included in this review. The Xsens MVN system was the most widely used in this review, and the majority of studies were classified with a moderate level of transparency. It is noteworthy, however, that there is a limited and worrisome number of studies conducted in uncontrolled real environments.

Development of an Instrument to Evaluate the Intake of Liquids, Food and Supplements in Endurance Competitions: Nutritional Intake Questionnaire for Endurance Competitions-NIQEC.

BACKGROUND: In the last few years endurance sports have experienced a great increase in the number of competitions and participants. Dietary-nutritional planning is key for performing well during such competitions. To date, there is no questionnaire expressly developed to be able to analyze the consumption of liquids, foods, and supplements, as well as gastrointestinal problems in these events. This study describes the development of the Nutritional Intake Questionnaire for Endurance Competitions (NIQEC). METHODS: The study was composed in the following phases: (1) Bibliographic search for the most important nutrients, (2) focus groups (17 dietitian-nutritionists and 15 experienced athletes) and generation of items, (3) Delphi surveys, and (4) cognitive interviews. RESULTS: After an initial shaping of the questionnaire with the items that emerged in the focus groups, their relevance was evaluated by means of the Delphi survey, which showed more than 80% approval for most items. Finally, the cognitive interviews indicated that the questionnaire was simple and complete for its purpose. The final NIQEC (n = 50 items) was divided in 5 sections: Demographic data; sports data; consumption of liquids, food and supplements before, during, and after the competition; gastrointestinal complaints, and dietary-nutritional planning for the competition. CONCLUSIONS: The NICEQ is a useful tool that allows collecting information from participants on sociodemographic factors and gastrointestinal complaints, and estimating the intake of liquid, food, and supplements, for endurance competitions.

Acute effects of different external compression with blood flow restriction on force-velocity profile during squat and bench press exercises.

The aim was to compare the acute effects of bench press (BP) and squat (SQ) exercises with blood flow restriction (BFR) (40%, 60%, 80% and 100% of the complete arterial occlusion pressure (AOP)) and without BFR (CON) on the mean propulsive (VelMED) and maximum (VelMAX) bar velocity. Fourteen healthy, physically active males (age, 23.6 ± 4.1 years; height, 1.85 ± 0.11 m; body weight 85.4 ± 4.1 kg) took part in the study. There was one set for each testing condition (CON, 40%, 60%, 80% and 100%) with 6 repetitions for BP and 6 repetitions for SQ, at 60% of 1RM, and 3 minutes of recovery between sets. The results showed statistically significant differences of the sets with 80% BFR vs. CON (mean difference [MD] = 0.035 m · s-1, p < 0.05, ES = 0.52 [1.02-0.03]) and 100% BFR sets vs. CON (MD = 0.074, p < 0.001, ES = 1.08 [1.79-0.38]) for BP. In the SQ exercise, statistically significant differences were found between 100% BFR vs. CON (DM = 0.031 m · s-1, p < 0.05), vs. 100% BFR 40% (MD = 0.04 m · s-1, p < 0.05). Trend analysis showed a statistically significant linear trend (F[1,9] = 34.9, p < 0.001, F[1,13] = 27.32, p < 0.001) for the VelMED in relation to the different levels of BFR. In conclusion, our results showed that BFR levels above ˜80% AOP (BP) and ˜100% AOP (SQ) produce a VelMED improvement at 60% 1RM.

Within-subject variation in the cognitive timed up and go test as an explanatory variable in fall risk in patients with parkinson's disease.

OBJECTIVE: To explore the use of within-subject variation in the Cognitive Timed Up and Go test (Cognitive TUGWSV) as an explanatory variable in fall risk in the Parkinson's disease population. DESIGN: Cross-sectional study. METHODS: Fifty-three patients with Parkinson's disease completed 3 trials of the Cognitive TUGWSV. Within-subject variation was calculated using the standard deviation of an individual's repeated measurements, and compared on the basis of the fall history reported in the previous 6 months. Participants who reported < 2 falls were classified as "non-recurrent fallers" (n = 31) and those who reported ≥ 2 falls were classified as "recurrent fallers" (n = 22). Univariate and a multivariate logistic regression were used to investigate the statistical impact of the Cognitive TUGWSV as an explanatory variable in fall risk. Discriminative ability and cut-off score were determined based on receiver operating characteristic analysis. RESULTS: There was a significant difference between groups in the Cognitive TUGWSV (p = 0.002). Univariate logistic regression indicated a significant association between Cognitive TUGWSV and fall risk (χ2=12.365, p < 0.001), with an odds ratio of 2.5 (95% confidence interval (95% CI) = 1.34-4.65). Multivariate logistic regression showed that body mass index (BMI), Falls Efficacy Scale-International (FES-I), Cognitive TUGWSV, and the mean velocity of the centre of foot pressure under closed eyes condition (Velocity COP (CE)) were significant explanatory variables in fall risk. Cognitive TUGWSV was the most important independent variable. Receiver operating characteristic analysis revealed an acceptable discriminative power (area under the curve (AUC) = 0.757, 95% CI = 0.619-0.864, p < 0.001) and a cut-off point of 1.53 s. CONCLUSION: A higher Cognitive TUGWSV correlated significantly with higher fall risk. Thus, diagnostic tests and exercise programmes could consider Cognitive TUGWSV when assessing fall risk in the Parkinson's disease population.

Influence of Abdominal Hollowing Maneuver on the Core Musculature Activation during the Prone Plank Exercise.

This cross-sectional study of repeated measures investigated whether integrating the abdominal hollowing maneuver (AHM) into the prone plank performance is an effective strategy for increasing both the activation of the deep and superficial core musculature. Electromyographical (EMG) responses of rectus abdominis (RA), external oblique (EO), internal oblique (IO), and lumbar erector spinae (LES), and ratings of perceived exertion (RPE) of 20 participants (13 male, 7 female; mean ± standard deviation (SD) age: 24.25 ± 3.54 years; body mass: 66.42 ± 8.40 kg; height: 1.70 ± 9.51 m) were compared across two experimental conditions: the traditional prone plank (STANDARD); and a variation including the AHM (HOLLOWING). Regarding Total Intensity, HOLLOWING resulted in significantly greater EMG response than STANDARD (p < 0.001; Effect size (ES) = 3.01). Specifically, RA showed no significant differences between STANDARD and HOLLOWING (p = 0.056; ES = 0.285). However, for the remaining analyzed muscles, HOLLOWING significantly provided higher EMG activation compared to STANDARD (LES: p = 0.004; ES = 0.619; left EO: p < 0.001; ES = 1.031; right EO: p < 0.001; ES = 1.419; left IO: p < 0.001; ES = 2.021; right IO: p < 0.001; ES = 2.269). Regarding RPE, HOLLOWING reported values significantly greater than STANDARD (p < 0.001; ES = 2.94). In conclusion, integrating the AHM into the prone plank exercise enhances overall abdominal activity, particularly in both obliques. These findings provide updated guidelines for lumbar stabilization and core strengthening in health-related physical fitness programs.

Acute Effects of ACL Injury-Prevention Warm-Up and Soccer-Specific Fatigue Protocol on Dynamic Knee Valgus in Youth Male Soccer Players.

Childhood anterior cruciate ligament (ACL) injuries-which can pose a major risk to a child's sporting career-have been on the rise in the last few decades. Dynamic knee valgus (DKV) has been linked to an increased risk of ACL injury. Therefore, the aim of this study was to analyze the acute effects of an ACL injury prevention protocol (ACL-IPP) and a soccer-specific fatigue protocol (SSFP) on DKV in youth male soccer players. The research hypothesis was that DKV would be reduced by the ACL-IPP and increased by the SSFP. Eighteen youth male soccer players were divided according to baseline DKV. Those with moderate or large DKV performed a neuromuscular training protocol based on activation of the abductor and external rotator hip muscles. Those with little or no DKV performed a soccer-specific fatigue protocol. DKV was assessed using the single-leg squat pre- and post-protocols in both legs. The ACL-IPP significantly decreased DKV during single-leg squat (p < 0.01, effect size = 1.39), while the SSFP significantly increased baseline DKV in the dominant leg during single-leg squat (p = 0.012; effect size = 1.74). In conclusion, the ACL-IPP appears to acutely reduce the DKV in youth male soccer players, and the SSFP seems to acutely increase the DKV in those players who showed a light or no DKV in a non-fatigue situation. By using the SSFP, it may be possible to determine which players would benefit from injury prevention programs due to increased DKV during game scenarios, while hip abductor and external rotator neuromuscular training may be beneficial for players who have moderate and severe DKV during single-leg squat under non-fatigued scenarios.

Gamification in Physical Education: Evaluation of Impact on Motivation and Academic Performance within Higher Education.

Gamification is an innovative pedagogical approach to addressing problems related to social behaviour, student motivation and academic performance at different educational stages. Therefore, this research aimed to analyse its impact on the motivations and academic performances of university students. The research was carried out in the training of future teachers specialising in physical education during two academic courses. In total, 127 students participated in the study, divided into a gamified experimental group (n = 62) and a control group (n = 65). The participants completed a questionnaire to assess motivation in physical education before and after the intervention and performed a final exam to assess academic performance. The results indicated an increase in external regulation in the experimental group only. Furthermore, this group achieved significantly better academic performance. The findings of this study suggest that gamified implementation is beneficial for academic performance at the university stage, even though intrinsic motivation does not change. Furthermore, the nature of rewards or punishments, as characteristic of this pedagogical approach, could play an important role in the expected results, since external regulation increased significantly after the intervention.

Lumbatex: A Wearable Monitoring System Based on Inertial Sensors to Measure and Control the Lumbar Spine Motion.

Measuring the curvature of the lumbar spine is an important challenge in disciplines related to physical therapy, rehabilitation, and sports medicine seeking to solve the incidence of the low back pain and other spinal disorders in the population. In clinical practice, most of the methods used are manual or depend on the trained eye of the specialist who is measuring. We have developed Lumbatex: an integrated system based on inertial sensors integrated into a wearable textile device. This device is connected via Bluetooth to software, which interprets data from the sensors and provides real-time biofeedback to users in a graphical way and also a quantitative measure of the curvature and spinal motion. The system is tested in two ways: first, checking the accuracy detecting changes in curvatures; second, evaluating the usability and comfort from the user standpoint. The accuracy is checked through a static method getting curvature values from the device placed on curved platforms and a dynamic validation with volunteers performing different exercises. The results obtained showed a high accuracy measuring changes in curvature with an error lower than 1° in the static test and good usability and comfort according to the opinion of the volunteers.

[Analysis of the promoting actions of physical activity developed by Valencian public universities]. / Análisis de las acciones de promoción de la actividad física desarrolladas por las universidades públicas valencianas.

BACKGROUND: the Valencian Network of Healthy Public Universities (RVUPS) is part of the healthy environments of the World Health Organization (WHO). The aim of the network is to achieve healthier universities through different lines of action, emphasizing the promotion of physical activity and sports. AIM: the purpose of this study was to analyze and review the activities developed by the RVUPS on the promotion of FA and to assess, through key informants, the need to implement an AF service within the university context. METHODS: on the one hand, an analysis and review of the activities and services developed to promote FA and sports that are included in the "Healthy University" section of each of the universities that make up the RVUPS (n = 5) was carried out. In addition, a qualitative study was developed interviewing key informants from the University of Alicante (n = 16), with the aim to know their perception about the utility of implementing a physical activity service within the university context. RESULTS: currently, Valencian universities do not cover all the needs to achieve an adequate well-being state. In response, some universities from RVUPS offer individualized activities to prevent and treat some of the chronic pathologies that currently have a highest incidence in population. In addition, new services are being implemented, which integrate all health professionals in order to achieve a more comprehensive service to their population. The qualitative study revealed that interviewees also perceive such needs and, therefore, support these initiatives, considering that a physical activity and nutrition service would be an interesting option for implementation into universities. CONCLUSION: it is necessary to strengthen the promotion of the practice of physical activity within university population, through healthy breaks, and also with the implementation of a back pain prevention and rehabilitation service. The integration of physical activity and nutrition services could affect the improvement of the health of the university population, and would increase the physical practice, carrying out an assessment of physical fitness and a proper prescription of exercise, according to the personal health conditions of each member of the university population.

INTRODUCCIÓN: la Red Valenciana de Universidades Públicas Saludables (RVUPS) se enmarca en los entornos saludables de la Organización Mundial de la Salud (OMS). Su objetivo es conseguir universidades más saludables a través de diferentes líneas de actuación, destacando entre ellas la de la promoción de la actividad física (AF) y el deporte. OBJETIVO: este estudio tiene por objeto analizar y revisar las actividades desarrolladas por la RVUPS sobre promoción de la AF y valorar mediante informadores clave la necesidad de implantar un servicio de AF dentro del ámbito universitario. MÉTODOS: por una parte, se realizó un análisis y estudio de las actividades y servicios que se desarrollan para promocionar la AF y el deporte y que están incluidos en la sección de "Universidad Saludable" de cada una de las universidades que conforman la RVUPS (n = 5). Además, se realizó por otra parte un estudio cualitativo a informadores clave de la Universidad de Alicante (n = 16) para conocer la percepción de cada uno de ellos sobre la utilidad de implantar un servicio de actividad física dentro del ámbito universitario. RESULTADOS: actualmente, las universidades valencianas no cubren todas las necesidades para alcanzar un adecuado estado de bienestar. Como respuesta, algunas universidades ofrecen actividades individualizadas para prevenir y tratar alguna de las patologías que mayor incidencia tienen en la actualidad. Además, se están implantando nuevos servicios que integran a todos los profesionales de la salud a fin de conseguir un servicio más completo e integral a su comunidad. El estudio cualitativo reveló que entrevistados también perciben tales necesidades y, por tanto, apoyan estas iniciativas, considerando que un servicio de AF y nutrición sería una interesante opción de implantación en las universidades. CONCLUSIONES: es necesario reforzar el fomento de la práctica de AF dentro de la comunidad universitaria, a través de pautas saludables y con la implantación de un servicio de prevención del dolor de espalda. La integración de servicios de AF y nutrición podría incidir en la mejora de la salud de la comunidad universitaria, a la vez que aumentaría la práctica de AF, realizando una valoración de la condición física y una prescripción de ejercicio físico acorde a las condiciones de salud de cada persona.

Influence of Scapular Position on the Core Musculature Activation in the Prone Plank Exercise.

Cortell-Tormo, JM, García-Jaén, M, Chulvi-Medrano, I, Hernández-Sánchez, S, Lucas-Cuevas, ÁG, and Tortosa-Martínez, J. Influence of scapular position on the core musculature activation in the prone plank exercise. J Strength Cond Res 31(8): 2255-2262, 2017-Prone plank is a widely used exercise in core stability training. Research has shown that pelvic tilt plays an important role on the electromyographic (EMG) activation of core musculature. However, the influence of scapular position on EMG activation is currently unknown. Therefore, this study evaluated the influence of scapular position on the core muscles during a prone plank. Surface EMG of the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spinae (ES) was collected in 15 participants (10 men and 5 women). Four variations of the prone plank were evaluated: scapular abduction with anterior (ABANT) and posterior (ABRET) pelvic tilt; and scapular adduction with anterior (ADANT), and posterior (ADRET) pelvic tilt. Individual muscle EMG and overall EMG for each plank exercise was analyzed. Joint positions were controlled with a 2D kinematic analysis. Ratings of perceived exertion (RPE) were also registered. The ADRET resulted in higher overall EMG activity compared with ABANT (p = 0.04) and ADANT (p = 0.04). Moreover, ADRET resulted in greater EMG activity compared with ADANT, ABANT, and ABRET for EO (p = 0.000; p = 0.000; p = 0.035), IO (p = 0.000; p = 0.000; p = 0.005), and ES (p = 0.019; p = 0.001; p = 0.014). Regarding RA, ADRET was significantly higher compared with ADANT (p = 0.002) and ABANT (p = 0.005). Finally, ADRET provoked a higher RPE compared with ABANT (p = 0.000), ABRET (p = 0.001), and ADANT (p = 0.015). These findings demonstrate the influence of the scapular and pelvic position on the EMG response of the core muscle groups analyzed in this study, and highlight the greater contribution of these muscles to the postural stabilizing demands during posterior pelvic tilt positions, particularly when the scapulae are in adduction.