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The Journal of Sports Medicine and Physical Fitness 2021 Jul 13

DOI: 10.23736/S0022-4707.21.12752-5


language: English

Wearable and telemedicine innovations for Olympic events and elite sport

Borja MUNIZ-PARDOS 1, Konstantinos ANGELOUDIS 2, Fergus M. GUPPY 2, 3, Iphigenia KERAMITSOGLOU 4, Shaun SUTEHALL 5, Andrew BOSCH 5, Kumpei TANISAWA 6, Yuri HOSOKAWA 6, Garrett I. ASH 7, 8, Wolfgang SCHOBERSBERGER 9, Andrew J. GRUNDSTEIN 10, Douglas J. CASA 11, Margaret C. MORRISSEY 11, Fumihiro YAMASAWA 12, Irina ZELENKOVA 1, Sébastien RACINAIS 13, Yannis PITSILADIS 2, 14, 15, 16

1 GENUD Research group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain; 2 Centre for Stress and Age Related Disease, University of Brighton, Brighton, UK; 3 School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK; 4 National Observatory of Athens, Athens, Greece; 5 Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa; 6 Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan; 7 Center for Medical Informatics, Yale School of Medicine, New Haven, CT, USA; 8 Pain Research, Informatics, Multi-morbidities, and Education (PRIME), VA, Connecticut Healthcare System, West haven, CT, USA; 9 Institute for Sports Medicine, Alpine Medicine & Health Tourism, UMIT TIROL - University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, and Tirol Kliniken GmbH Innsbruck, Innsbruck, Austria; 10 Department of Geography, University of Georgia, Athens, GA, USA; 11 Korey Stringer Institute, University of Connecticut, Storrs, CT, USA; 12 Marubeni Health Promotion Center, Tokyo, Japan; 13 Research and Scientific Support Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar; 14 International Federation of Sports Medicine (FIMS), Lausanne, Switzerland; 15 Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy; 16 European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland


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 Tokyo2020, 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 Tokyo2020 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.

KEY WORDS: Ecosystem; Wearables; Technology; Sensors; Biodata

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