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Bandiera D, Racinais S, Garrandes F, Adami PE, Bermon S, Pitsiladis YP, Tessitore A. Heat-related risk at Paris 2024: a proposal for classification and review of International Federations policies. Br J Sports Med 2024; 58:860-869. [PMID: 38950917 DOI: 10.1136/bjsports-2024-108310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2024] [Indexed: 07/03/2024]
Abstract
Several International Federations (IFs) employ specific policies to protect athletes' health from the danger of heat. Most policies rely on the measurement of thermal indices such as the Wet Bulb Globe Temperature (WBGT) to estimate the risk of heat-related illness. This review summarises the policies implemented by the 32 IFs of the 45 sports included in the Paris 2024 Olympic Games. It provides details into the venue type, measured parameters, used thermal indices, measurement procedures, mitigation strategies and specifies whether the policy is a recommendation or a requirement. Additionally, a categorisation of sports' heat stress risk is proposed. Among the 15 sports identified as high, very high or extreme risk, one did not have a heat policy, three did not specify any parameter measurement, one relied on water temperature, two on air temperature and relative humidity, seven on WBGT (six measured on-site and one estimated) and one on the Heat Stress Index. However, indices currently used in sports have been developed for soldiers or workers and may not adequately reflect the thermal strain endured by athletes. Notably, they do not account for the athletes' high metabolic heat production and their level of acclimation. It is, therefore, worthwhile listing the relevance of the thermal indices used by IFs to quantify the risk of heat stress, and in the near future, develop an index adapted to the specific needs of athletes.
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Affiliation(s)
- David Bandiera
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Roma, Italy
- Environmental Stress Unit, CREPS Montpellier-Font Romeu, Montpellier, France
| | - Sebastien Racinais
- Environmental Stress Unit, CREPS Montpellier-Font Romeu, Montpellier, France
- UMR 866 INRAE Université de Montpellier, Montpellier, France
| | | | | | | | - Yannis P Pitsiladis
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Roma, Italy
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, Kowloon, Hong Kong
| | - Antonio Tessitore
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Roma, Italy
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2
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Guppy F, Muniz-Pardos B, Angeloudis K, Grivas GV, Pitsiladis A, Bundy R, Zelenkova I, Tanisawa K, Akiyama H, Keramitsoglou I, Miller M, Knopp M, Schweizer F, Luckfiel T, Ruiz D, Racinais S, Pitsiladis Y. Technology Innovation and Guardrails in Elite Sport: The Future is Now. Sports Med 2023; 53:97-113. [PMID: 37787844 PMCID: PMC10721698 DOI: 10.1007/s40279-023-01913-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/15/2023] [Indexed: 10/04/2023]
Abstract
A growing number of companies are developing or using wearable sensor technologies that can monitor, analyse and transmit data from humans in real time that can be used by the sporting, biomedical and media industries. To explore this phenomenon, we describe and review two high-profile sporting events where innovations in wearable technologies were trialled: the Tokyo 2020 Summer Olympic Games (Tokyo 2020, Japan) and the 2022 adidas Road to Records (Germany). These two major sporting events were the first time academic and industry partners came together to implement real-time wearable solutions during major competition, to protect the health of athletes competing in hot and humid environments, as well as to better understand how these metrics can be used moving forwards. Despite the undoubted benefits of such wearables, there are well-founded concerns regarding their use including: (1) limited evidence quantifying the potential beneficial effects of analysing specific parameters, (2) the quality of hardware and provided data, (3) information overload, (4) data security and (5) exaggerated marketing claims. Employment and sporting rules and regulations also need to evolve to facilitate the use of wearable devices. There is also the potential to obtain real-time data that will oblige medical personnel to make crucial decisions around whether their athletes should continue competing or withdraw for health reasons. To protect athletes, the urgent need is to overcome these ethical/data protection concerns and develop wearable technologies that are backed by quality science. The fields of sport and exercise science and medicine provide an excellent platform to understand the impact of wearable sensors on performance, wellness, health, and disease.
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Affiliation(s)
- Fergus Guppy
- Institute of Life and Earth Sciences, School of Energy, Geoscience, Infrastructure and Society, Heriot-Watt University, Edinburgh, UK
| | - Borja Muniz-Pardos
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Saragossa, Spain
| | - Konstantinos Angeloudis
- Institute of Life and Earth Sciences, School of Energy, Geoscience, Infrastructure and Society, Heriot-Watt University, Edinburgh, UK
| | - Gerasimos V Grivas
- Physical Education and Sports, Division of Humanities and Political Sciences, Hellenic Naval Academy, Piraeus, Athens, Greece
| | | | | | - Irina Zelenkova
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Saragossa, Spain
| | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Hiroshi Akiyama
- Graduate School of Sport Sciences, Waseda University, Tokorozawa, Japan
| | | | - Mike Miller
- Human Telemetrics, London, UK
- World Olympians Association, Lausanne, Switzerland
| | - Melanie Knopp
- adidas Innovation, adidas AG, Herzogenaurach, Germany
| | | | | | - Daniel Ruiz
- adidas Innovation, adidas AG, Herzogenaurach, Germany
| | - Sebastien Racinais
- Environmental Stress Unit, CREPS Montpellier - Font Romeu, Montpellier, France
| | - Yannis Pitsiladis
- Human Telemetrics, London, UK.
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong SAR, Hong Kong.
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3
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Singh G, Bennett KJ, Taylor L, Stevens CJ. Core body temperature responses during competitive sporting events: A narrative review. Biol Sport 2023; 40:1003-1017. [PMID: 37867748 PMCID: PMC10588574 DOI: 10.5114/biolsport.2023.124842] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 08/12/2022] [Accepted: 11/26/2022] [Indexed: 10/24/2023] Open
Abstract
Due to the lack of research in real-world sports competitions, the International Olympic Committee, in 2012, called for data characterising athletes' sport and event-specific thermal profiles. Studies clearly demonstrate that elite athletes often attain a core body temperature (Tc) ≥ 40°C without heat-related medical issues during competition. However, practitioners, researchers and ethical review boards continue to cite a Tc ≥ 40°C (and lower) as a threshold where athlete health is impacted (an assumption from laboratory studies). Therefore, this narrative review aims to: (i) summarise and review published data on Tc responses during competitive sport and identify key considerations for practitioners; (ii) establish the incidence of athletes experiencing a Tc ≥ 40°C in competitive sport alongside the incidence of heat illness/heat stroke (EHI/EHS) symptoms; and (iii) discuss the evolution of Tc measurement during competition. The Tc response is primarily based on the physical demands of the sport, environmental conditions, competitive level, and athlete disability. In the reviewed research, 11.9% of athletes presented a Tc ≥ 40°C, with only 2.8% of these experiencing EHI/EHS symptoms, whilst a high Tc ≥ 40°C (n = 172; Tc range 40-41.5°C) occurred across a range of sports and environmental conditions (including some temperate environments). Endurance athletes experienced a Tc ≥ 40°C more than intermittent athletes, but EHI/EHS was similar. This review demonstrates that a Tc ≥ 40°C is not a consistently meaningful risk factor of EHI/EHS symptomology in this sample; therefore, Tc monitoring alongside secondary measures (i.e. general cognitive disturbance and gait disruption) should be incorporated to reduce heat-related injuries during competition.
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Affiliation(s)
- Gurpreet Singh
- Physical Activity, Sport, and Exercise Research Theme, Faculty of Health, Southern Cross University, Australia
| | - Kyle J.M. Bennett
- Physical Activity, Sport, and Exercise Research Theme, Faculty of Health, Southern Cross University, Australia
| | - Lee Taylor
- Loughborough University, School of Sport, Exercise and Health Sciences, Loughborough, UK
- University of Technology, Sydney (UTS), Human Performance Research Centre, Sydney, Australia
- University of Technology Sydney (UTS), Sport & Exercise Discipline Group, Faculty of Health, Sydney, Australia
| | - Christopher J. Stevens
- Physical Activity, Sport, and Exercise Research Theme, Faculty of Health, Southern Cross University, Australia
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4
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Sandbakk Ø, Pyne DB, McGawley K, Foster C, Talsnes RK, Solli GS, Millet GP, Seiler S, Laursen PB, Haugen T, Tønnessen E, Wilber R, van Erp T, Stellingwerff T, Holmberg HC, Bucher Sandbakk S. The Evolution of World-Class Endurance Training: The Scientist's View on Current and Future Trends. Int J Sports Physiol Perform 2023:1-5. [PMID: 37369366 DOI: 10.1123/ijspp.2023-0131] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 06/05/2023] [Accepted: 06/07/2023] [Indexed: 06/29/2023]
Abstract
BACKGROUND Elite sport is continuously evolving. World records keep falling and athletes from a longer list of countries are involved. PURPOSE This commentary was designed to provide insights into present and future trends associated with world-class endurance training based on the perspectives, experience, and knowledge of an expert panel of 25 applied sport scientists. RESULTS The key drivers of development observed in the past 10-15 years were related to (1) more accessible scientific knowledge for coaches and athletes combined with (2) better integration of practical and scientific exchange across multidisciplinary perspectives within professionalized elite athlete support structures, as well as (3) utilization of new technological advances. Based on these perspectives, we discerned and exemplified the main trends in the practice of endurance sports into the following categories: better understanding of sport-specific demands; improved competition execution; larger, more specific, and more precise training loads; improved training quality; and a more professional and healthier lifestyle. The main areas expected to drive future improvements were associated with more extensive use of advanced technology for monitoring and prescribing training and recovery, more precise use of environmental and nutritional interventions, better understanding of athlete-equipment interactions, and greater emphasis on preventing injuries and illnesses. CONCLUSIONS These expert insights can serve as a platform and inspiration to develop new hypotheses and ideas, encourage future collaboration between researchers and sport practitioners, and, perhaps most important, stimulate curiosity and further collaborative studies about the training, physiology, and performance of endurance athletes.
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Affiliation(s)
- Øyvind Sandbakk
- Center for Elite Sports Research, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim,Norway
| | - David B Pyne
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT,Australia
| | - Kerry McGawley
- Swedish Winter Sports Research Center, Department of Health Sciences, Mid Sweden University, Östersund,Sweden
| | - Carl Foster
- Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI,USA
| | - Rune Kjøsen Talsnes
- Center for Elite Sports Research, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim,Norway
| | - Guro Strøm Solli
- Department of Sports Science and Physical Education, Nord University, Trondheim,Norway
| | - Grégoire P Millet
- Institute of Sport Sciences, University of Lausanne, Bodø,Switzerland
| | - Stephen Seiler
- Department of Sport Science and Physical Education, University of Agder, Kristiansand,Norway
| | - Paul B Laursen
- Sports Performance and Athlete Development Environments (SPADE), University of Agder, Kristiansand,Norway
- Sports Performance Research Institute New Zealand (SPRINZ), AUT University, Auckland,New Zealand
| | - Thomas Haugen
- School of Health Sciences, Kristiania University College, Oslo,Norway
| | - Espen Tønnessen
- School of Health Sciences, Kristiania University College, Oslo,Norway
| | - Randy Wilber
- United States Olympic Committee, Colorado Springs, CO,USA
| | - Teun van Erp
- Division of Movement Science and Exercise Therapy (MSET), Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg,South Africa
| | | | - Hans-Christer Holmberg
- Department of Health Sciences, Luleå University of Technology, Luleå,Sweden
- School of Kinesiology, University of British Columbia, Vancouver, BC,Canada
| | - Silvana Bucher Sandbakk
- Department of Teacher Education, Norwegian University of Science and Technology, Trondheim,Norway
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5
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Wang X, Shang X, Li X, Liu S, Lai B, Ma L, Sun Y, Ma L, Ning B, Li Y, Wang Q. Phase-change material cooling blanket: A feasible cooling choice during transport after exercise-induced hyperthermia. J Therm Biol 2023; 114:103576. [PMID: 37344017 DOI: 10.1016/j.jtherbio.2023.103576] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 04/15/2023] [Accepted: 04/16/2023] [Indexed: 06/23/2023]
Abstract
BACKGROUND Exercise-induced hyperthermia preceding the onset of exertional heatstroke requires a rapid reduction in the body core temperature (Tcore) to ensure safety. In recent years, phase-change material (PCM) cooling devices have been increasingly used for rapid cooling after hyperthermia due to their superior capacity for heat absorption. OBJECTIVES This study aimed to evaluate the cooling performance and effectiveness of a PCM cooling blanket on heart rate (HR) and heart rate variability (HRV) recovery after exercise-induced hyperthermia. DESIGN Randomized cross-over. METHODS The study participants were 12 male volunteers who were engaged in professional training and completed an endurance exercise for approximately 30 min in a hot and humid environment (temperature ≈ 30 °C; relative humidity ≈ 66%). The participants underwent a 30-min cooling trial after exercise, receiving either treatment with a PCM cooling blanket (PCM group) or natural cooling (CON group). The Tcore, HR, and HRV time-domain indices were used for analysis. RESULTS The Tcore values were significantly lower in the PCM group during cooling. Reductions in the Tcore from precooling to 20 min of cooling were significantly greater in the PCM group than in the CON group. The HR in the PCM group was lower than that recorded in the CON group at 10 and 20 min of cooling. The reduction in HR during cooling from precooling was also significantly greater in the PCM group. HRV time-domain indices during cooling in the PCM group were significantly lower compared with the CON group while elevations in some HRV time-domain indices from precooling to postcooling were significantly greater in the PCM group than in the CON group. CONCLUSIONS The PCM cooling blanket had good cooling performance and the ability to hasten recovery of both HR and HRV. It may serve as a feasible cooling choice during transport after exercise-induced hyperthermia.
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Affiliation(s)
- Xin Wang
- Department of Critical Care Medicine, The Fifth Medical Center of Chinese PLA General Hospital, No.8 of East Street, Beijing, 100071, China
| | - Xueyi Shang
- Department of Critical Care Medicine, The Fifth Medical Center of Chinese PLA General Hospital, No.8 of East Street, Beijing, 100071, China
| | - Xin Li
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China
| | - Shuyuan Liu
- Emergency Department, The Sixth Medical Center of Chinese PLA General Hospital, No.6 of Fucheng Road, Beijing, 100048, China
| | - Bin Lai
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China
| | - Lizhi Ma
- Department of Medical Risk Management, The Third Medical Center of Chinese PLA General Hospital, No. 69 of Yongding Road, Beijing, 100039, China
| | - Ying Sun
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China
| | - Lan Ma
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China
| | - Bo Ning
- Department of Intensive Care Unit, Air Force Medical Center of China, No.30 of Fucheng Road, Beijing, 100142, China
| | - Yan Li
- Department of Critical Care Medicine, The Fifth Medical Center of Chinese PLA General Hospital, No.8 of East Street, Beijing, 100071, China
| | - Qian Wang
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China.
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6
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Racinais S, Hosokawa Y, Akama T, Bermon S, Bigard X, Casa DJ, Grundstein A, Jay O, Massey A, Migliorini S, Mountjoy M, Nikolic N, Pitsiladis YP, Schobersberger W, Steinacker JM, Yamasawa F, Zideman DA, Engebretsen L, Budgett R. IOC consensus statement on recommendations and regulations for sport events in the heat. Br J Sports Med 2023; 57:8-25. [PMID: 36150754 PMCID: PMC9811094 DOI: 10.1136/bjsports-2022-105942] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2022] [Indexed: 01/07/2023]
Abstract
This document presents the recommendations developed by the IOC Medical and Scientific Commission and several international federations (IF) on the protection of athletes competing in the heat. It is based on a working group, meetings, field experience and a Delphi process. The first section presents recommendations for event organisers to monitor environmental conditions before and during an event; to provide sufficient ice, shading and cooling; and to work with the IF to remove regulatory and logistical limitations. The second section summarises recommendations that are directly associated with athletes' behaviours, which include the role and methods for heat acclimation; the management of hydration; and adaptation to the warm-up and clothing. The third section explains the specific medical management of exertional heat stroke (EHS) from the field of play triage to the prehospital management in a dedicated heat deck, complementing the usual medical services. The fourth section provides an example for developing an environmental heat risk analysis for sport competitions across all IFs. In summary, while EHS is one of the leading life-threatening conditions for athletes, it is preventable and treatable with the proper risk mitigation and medical response. The protection of athletes competing in the heat involves the close cooperation of the local organising committee, the national and international federations, the athletes and their entourages and the medical team.
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Affiliation(s)
- Sebastien Racinais
- Research and Scientific Support Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Ad Dawhah, Qatar
| | - Yuri Hosokawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Takao Akama
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | | | - Xavier Bigard
- Union Cycliste Internationale (UCI), Aigle, Switzerland
| | - Douglas J Casa
- Korey Stringer Institiute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
| | - Andrew Grundstein
- Department of Geography, University of Georgia, Athens, Georgia, USA
| | - Ollie Jay
- Heat and Health Research Incubator, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia
| | - Andrew Massey
- Medical Department, Federation Internationale de Football Association, Zurich, Switzerland
| | | | | | | | | | - Wolfgang Schobersberger
- Institute for Sports Medicine, Alpine Medicine & Health Tourism (ISAG), UMIT Tirol – Private University for Health Sciences and technology, Hall, Austria,University Hospital/Tirol Kliniken, Innsbruck, Austria
| | | | | | - David Anthony Zideman
- International Olympic Committee Medical and Scientific Games Group, Pinner, Middlesex, UK
| | - Lars Engebretsen
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
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7
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Seshadri DR, Harlow ER, Thom ML, Emery MS, Phelan DM, Hsu JJ, Düking P, De Mey K, Sheehan J, Geletka B, Flannery R, Calcei JG, Karns M, Salata MJ, Gabbett TJ, Voos JE. Wearable technology in the sports medicine clinic to guide the return-to-play and performance protocols of athletes following a COVID-19 diagnosis. Digit Health 2023; 9:20552076231177498. [PMID: 37434736 PMCID: PMC10331194 DOI: 10.1177/20552076231177498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 05/06/2023] [Indexed: 07/13/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has enabled the adoption of digital health platforms for self-monitoring and diagnosis. Notably, the pandemic has had profound effects on athletes and their ability to train and compete. Sporting organizations worldwide have reported a significant increase in injuries manifesting from changes in training regimens and match schedules resulting from extended quarantines. While current literature focuses on the use of wearable technology to monitor athlete workloads to guide training, there is a lack of literature suggesting how such technology can mediate the return to sport processes of athletes infected with COVID-19. This paper bridges this gap by providing recommendations to guide team physicians and athletic trainers on the utility of wearable technology for improving the well-being of athletes who may be asymptomatic, symptomatic, or tested negative but have had to quarantine due to a close exposure. We start by describing the physiologic changes that occur in athletes infected with COVID-19 with extended deconditioning from a musculoskeletal, psychological, cardiopulmonary, and thermoregulatory standpoint and review the evidence on how these athletes may safely return to play. We highlight opportunities for wearable technology to aid in the return-to-play process by offering a list of key parameters pertinent to the athlete affected by COVID-19. This paper provides the athletic community with a greater understanding of how wearable technology can be implemented in the rehabilitation process of these athletes and spurs opportunities for further innovations in wearables, digital health, and sports medicine to reduce injury burden in athletes of all ages.
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Affiliation(s)
- Dhruv R Seshadri
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
| | - Ethan R Harlow
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Mitchell L Thom
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Michael S Emery
- Sports Cardiology Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Dermot M Phelan
- Sanger Heart and Vascular Institute, Atrium Health, Charlotte, NC, USA
| | - Jeffrey J Hsu
- David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
| | - Peter Düking
- Integrative and Experimental Exercise Science, Department of Sport Science, University of Würzburg, Würzburg, Germany
| | | | | | - Benjamin Geletka
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
- University Hospitals Rehabilitation Services and Sports Medicine, Cleveland, OH, USA
| | - Robert Flannery
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Jacob G Calcei
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Michael Karns
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Michael J Salata
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Tim J Gabbett
- Gabbett Performance Solutions, Brisbane, Australia
- Centre for Health Research, University of Southern Queensland, Ipswich, Australia
- School of Science, Psychology and Sport, Federation University, Ballarat, Australia
| | - James E Voos
- University Hospitals Sports Medicine Institute, Cleveland, OH, USA
- Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
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8
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Muniz-Pardos B, Angeloudis K, Guppy FM, Keramitsoglou I, Sutehall S, Bosch A, Tanisawa K, Hosokawa Y, Ash GI, Schobersberger W, Grundstein AJ, Casa DJ, Morrissey MC, Yamasawa F, Zelenkova I, Racinais S, Pitsiladis Y. Wearable and telemedicine innovations for Olympic events and elite sport. J Sports Med Phys Fitness 2021; 61:1061-1072. [PMID: 34256539 DOI: 10.23736/s0022-4707.21.12752-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Rapid advances in wearable technologies and real-time monitoring have resulted in major inroads in the world of recreational and elite sport. One such innovation is the application of real-time monitoring, which comprises a smartwatch application and ecosystem, designed to collect, process and transmit a wide range of physiological, biomechanical, bioenergetic and environmental data using cloud-based services. We plan to assess the impact of this wireless technology during Tokyo 2020, where this technology could help characterize the physiological and thermal strain experienced by an athlete, as well as determine future management of athletes during a medical emergency as a result of a more timely and accurate diagnosis. Here we describe some of the innovative technologies developed for numerous sports at Tokyo 2020 ranging from race walking (20 km and 50 km events), marathon, triathlon, road cycling (including the time trial event), mountain biking, to potentially team sports played outdoors. A more symbiotic relationship between sport, health and technology needs to be encouraged that harnesses the unique demands of elite sport (e.g., the need for unobtrusive devices that provide real-time feedback) and serves as medical and preventive support for the athlete's care. The implementation of such applications would be particularly welcome in the field of medicine (i.e., telemedicine applications) and the workplace (with particular relevance to emergency services, the military and generally workers under extreme environmental conditions). Laboratory and field-based studies are required in simulated scenarios to validate such emerging technologies, with the field of sport serving as an excellent model to understand and impact disease.
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Affiliation(s)
- Borja Muniz-Pardos
- GENUD Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
| | | | - Fergus M Guppy
- Center for Stress and Age-Related Disease, University of Brighton, Brighton, UK.,School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK
| | | | - Shaun Sutehall
- Division of Physiological Sciences, Department of Human Biology, University of Cape Town, Cape Town, South Africa
| | - Andrew Bosch
- Division of Physiological Sciences, Department of Human Biology, University of Cape Town, Cape Town, South Africa
| | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Yuri Hosokawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Garrett I Ash
- Center for Medical Informatics, Yale School of Medicine, New Haven, CT, USA.,Pain Research, Informatics, Multi-morbidities, and Education (PRIME) Center, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
| | - Wolfgang Schobersberger
- Institute for Sports Medicine, Alpine Medicine and Health Tourism (ISAG), Tirol Kliniken Innsbruck and Private University UMIT TIROL, Hall, Austria
| | | | - Douglas J Casa
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | | | | | - Irina Zelenkova
- GENUD Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
| | - Sébastien Racinais
- Department and Research and Scientific Support, Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar
| | - Yannis Pitsiladis
- Center for Stress and Age-Related Disease, University of Brighton, Brighton, UK - .,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Center for Exercise Sciences and Sports Medicine, FIMS Collaborating Center of Sports Medicine, Rome, Italy.,European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
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9
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Muniz-Pardos B, Angeloudis K, Guppy FM, Tanisawa K, Hosokawa Y, Ash G, Schobersberger W, Grundstein A, Bargoria V, Lwande GO, Ombaka JH, Ergen E, Yamasawa F, Racinais S, Casa DJ, Pitsiladis YP. Potential use of new cooling technologies during Tokyo 2020 Olympics and associated ethical dilemmas. Br J Sports Med 2021; 55:1315-1316. [PMID: 33990295 DOI: 10.1136/bjsports-2021-104014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Borja Muniz-Pardos
- GENUD Research group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
| | | | - Fergus M Guppy
- Centre for Stress and Age Related Disease, University of Brighton, Brighton, UK.,School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK
| | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Yuri Hosokawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Garrett Ash
- Center for Medical Informatics, Yale School of Medicine, New Haven, Connecticut, USA.,Pain Research, Informatics, Multi-morbidities, and Education (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA
| | - Wolfgang Schobersberger
- Institute for Sports Medicine, Alpine Medicine and Health Tourism, Private University UMIT TIROL, Hall and Tirol Kliniken GmbH, Innsbruck, Austria
| | - Andrew Grundstein
- Department of Geography, University of Georgia, Athens, Georgia, USA
| | - Victor Bargoria
- Moi University, School of Medicine, Department of Orthopaedics and Trauma, Moi University, Eldoret, Kenya.,Team Doctor, Athletics Kenya, Nairobi, Kenya
| | - Gerald O Lwande
- Department of Biomedical Sciences and Technology, School of Public Health and Community Development, Maseno University, Kisumu, Kenya
| | - James H Ombaka
- Department of Biomedical Sciences and Technology, School of Public Health and Community Development, Maseno University, Kisumu, Kenya
| | - Emin Ergen
- Halic University, School of Sport Sciences, Istanbul, Turkey.,Chief Medical Officer, Turkish National Olympic Committee (TNOC), Istanbul, Turkey
| | | | - Sebastien Racinais
- Research and Scientific Support, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Douglas J Casa
- Korey Stringer Institute, University of Connecticut, Storrs, Connecticut, USA
| | - Yannis P Pitsiladis
- Centre for Stress and Age Related Disease, University of Brighton, Brighton, UK .,Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
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