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      A Real-Time Wearable Assist System for Upper Extremity Throwing Action Based on Accelerometers

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          Abstract

          This paper focuses on the development of a real-time wearable assist system for upper extremity throwing action based on the accelerometers of inertial measurement unit (IMU) sensors. This real-time assist system can be utilized to the learning, rectification, and rehabilitation for the upper extremity throwing action of players in the field of baseball, where incorrect throwing phases are recognized by a delicate action analysis. The throwing action includes not only the posture characteristics of each phase, but also the transition of continuous posture movements, which is more complex when compared to general action recognition with no continuous phase change. In this work, we have considered six serial phases including wind-up, stride, arm cocking, arm acceleration, arm deceleration, and follow-through in the throwing action recognition process. The continuous movement of each phase of the throwing action is represented by a one-dimensional data sequence after the three-axial acceleration signals are processed by efficient noise filtering based on Kalman filter followed by conversion processes such as leveling and labeling techniques. The longest common subsequence (LCS) method is then used to determine the six serial phases of the throwing action by verifying the sequence data with a sample sequence. We have incorporated various intelligent action recognition functions including automatic recognition for getting ready status, starting movement, handle interrupt situation, and detailed posture transition in the proposed assist system. Moreover, a liquid crystal display (LCD) panel and mobile interface are incorporated into the developed assist system to make it more user-friendly. The real-time system provides precise comments to assist players to attain improved throwing action by analyzing their posture during throwing action. Various experiments were conducted to analyze the efficiency and practicality of the developed assist system as part of this work. We have obtained an average percentage accuracy of 95.14%, 91.42%, and 95.14%, respectively, for all the three users considered in this study. We were able to successfully recognize the throwing action with good precision and the high percentage accuracy exhibited by the proposed assist system indicates its excellent performance.

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          Risk factors for shoulder and elbow injuries in adolescent baseball pitchers.

          There is little evidence supporting current safety recommendations for adolescent pitchers. Pitching practices of adolescent pitchers without history of arm injury will be significantly different from those of adolescent pitchers who required shoulder or elbow surgery. Case control study; Level of evidence, 3. Ninety-five adolescent pitchers who had shoulder or elbow surgery and 45 adolescent pitchers who never had a significant pitching-related injury completed a survey. Responses were compared between the 2 groups using t tests and chi(2) analyses. Multivariable logistic regression models were developed to identify the risk factors. The injured group pitched significantly more months per year, games per year, innings per game, pitches per game, pitches per year, and warm-up pitches before a game. These pitchers were more frequently starting pitchers, pitched in more showcases, pitched with higher velocity, and pitched more often with arm pain and fatigue. They also used anti-inflammatory drugs and ice more frequently to prevent an injury. Although the groups were age matched, the injured group was taller and heavier. There were no significant differences regarding private pitching instruction, coach's chief concern, pitcher's self-rating, exercise programs, stretching practices, relieving frequency, pitch type frequency, or age at which pitch types were first thrown. Pitching practices were significantly different between the groups. The factors with the strongest associations with injury were overuse and fatigue. High pitch velocity and participation in showcases were also associated with increased risk for injury. New recommendations were made based on these results. Adherence to the recommendations may reduce the incidence of significant injury to adolescent pitchers.
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            Prevention of Elbow Injuries in Youth Baseball Pitchers

            Context: Although baseball is a relatively safe sport, numerous reports suggest a rapid rise in elbow injury rate among youth baseball pitchers. Evidence Acquisition: PubMed was searched for epidemiologic, biomechanical, and clinical studies of elbow injuries in baseball (keywords: “youth OR adolescent” AND baseball AND pitching AND “ulnar collateral ligament OR elbow”; published January 2000 – April 2012). Studies with relevance to youth baseball pitchers were reviewed. Relevant references from these articles were also retrieved and reviewed. Original data, insight, and recommendations were added. Results: The majority of baseball elbow injuries are noncontact injuries to the dominant arm resulting from repetitive pitching. Five percent of youth pitchers suffer a serious elbow or shoulder injury (requiring surgery or retirement from baseball) within 10 years. The risk factor with the strongest correlation to injury is amount of pitching. Specifically, increased pitches per game, innings pitched per season, and months pitched per year are all associated with increased risk of elbow injury. Pitching while fatigued and pitching for concurrent teams are also associated with increased risk. Pitchers who also play catcher have an increased injury risk, perhaps due to the quantity of throws playing catcher adds to the athlete’s arm. Another risk factor is poor pitching biomechanics. Improper biomechanics may increase the torque and force produced about the elbow during each pitch. Although throwing breaking pitches at a young age has been suggested as a risk factor, existing clinical, epidemiologic, and biomechanical data do not support this claim. Conclusions: Some elbow injuries to youth baseball pitchers can be prevented with safety rules, recommendations, education, and common sense. Scientific and medical organizations have published safety rules and recommendations, with emphasis on prevention of overuse and pitching while fatigued. Strength-of-Recommendation Taxonomy (SORT): A
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              Correlation of torque and elbow injury in professional baseball pitchers.

              During the pitching motion, velocity is generated by the upper extremity kinetic chain on internal rotation of the shoulder and trunk translational/rotational motion. This generation of power places significant forces and torques on the elbow and shoulder. Elbow valgus torque and shoulder rotational torque are theoretically linked to elbow injury. Pitchers experiencing higher levels of elbow valgus torque and shoulder external rotation torque throughout the pitching motion are more likely to suffer elbow injury than pitchers with lower levels of torque. Cohort study; Level of evidence, 3. With an established biomechanical analysis model, 23 professional baseball pitchers were videotaped during spring training games and followed prospectively for the next 3 seasons for elbow injury. A mixed statistical model using differences of least squares means and analysis of variance was used to analyze the association between elbow injury and torque levels throughout the pitching motion as well as at each major event within the pitching motion. There were overall statistical trends relating elbow injury with both higher elbow valgus torque (P = .0547) and higher shoulder external rotation torque (P = .0548) throughout the entire pitching motion. More importantly, there was an individual significant correlation of elbow injury with both higher elbow valgus torque (P = .0130) and higher shoulder external rotation torque (P = .0018) at the late cocking phase (pitching event of maximum external rotation of the shoulder). This study provides information that supports existing theories about how and why certain injuries occur during the throwing motion in baseball. The late cocking phase appears to be the critical point in the pitching motion, where higher levels of torque at the shoulder and elbow can result in increased risk of injury. Manipulation of pitching mechanics to alter these torque levels or using these measures to identify pitchers at risk may help decrease injury rates.
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                Author and article information

                Journal
                Sensors (Basel)
                Sensors (Basel)
                sensors
                Sensors (Basel, Switzerland)
                MDPI
                1424-8220
                29 February 2020
                March 2020
                : 20
                : 5
                : 1344
                Affiliations
                Department of Electrical Engineering, National Taipei University of Technology, Taipei 10608, Taiwan; t100319009@ 123456ntut.edu.tw (W.-H.H.); t104319010@ 123456ntut.org.tw (D.B.); t104318049@ 123456ntut.org.tw (C.-Y.L.)
                Author notes
                [* ]Correspondence: kylian@ 123456mail.ntut.edu.tw ; Tel.: +886-2-2771-2171 (ext. 2171)
                Author information
                https://orcid.org/0000-0002-5692-9279
                https://orcid.org/0000-0002-0634-4707
                Article
                sensors-20-01344
                10.3390/s20051344
                7085600
                32121453
                a3fc1bdc-ad79-4c97-babe-f557500eed9d
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 24 January 2020
                : 28 February 2020
                Categories
                Article

                Biomedical engineering
                assist system,upper extremity throwing,imu sensor,noise filtering,intelligent action recognition,longest common subsequence

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