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Kim SE, Burket Koltsov JC, Richards AW, Zhou J, Schadl K, Ladd AL, Rose J. Validation of Inertial Measurement Units for Analyzing Golf Swing Rotational Biomechanics. Sensors (Basel) 2023; 23:8433. [PMID: 37896527 PMCID: PMC10611231 DOI: 10.3390/s23208433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 10/10/2023] [Accepted: 10/11/2023] [Indexed: 10/29/2023]
Abstract
Training devices to enhance golf swing technique are increasingly in demand. Golf swing biomechanics are typically assessed in a laboratory setting and not readily accessible. Inertial measurement units (IMUs) offer improved access as they are wearable, cost-effective, and user-friendly. This study investigates the accuracy of IMU-based golf swing kinematics of upper torso and pelvic rotation compared to lab-based 3D motion capture. Thirty-six male and female professional and amateur golfers participated in the study, nine in each sub-group. Golf swing rotational kinematics, including upper torso and pelvic rotation, pelvic rotational velocity, S-factor (shoulder obliquity), O-factor (pelvic obliquity), and X-factor were compared. Strong positive correlations between IMU and 3D motion capture were found for all parameters; Intraclass Correlations ranged from 0.91 (95% confidence interval [CI]: 0.89, 0.93) for O-factor to 1.00 (95% CI: 1.00, 1.00) for upper torso rotation; Pearson coefficients ranged from 0.92 (95% CI: 0.92, 0.93) for O-factor to 1.00 (95% CI: 1.00, 1.00) for upper torso rotation (p < 0.001 for all). Bland-Altman analysis demonstrated good agreement between the two methods; absolute mean differences ranged from 0.61 to 1.67 degrees. Results suggest that IMUs provide a practical and viable alternative for golf swing analysis, offering golfers accessible and wearable biomechanical feedback to enhance performance. Furthermore, integrating IMUs into golf coaching can advance swing analysis and personalized training protocols. In conclusion, IMUs show significant promise as cost-effective and practical devices for golf swing analysis, benefiting golfers across all skill levels and providing benchmarks for training.
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Affiliation(s)
- Sung Eun Kim
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
- Motion & Gait Analysis Lab, Lucile Packard Children’s Hospital, Palo Alto, CA 94304, USA
| | - Jayme Carolynn Burket Koltsov
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
| | - Alexander Wilder Richards
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
| | - Joanne Zhou
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
| | - Kornel Schadl
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
- Motion & Gait Analysis Lab, Lucile Packard Children’s Hospital, Palo Alto, CA 94304, USA
| | - Amy L. Ladd
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
| | - Jessica Rose
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA 94305, USA; (S.E.K.); (J.C.B.K.); (J.Z.); (K.S.); (A.L.L.)
- Motion & Gait Analysis Lab, Lucile Packard Children’s Hospital, Palo Alto, CA 94304, USA
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Zhou JY, Richards A, Schadl K, Ladd A, Rose J. The swing performance Index: Developing a single-score index of golf swing rotational biomechanics quantified with 3D kinematics. Front Sports Act Living 2022; 4:986281. [PMID: 36619352 PMCID: PMC9816382 DOI: 10.3389/fspor.2022.986281] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 11/30/2022] [Indexed: 12/24/2022] Open
Abstract
Introduction Golf swing generates power through coordinated rotations of the pelvis and upper torso, which are highly consistent among professionals. Currently, golf performance is graded on handicap, length-of-shot, and clubhead-speed-at-impact. No performance indices are grading the technique of pelvic and torso rotations. As an initial step toward developing a performance index, we collected kinematic metrics of swing rotational biomechanics and hypothesized that a set of these metrics could differentiate between amateur and pro players. The aim of this study was to develop a single-score index of rotational biomechanics based on metrics that are consistent among pros and could be derived in the future using inertial measurement units (IMU). Methods Golf swing rotational biomechanics was analyzed using 3D kinematics on eleven professional (age 31.0 ± 5.9 years) and five amateur (age 28.4 ± 6.9 years) golfers. Nine kinematic metrics known to be consistent among professionals and could be obtained using IMUs were selected as candidate variables. Oversampling was used to account for dataset imbalances. All combinations, up to three metrics, were tested for suitability for factor analysis using Kaiser-Meyer-Olkin tests. Principal component analysis was performed, and the logarithm of Euclidean distance of principal components between golf swings and the average pro vector was used to classify pro vs. amateur golf swings employing logistic regression and leave-one-out cross-validation. The area under the receiver operating characteristic curve was used to determine the optimal set of kinematic metrics. Results A single-score index calculated using peak pelvic rotational velocity pre-impact, pelvic rotational velocity at impact, and peak upper torso rotational velocity post-impact demonstrated strong predictive performance to differentiate pro (mean ± SD:100 ± 10) vs. amateur (mean ± SD:82 ± 4) golfers with an AUC of 0.97 and a standardized mean difference of 2.12. Discussion In this initial analysis, an index derived from peak pelvic rotational velocity pre-impact, pelvic rotational velocity at impact, and peak upper torso rotational velocity post-impact demonstrated strong predictive performance to differentiate pro from amateur golfers. Swing Performance Index was developed using a limited sample size; future research is needed to confirm results. The Swing Performance Index aims to provide quantified feedback on swing technique to improve performance, expedite training, and prevent injuries.
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Affiliation(s)
- Joanne Y. Zhou
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States
| | - Alexander Richards
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States
| | - Kornel Schadl
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States,Motion & Gait Analysis Lab, Lucile Packard Children's Hospital, Palo Alto, CA, United States
| | - Amy Ladd
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States,Motion & Gait Analysis Lab, Lucile Packard Children's Hospital, Palo Alto, CA, United States
| | - Jessica Rose
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States,Motion & Gait Analysis Lab, Lucile Packard Children's Hospital, Palo Alto, CA, United States,Correspondence: Jessica Rose
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Greve KR, Joseph CF, Berry BE, Schadl K, Rose J. Neuromuscular electrical stimulation to augment lower limb exercise and mobility in individuals with spastic cerebral palsy: A scoping review. Front Physiol 2022; 13:951899. [PMID: 36111153 PMCID: PMC9468780 DOI: 10.3389/fphys.2022.951899] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 07/25/2022] [Indexed: 11/13/2022] Open
Abstract
Background: Neuromuscular Electrical Stimulation (NMES) is an emerging assistive technology applied through surface or implanted electrodes to augment skeletal muscle contraction. NMES has the potential to improve function while reducing the neuromuscular impairments of spastic cerebral palsy (CP). This scoping review examines the application of NMES to augment lower extremity exercises for individuals with spastic CP and reports the effects of NMES on neuromuscular impairments and function in spastic CP, to provide a foundation of knowledge to guide research and development of more effective treatment. Methods: A literature review of Scopus, Medline, Embase, and CINAHL databases were searched from 2001 to 2 November 2021 with identified inclusion and exclusion criteria. Results: Out of 168 publications identified, 33 articles were included. Articles on three NMES applications were identified, including NMES-assisted strengthening, NMES-assisted gait, and NMES for spasticity reduction. NMES-assisted strengthening included the use of therapeutic exercises and cycling. NMES-assisted gait included the use of NMES to improve gait patterns. NMES-spasticity reduction included the use of transcutaneous electrical stimulation or NMES to decrease tone. Thirteen studies investigated NMES-assisted strengthening, eleven investigated therapeutic exercise and demonstrated significant improvements in muscle structure, strength, gross motor skills, walking speed, and functional mobility; three studies investigated NMES-assisted cycling and demonstrated improved gross motor skills and walking distance or speed. Eleven studies investigated NMES-assisted gait and demonstrated improved muscle structure, strength, selective motor control, gross motor skills, and gait mechanics. Seven studies investigated NMES for spasticity reduction, and five of the seven studies demonstrated reduced spasticity. Conclusion: A growing body of evidence supports the use of NMES-assisted strengthening, NMES-assisted gait, and NMES for spasticity reduction to improve functional mobility for individuals with spastic CP. Evidence for NMES to augment exercise in individuals with spastic CP remains limited. NMES protocols and parameters require further clarity to translate knowledge to clinicians. Future research should be completed to provide richer evidence to transition to more robust clinical practice.
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Affiliation(s)
- Kelly R. Greve
- Division of Occupational Therapy and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States
- Department of Rehabilitation, Exercise and Nutrition Sciences, University of Cincinnati, College of Allied Health Sciences, Cincinnati, OH, United States
- *Correspondence: Kelly R. Greve,
| | - Christopher F. Joseph
- Department of Physical Therapy, Kennedy Krieger Institute, Baltimore, MD, United States
| | - Blake E. Berry
- Division of Occupational Therapy and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States
- Department of Rehabilitation, Exercise and Nutrition Sciences, University of Cincinnati, College of Allied Health Sciences, Cincinnati, OH, United States
| | - Kornel Schadl
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States
- Motion and Gait Analysis Lab, Lucile Packard Children’s Hospital, Stanford Children’s Health, Stanford, CA, United States
| | - Jessica Rose
- Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States
- Motion and Gait Analysis Lab, Lucile Packard Children’s Hospital, Stanford Children’s Health, Stanford, CA, United States
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Pemmaraju R, Minahan R, Wang E, Schadl K, Daldrup-Link H, Habte F. Web-Based Application for Biomedical Image Registry, Analysis, and Translation (BiRAT). Tomography 2022; 8:1453-1462. [PMID: 35736865 PMCID: PMC9228304 DOI: 10.3390/tomography8030117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/23/2022] [Accepted: 05/27/2022] [Indexed: 11/18/2022] Open
Abstract
Imaging has become an invaluable tool in preclinical research for its capability to non-invasively detect and monitor disease and assess treatment response. With the increased use of preclinical imaging, large volumes of image data are being generated requiring critical data management tools. Due to proprietary issues and continuous technology development, preclinical images, unlike DICOM-based images, are often stored in an unstructured data file in company-specific proprietary formats. This limits the available DICOM-based image management database to be effectively used for preclinical applications. A centralized image registry and management tool is essential for advances in preclinical imaging research. Specifically, such tools may have a high impact in generating large image datasets for the evolving artificial intelligence applications and performing retrospective analyses of previously acquired images. In this study, a web-based server application is developed to address some of these issues. The application is designed to reflect the actual experimentation workflow maintaining detailed records of both individual images and experimental data relevant to specific studies and/or projects. The application also includes a web-based 3D/4D image viewer to easily and quickly view and evaluate images. This paper briefly describes the initial implementation of the web-based application.
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Affiliation(s)
- Rahul Pemmaraju
- School of Bioengineering and Biomedical Engineering, Johns Hopkins University, Baltimore, MD 21218, USA;
| | - Robert Minahan
- Computational and Systems Biology, University of California-Los Angeles, Los Angeles, CA 90095, USA;
| | - Elise Wang
- School of Medicine, University of Rochester, Rochester, NY 14642, USA;
| | - Kornel Schadl
- Department of Orthopedic Surgery, Stanford School of Medicine, Stanford, CA 94305, USA;
| | - Heike Daldrup-Link
- Department of Radiology, Stanford School of Medicine, Stanford, CA 94305, USA;
| | - Frezghi Habte
- Department of Radiology, Stanford School of Medicine, Stanford, CA 94305, USA;
- Correspondence:
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