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Monitoring core body temperature (Tc) during training and competitions, especially in a hot environment, can help enhance an athlete’s performance, as well as lower the risk for heat stroke. Accordingly, a noninvasive sensor that allows reliable monitoring of Tc would be highly beneficial in this context. One such novel non-invasive sensor was recently introduced onto the market (CORE, greenTEG, Rümlang, Switzerland), but, to our knowledge, a validation study of this device has not yet been reported. Therefore, the purpose of this study was to evaluate the validity and reliability of the CORE sensor. In Study I, 12 males were subjected to a low-to-moderate heat load by performing, on two separate occasions several days apart, two identical 60-min bouts of steady-state cycling in the laboratory at 19 °C and 30% relative humidity. In Study II, 13 males were subjected to moderate-to-high heat load by performing 90 min of cycling in the laboratory at 31 °C and 39% relative humidity. In both cases the core body temperatures indicated by the CORE sensor were compared to the corresponding values obtained using a rectal sensor (Trec). The first major finding was that the reliability of the CORE sensor is acceptable, since the mean bias between the two identical trials of exercise (0.02 °C) was not statistically significant. However, under both levels of heat load, the body temperature indicated by the CORE sensor did not agree well with Trec, with approximately 50% of all paired measurements differing by more than the predefined threshold for validity of ≤0.3 °C. In conclusion, the results obtained do not support the manufacturer’s claim that the CORE sensor provides a valid measure of core body temperature.

We have augmented a recently introduced method for noninvasive analysis of skin structure and composition and applied it to monitoring of dynamical processes in traumatic bruises. The approach combines diffuse reflectance spectroscopy in visible spectral range and pulsed photothermal radiometry. Data from both techniques are analyzed simultaneously using a numerical model of light and heat transport in a four-layer model of human skin. Compared to the earlier presented approach, the newly introduced elements include two additional chromophores (β-carotene and bilirubin), individually adjusted thickness of the papillary dermal layer, and analysis of the bruised site using baseline values assessed from intact skin in its vicinity. Analyses of traumatic bruises in three volunteers over a period of 16 days clearly indicate a gradual, yet substantial increase of the dermal blood content and reduction of its oxygenation level in the first days after injury. This is followed by the emergence of bilirubin and relaxation of all model parameters towards the values characteristic for healthy skin approximately two weeks after the injury. The assessed parameter values and time dependences are consistent with existing literature. Thus, the presented methodology offers a viable approach for objective characterization of the bruise healing process.

A three-dimensional motion capture system (MoCap) and the Garmin Running Dynamics Pod can be utilised to monitor a variety of dynamic parameters during running. The present investigation was designed to examine the validity of these two systems for determining ground contact times while running in place by comparing the values obtained with those provided by the bilateral force plate (gold standard). Eleven subjects completed three 20-s runs in place at self-selected rates, starting slowly, continuing at an intermediate pace, and finishing rapidly. The ground contact times obtained with both systems differed significantly from the gold standard at all three rates, as well as for all the rates combined (p < 0.001 in all cases), with the smallest mean bias at the fastest step rate for both (11.5 ± 14.4 ms for MoCap and −81.5 ± 18.4 ms for Garmin). This algorithm was developed for the determination of ground contact times during normal running and was adapted here for the assessment of running in place by the MoCap, which could be one explanation for its lack of validity. In conclusion, the wearables developed for monitoring normal running cannot be assumed to be suitable for determining ground contact times while running in place.

This study aimed to examine the influence of training load, performance, sleep, and menstrual parameters on heart rate variability (HRV) and to evaluate its potential as a predictor of sports performance. A four-year longitudinal case study was conducted on a female elite kayak athlete, involving daily monitoring of HRV, sleep quality and duration, menstrual cycles, illnesses, and acute training loads. Over this period, 1394 measurements were taken each morning immediately after waking up and before getting up. The results of four competitive seasons were analyzed using a performance index and were statistically processed with a linear mixed model. The analysis revealed a statistically significant positive association between rMSSD and both sleep quality (p < 0.001) and the follicular phase of the menstrual cycle (p = 0.003). In contrast, the training load (p = 0.94), sleep duration (p = 0.27), and illness (p > 0.05) showed no statistically significant effect on rMSSD. Additionally, neither rMSSD (p = 0.82) nor its trend (p = 0.70) were significant predictors of the performance index. Despite the lack of a statistically significant correlation between HRV and sports performance, the findings suggest that the pre-competition decrease in HRV observed in this case study may reflect anticipatory physiological changes, potentially linked to increased sympathetic activation, as suggested in the existing literature.

This study aimed to establish and assess the reliability of spino-pelvic and sagittal balance parameters measured during walking in patients with back pain, some of whom had radiological signs of sagittal imbalance, reflecting real-world clinical conditions. Dynamic assessment offers an alternative to conventional static measurements, potentially improving the evaluation of sagittal balance. Ten patients aged 56–73 years completed a six-minute walking assessment while being monitored by the optoelectric Qualisys Motion Capture System. Forty-nine reflective markers were placed to measure the spino-pelvic and sagittal balance parameters across five gait phases: pre-walk, initial-walk, mid-walk, end-walk, and post-walk. Test–retest reliability was evaluated using the intraclass correlation coefficient (ICC). The results showed excellent reliability for thoracic kyphosis angle (ICC = 0.97), C7-L5 sagittal trunk shift (ICC = 0.91), and global tilt angle (ICC = 0.99); good reliability for auditory meatus-hip axis sagittal trunk shift (ICC = 0.85); and moderate reliability for pelvic angle (ICC = 0.57), lumbar lordosis angle (ICC = 0.72), and sagittal trunk angle (ICC = 0.73). Despite minor marker placement inconsistencies and variations in body movement across trials, the findings support the use of this dynamic assessment method in research settings. Its clinical application could also enhance diagnostic accuracy and treatment planning for patients with sagittal balance disorders, allowing for better-tailored therapeutic interventions.

A novel wearable smart patch can monitor various aspects of physical activity, including the dynamics of running, but like any new device developed for such applications, it must first be tested for validity. Here, we compare the step rate while running in place as measured by this smart patch to the corresponding values obtained utilizing ‘‘gold standard’’ MEMS accelerometers in combination with bilateral force plates equipped with HBM load cells, as well as the values provided by a three-dimensional motion capture system and the Garmin Dynamics Running Pod. The 15 healthy, physically active volunteers (age = 23 ± 3 years; body mass = 74 ± 17 kg, height = 176 ± 10 cm) completed three consecutive 20-s bouts of running in place, starting at low, followed by medium, and finally at high intensity, all self-chosen. Our major findings are that the rates of running in place provided by all four systems were valid, with the notable exception of the fast step rate as measured by the Garmin Running Pod. The lowest mean bias and LoA for these measurements at all rates were associated consistently with the smart patch.

The present study was designed to determine the contribution of the cross-sectional area of the ski poles (Sp) to the total aerodynamic drag during alpine skiing. At three different wind speeds in a wind tunnel, 10 skiers assumed typical alpine skiing postures (high, middle, and tuck), and their frontal aerodynamic drag was assessed with a force plate and their cross-sectional area, along with that of their ski poles, determined by interactive image segmentation. The data collected were utilized to examine intra-subject variation in Sp, the effects of Sp on the coefficient of aerodynamic drag (Cd), and the product of Cd and total cross-sectional area (Cd∙S. The major findings were as follows: (i) Sp ranged from 0.0067 (tuck position) to 0.0262 m2 (middle position), contributing 2.2–4.8% of the total cross-sectional area, respectively; (ii) Sp was dependent on wind speed in the high and middle positions; (iii) intra-subject variations ranged from 0.0018 m2 (27.6%) in the tuck position to 0.0072 m2 (30.5%) in the high position; (iv) Sp exerted a likely effect on Cd and Cd∙S. The extensive intra- and inter-skier variability in Sp can account for as much as ~5% of the total frontal cross-sectional area and future investigations on how elite skiers optimize their positioning of the poles in a manner that reduces aerodynamic drag are warranted.

Ski mountaineering, a new Olympic winter sport involving both climbing and descending snowy slopes, requires considerable physical and technical abilities, as well as highly specialized equipment. Herein, we briefly describe this equipment and its influence on performance and consider potential future advances. Skis, boots, and bindings must be light enough to facilitate climbing uphill (in which as much as 85% of the total racing time is spent) and, at the same time, provide stability and safety in often-challenging descents. A skier must be able to easily and rapidly attach and remove the adhesive skins under the skis that provide grip while skiing uphill. Poles and their baskets must be designed optimally to transfer propulsive force and help maintain balance. Despite the popularity of ski mountaineering, research on this sport is scarce, and we indicate a number of areas wherein improvements in equipment could potentially advance both performance and safety. Such advances must be based on a better understanding of the biomechanics of ski mountaineering, which could be obtained with novel sensor technology and can be best achieved via more extensive collaboration between researchers, skiers and their coaches, and manufacturers of ski mountaineering equipment.

Aerodynamic drag is a major cause of energy losses during alpine ski racing. Here we developed two models for monitoring the aerodynamic drag on elite alpine skiers in the technical disciplines. While 10 skiers assumed standard positions (high, middle, tuck) with exposure to different wind speeds (40, 60, and 80 km/h) in a wind tunnel, aerodynamic drag was assessed with a force plate, shoulder height with video-based kinematics, and cross-sectional area with interactive image segmentation. The two regression models developed had 3.9–7.7% coefficients of variation and 4.5–16.5% relative limits of agreement. The first was based on the product of the coefficient of aerodynamic drag and cross-sectional area (Cd∙S) and the second on the coefficient of aerodynamic drag Cd and normalized cross-sectional area of the skier Sn, both expressed as a function of normalized shoulder height (hn). In addition, normative values for Cd (0.75 ± 0.09–1.17 ± 0.09), Sn (0.51 ± 0.03–0.99 ± 0.05), hn (0.48 ± 0.03–0.79 ± 0.02), and Cd∙S (0.23 ± 0.03–0.66 ± 0.09 m2) were determined for the three different positions and wind speeds. Since the uncertainty in the determination of energy losses due to aerodynamic drag relative to total energy loss with these models is expected to be <2.5%, they provide a valuable tool for analysis of skiing performance.