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Abstract

Over the expanse of evolutionary history, humans, and predecessor Homo species, ran to survive. This legacy is reflected in many deeply and irrevocably embedded neurological and biological design features, features which shape how we run, yet were themselves shaped by running. Smoothness is a widely recognised feature of healthy, proficient movement. Nevertheless, although the term ‘smoothness’ is commonly used to describe skilled athletic movement within practical sporting contexts, it is rarely specifically defined, is rarely quantified and remains barely explored experimentally. Elsewhere, however, within various health-related and neuro-physiological domains, many manifestations of movement smoothness have been extensively investigated. Within this literature, smoothness is considered a reflection of a healthy central nervous system (CNS) and is implicitly associated with practiced coordinated proficiency; ‘non-smooth’ movement, in contrast, is considered a consequence of pathological, un-practiced or otherwise inhibited motor control. Despite the ubiquity of running across human cultures, however, and the apparent importance of smoothness as a fundamental feature of healthy movement control, to date, no theoretical framework linking the phenomenon of movement smoothness to running proficiency has been proposed. Such a framework could, however, provide a novel lens through which to contextualise the deep underlying nature of coordinated running control. Here, we consider the relevant evidence and suggest how running smoothness may integrate with other related concepts such as complexity, entropy and variability. Finally, we suggest that these insights may provide new means of coherently conceptualising running coordination, may guide future research directions, and may productively inform practical coaching philosophies.
C U R R E N T O P I N I O N Open Access
Smoothness: an Unexplored Window into
Coordinated Running Proficiency
John Kiely
1*
, Craig Pickering
1,2
and David J. Collins
3,4
Abstract
Over the expanse of evolutionary history, humans, and predecessor Homo species, ran to survive. This legacy is
reflected in many deeply and irrevocably embedded neurological and biological design features, features which
shape how we run, yet were themselves shaped by running.
Smoothness is a widely recognised feature of healthy, proficient movement. Nevertheless, although the term
smoothnessis commonly used to describe skilled athletic movement within practical sporting contexts, it is rarely
specifically defined, is rarely quantified and remains barely explored experimentally. Elsewhere, however, within
various health-related and neuro-physiological domains, many manifestations of movement smoothness have been
extensively investigated. Within this literature, smoothness is considered a reflection of a healthy central nervous
system (CNS) and is implicitly associated with practiced coordinated proficiency; non-smoothmovement, in
contrast, is considered a consequence of pathological, un-practiced or otherwise inhibited motor control.
Despite the ubiquity of running across human cultures, however, and the apparent importance of smoothness as a
fundamental feature of healthy movement control, to date, no theoretical framework linking the phenomenon of
movement smoothness to running proficiency has been proposed. Such a framework could, however, provide a
novel lens through which to contextualise the deep underlying nature of coordinated running control. Here, we
consider the relevant evidence and suggest how running smoothness may integrate with other related concepts
such as complexity, entropy and variability. Finally, we suggest that these insights may provide new means of
coherently conceptualising running coordination, may guide future research directions, and may productively
inform practical coaching philosophies.
Key Points
Smoothness is a universal feature of healthy skilled
movement which, although infrequently considered
and currently under-appreciated within sporting
contexts, may provide a unique window into athletic
coordinative proficiency.
Existing evidence illustrates that smoothness
changes as a consequence of natural aging, general
health status, practice and injury history and current
fatigue and injury status. Preliminary research
suggests that running proficiency is reflected in
smoother running movement.
Recent advances in wearable technologies provide
the opportunity to sensitively detect changes in
running smoothness, thereby potentially bestowing
unique insights into running coordination
proficiency
Introduction: What Do Running Proficiency and
Hard-Core Pornography Have in Common?
During his tenure as a US Supreme Court justice, Potter
Stewart presided over many high profile cases. He, for
example, promoted personal privacy protections and ex-
tended the 1866 Civil Rights Act to concede that schools
should not discriminate on the basis of race. Outside of
legal contexts, however, he is best remembered for a sin-
gle clause, from a single sentence. While adjudicating on
the legality of the state of Ohios banning of an allegedly
pornographic film, Stewart uttered perhaps the most
famous phrase in the Supreme Court history, I shall not
today attempt further to define the kinds of material I
understand to be embraced within that shorthand de-
scription [hard-core pornography], and perhaps I could
© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made.
* Correspondence: jkiely@uclan.ac.uk
1
Institute of Coaching and Performance, School of Sport and Health
Sciences, University of Central Lancashire, Preston, UK
Full list of author information is available at the end of the article
Kiely et al. Sports Medicine - Open (2019) 5:43
https://doi.org/10.1186/s40798-019-0215-y
never succeed in intelligibly doing so. But I know it
when I see it [1]In this context, I know it when I see
itis a euphemistic abstraction describing a phenomenon
thatby virtue of its apparent obviousness’—is simul-
taneously familiar to all, yet surprisingly difficult to char-
acterise, quantify or elegantly articulate.
The topic explored in this article, we suggest, shares
these features in that although, superficially, it appears
intuitively obvious and readily apparent; when we at-
tempt to explain exactly what itis, we find that beneath
this facade of familiarity lies a phenomenon that remains
inadequately defined and poorly understood.
What Is Movement Smoothness?
Across a diversity of literatures, and within practical
coaching contexts, movement smoothness is generally
recognised as a universal feature of skilled motor behav-
iour [2]. Yet, despite this assumed association between
movement smoothness and movement proficiency,
current definitions of smoothness remain surprisingly
vague. A recently proposed definition suggests that a
movement is perceived to be smooth when it happens in
a continual fashion without any interruptions, suggesting
smoothness is a quality reflecting the continuality or
non-intermittency of movements that alternately accel-
erate and decelerate, and thereby remains independent
of amplitude and duration [3]. In this context, more
intermittency corresponds to less smoothness, and less
intermittency to smoother movement.
The minimum-jerk model, first proposed by Flash and
Hogan, suggested that human movement is executed in
a manner that optimises smoothness by minimising its
opposite, kinematic jerk [4]. Although smoothness can
be assessed in multiple waysa recent review suggests
at least eight methods have been used in research con-
textsthe most common means of assessing smoothness
is through the quantification of jerk [3]. Jerk is formally
defined as the rate of change in acceleration, in mathem-
atical terms, the first time derivative of acceleration, the
second time derivative of velocity and the third time de-
rivative of position [4,5]. The smoothest movements
consequently have, by definition, the lowest jerk [6]. Ac-
cordingly, within the neuroscientific literature, smooth
movement has been described as any movement that is
not jerky[7].
From a practical coaching perspective, however, we can
sensibly broaden this definition by proposing that smooth
movements are those without abrupt, intermittent, dis-
continuous changes in accelerations, relative joint posi-
tions and/or movement trajectories. Accordingly,
although movements may occur rapidly, unexpectedly,
even violently, there is a sense of consistent flow, of finely
regulated progression and seamlessly continuous coord-
inative control. Thus, key dimensions of movement
postural control, relative joint positions, the absorption of
impactsall appear to rhythmically and incrementally rise
and fall. Visually, accordingly, we register a sense of flu-
ency as the athlete dynamically progresses through a given
movement sequence. Non-smooth movements, in con-
trast, leave an impression of abruptness, of erratic discord-
ance and of disjointed, unpredictable control.
Smoothness seems intuitively recognised as a hallmark
of skilled, coordinated movement [8]. Nevertheless, in
relation to sporting movements in general, and running
specifically, although the term smoothnessis commonly
used to describe performers movement ability, it is
rarely defined, is rarely empirically quantified, is barely
explored academically and is typically not directly tar-
geted in training. In short, running smoothness is a
phenomenon that we instinctively feelwe recognise
when watching elite performance. Yet, beyond this intui-
tive recognition, exactly what smoothness is remains
surprisingly vague. Thus, just as Potter Stewart struggled
to eloquently articulate the essence of a phenomenon as
superficially self-evident as pornography, we similarly
struggle to accurately characterise a dimension of move-
ment as seemingly obvious as smoothness.
Notably, recent advances in accelerometer technology
now provide access to raw, unfiltered acceleration time
series that can readily be converted to jerk data. Surpris-
ingly, however, this research topic has received very little
attention within sports science contexts. In attempting
to enhance our appreciation of this potentially import-
ant, yet largely ignored phenomenon, here, we examine
the general evidence relating to movement smoothness,
before subsequently reflecting on how these insights
may contribute to a more robust understanding of run-
ning coordination.
The Progression and Regression of Movement
Smoothness
Smoothness increases progressively as we transition
from infant, to developing child, to mature adult, and re-
gresses as we move from adult maturity into old age [9
11]. Furthermore, smoothnesswhether assessed in
gross movements or fine motor skillsimproves, in
logarithmic fashion, in parallel with the number of prac-
tice trials performed [12,13]. This effect is such that
practice-driven improvements are reflected in increased
smoothness in movement tasks as diverse as walking
[13], writing [14], rock climbing [15], driving a golf ball
[16], piano playing [17], wheelchair propulsion [18], dan-
cing [19], over-arm throwing [20] and in the hand dex-
terity of surgeons [21,22].
Many dimensions of declining function are, conversely,
reflected in the deterioration of movement smoothness.
Most obviously, smoothness is compromised following
neurological damage, such as stroke, and subsequent
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 2 of 9
recovery is typified by the gradual restoration of
smoother movement [13]. This effect is such that even
simple measures of smoothnessevaluated in sit-to-
stand tests, for examplecan distinguish between older
adults at risk of falls, older adults who are not a falls risk
and younger adults [23,24]. Similarly, smoothness dur-
ing lifting movementsassessed at hip and anklede-
clines with advancing age [25], and many disease states,
such as Parkinsons and Huntingtons, are accompanied
by deteriorating smoothness [26]. Furthermore, in chil-
dren, developmental disorders such as autism and
Aspergers are typified by a lack of movement smooth-
ness [27], and smoothness measures accurately detect
delayed motor skill acquisition [8].
Additionally, smoothness measures can discern be-
tween those who have previously suffered cervical injury
and non-previously injured controls [28], between those
feigning whiplash injury and sincere patients [29] and
between wheelchair users with, or without, shoulder
pain [18]. Smoothness assessments are also sufficiently
sensitive to detect decrements in highly learned skills
caused by, for example, the influence of distractions on
the driving performance of experienced taxi drivers [30]
and movement skill inhibition following emotional dis-
turbances [31].
Why Is Smoothness a Universal Feature of Human
Movement?
Several theories of motor control hypothesise that the
brain coordinates muscle activation patterns to minimise
a single, task-relevant cost function. Historically, it was
assumed that the most heavily prioritised cost function,
shaping movement control, was energetic expenditure
[32]. Recent investigations, however, clearly demonstrate
that although energy conservation is unquestionably a
consideration, it is neither the only, nor necessarily the
dominant, cost function shaping motor behaviours [32,
33]. Modelling predictions, for example, illustrate that
impulsive running’—running with infinitely stiff, straight
legs and zero sweep angleminimises the mechanical
cost of transport [34]. Nevertheless, we run with ener-
getically costly, compliant legs in a manner deviating
substantially from this hypothetical optimum [35]. In
fact, energy conservation appears to be only one of a
growing list of proposed constraints, each capable of ad-
equately predicting the common kinematics of human
movement. Such considerations include, for example,
preservation of stability, reductions in the neural effort
expended in controlling movement, the minimisation of
changes in torque, the minimisation of discomfort and
the regulation of movement accuracy [3,36,37]. Thus,
although practiced movements are typically executed in
a manner that reduces energy costs, energy expenditure
is not an exclusively over-riding priority and is certainly
not minimised. Although, experimentally, it seems im-
possible to determine which cost function is most heav-
ily prioritised by the brain, notably, models prioritising
smoothness consistently produce high-performing pre-
dictions [3,33,34].
Nevertheless, although various rationales have been
proposed within the relevant literatures, the reasons why
smoothness is such a fundamental feature of healthy
movement remain unclear. Previous research suggested
that smoothness, during ground contact events, is an in-
direct consequence of the CNSs preference to employ
single activation signalling bursts to individual muscles
[38]. The authors speculated that this strategy enabled
adequate outcomes, while greatly simplifying neural con-
trol complexity. Furthermore, the authors noted they
could see no reason why smooth movements offered ad-
vantages over non-smooth ones. Their proposal, instead,
was that smoothness evolves naturally from the interplay
between a single-stimulation-burst-per-muscle activation
pattern, the linear behaviour of the leg spring and the in-
nate viscoelastic and geometric properties of the muscu-
loskeletal system. In essence, suggesting smoothness, in
landing tasks, emerges as a by-product of an evolution-
ary preference for simplified neural control, rather than
because smoothness, in and of itself, offers any add-
itional benefits [38].
More recent work, however, has proposed that smooth
movements are inherently more predictable than less
smooth, more erratic ones [39]. A more accurate predic-
tion of upcoming movement demands is of substantial
benefit as it permits a more fine-grained alignment be-
tween forecasted demands, advance preparation to meet
these demands and actually imposed demands [39]. En-
hanced predictive accuracy, accordingly, facilitates a
more precisely attunedmore timely and more finely
calibratedpreparation for impending challenge. Ac-
cordingly, it is suggested that smoothness, as it promotes
predictability, minimises movement error [3941]. Simi-
larly, more sensitive detection of subtle deviations from
predicted trajectories facilitates more sensitive remedial
adjustments, thereby offsetting the need for periodic, lar-
ger, more disruptive and energetically demanding cor-
rective interventions [42].
Non-smooth (by definition, more jerky) movements, in
contrast, are inherently less predictable [41]. This dimin-
ished predictability inevitably detracts from the accurate
forecasting of the likely kinetic and kinematic conse-
quences of upcoming ground contacts [43]. Any loss of
calibration between anticipated and actually imposed de-
mands inevitably leads to larger deviations from ex-
pected trajectories, thereby requiring more drastic
remedial interventions to correctunwanted deviations
[39]. Larger corrective interventions necessitate larger
motor commands, which generate, as a natural by-
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 3 of 9
product, more signal-dependent neural noise, thereby
further diminishing movement proficiency [43]. Conse-
quently, previous evidence has been interpreted as sug-
gesting that humans strive to optimise smoothness and
minimise jerk [41].
In summary, more precise predictability facilitates a
finer calibration between current preparation for soon-
to-be-imposed demands and the likely extent of those
challenges. Smooth movements, as they require smaller
on-line course corrections, minimise the disruptive ef-
fects of signal-dependent noise emerging as a natural
consequence of larger motor commands [39]. Conse-
quently, in a mutually re-enforcing manner, smoothness
enhances prediction and prediction enhances smooth-
ness. Smoothness, accordingly, by facilitating improved
prediction, minimises the necessity of persistent remed-
ial correction and thus serves to, simultaneously, reduce
both the neuronal computational burden associated with
complex movement and energetic expenditure [3,39,
40].
The Foundations of Movement Smoothness
Locomotion is initiated by commands originating in the
motor cortex [42]. These descending commands are me-
diated and modulated by control centres in mid-brain
and brain stem, before subsequently activating spinally
located central pattern generating (CPG) networks re-
sponsible for controlling the rhythmic synchronisation
of the arms and legs, thereby delegating much of the co-
ordination burden to lower, less evolutionarily expensive,
neural control centres [42]. As rhythmic locomotion
progresses, streams of sensory feedback return to spinal
centres and serve to (a) guide the on-going
customization of CPG outputs to current contexts and
(b) trigger stabilisation reflexes [42]. Through these
mechanisms, sensory feedback directly alters on-going
feedforward activation, and changes in activation in-
escapably alter changes in sensation. These feedback and
feedforward loops are so inseparably entwined that
representing them as isolated entities seems no longer
sensible. Instead, feedback and feedforward information
flows are best perceived as wholly integrated, mutually
modulating arms of the sensorimotor system [36,37].
Inevitably, however, neural and reflex-activating feed-
back and feedforward loops take time and cannot in-
stantaneously respond to imposed perturbation.
Proficient execution of impact-dependent movements
walking, running, jumpingthus requires that the earli-
est remedial compensations, upon ground contact, are
mediated by the practiced manipulation of the intrinsic
material and structural properties of biological tissue
collectives [41,42,44]. When skillfully deployed, the in-
nate viscoelastic and geometrical properties of the run-
ning leg provide an instantaneous, non-neurological, yet
skilled, response to impact perturbations (for little ener-
getic and neurological investment) [41,42]. Thus, in-
formed by anticipation and actioned by feedforward
instruction, the time-lag deficits implicit in top-down
neurally mediated motor control are offset by the skilled
manipulation of biological tissue properties [42,45].
Rhythmic locomotion, accordingly, is regulated by the
blended output of three distinct, but mutually and irrev-
ocably entangled, levels of control:
1. Top-down, supra-spinal executive direction
2. Spinally located CPGs and stabilisation reflexes
3. The bottom-up, self-stabilising capacities afforded
by the innate perturbation-resilient characteristics
of bio-composite tissue structures [41]
When operating effectively, feedback and feedforward
information is blended with the plastically embedded
legacy of prior experience, to facilitate the skilled deploy-
ment of robust, task-conditioned, bio-composite tissue
capacities. The fusion of these multi-level control sys-
tems underpins the runners ability to sensitively detect
and respond to upcoming perturbations in ways that
minimally disrupt rhythmical locomotion. Smoothness
thus emerges as a natural outcome of this intimate inte-
gration between accurate anticipation of upcoming per-
turbations and the advance remediation of forecasted
de-stabilisations [46,47].
Is Movement Smoothness an Important Feature of
Running?
Within a number of academic literatures, smoothness is
acknowledged as a fundamental characteristic of goal-
directed human movement [3,48]. Although not well in-
vestigated within sporting contexts, preliminary evidence
suggests smoothness measures are capable of discerning
between different levels of expertise. The clubhead tra-
jectories of skilled golfers, for example, are smoother
than those of unskilled golfers [49]. Recent research, fur-
thermore, established that a lack of smoothnessin the
postural sway adjustments of NCAA Division 1 College
football playerspredicted the likelihood of subsequent
injury [50]. Such findings suggest smoothness is a
phenomenon reflecting both practice-related skill im-
provements and the underpinning functional health of
the neuro-muscular system.
Specifically, in relation to running, however, empirical
insights remain sparse. An early study, by Hreljac, used
video analysis techniques to determine runners jerk-cost
at ground contact and established that competitive run-
ners ran more smoothly than recreational runners [12].
Subsequently, Cortes and colleagues, using trunk-
mounted sensors to collect acceleration data during a
running-and-cutting maneuver, illustrated that fatigue-
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 4 of 9
induced changes in motor variability detracted from the
smooth execution of the target movement [51].
Running Smoothness and the Loss of Complexity
Hypothesis
In 1992, Lipsitz and Goldberger published an influential,
and much cited, JAMA paper proposing the loss of com-
plexity hypothesis, suggesting that, as we age, the com-
plexly intertwined neural and biological foundations,
which support all essential neurophysiological processes,
gradually and progressively degrade [52]. Through this
conceptual lens, reductions in complexity are indicative
of declining neurophysiological responsiveness and
adaptive range [5254]. Interestingly, a limited number
of recent investigations, using measures of entropya
means of analysing the complexity inherent in a data
time serieshave demonstrated that running-induced
fatigue changes the complexity of the acceleration sig-
nals emanating from sensors attached to a site approxi-
mating centre of mass (CoM) [5557].
Translating the loss of complexity hypothesis to run-
ning contexts suggests that reductions in underlying
neurobiological complexity diminish the spectrum of vi-
able movement permutations capable of equitably pro-
viding equivalent stride outcomes for a comparable
cost. Accordingly, changes in signal complexity are
interpreted as reflecting a contracting range of available
micro-movement permutations capable of collabora-
tively solving the running-imposed challenge [54]. Con-
sequently, as complexity contracts, the inter-stride
variability inherent in each runners stride pattern is im-
pelled to dysfunctionally diverge from habituated norms
[54,58,59]. This divergence, in turn, is hypothesised to
expose the runner to both declining movement effi-
ciency and exacerbated risk [51,58,59].
The relevance of this rationalisation, to the topic of
running smoothness, is to suggest that diminishing
neurobiological complexityinduced, for example, by fa-
tigue, prior injury, pain sensitization and/or age-related
declinedrives deteriorating coordinative control and
the subsequent erosion of running smoothness [54,58,
59]. As encapsulated within the loss of complexity hy-
pothesis, the inevitable accumulation of experience-
dependent wear and tearassociated with natural aging,
declining health and injury and illnessprogressively
erodes both tissue micro-architectures and the connect-
ive integrity of densely entangled neural communica-
tions networks. Any subsequent reduction in neural
communicative claritydriven, for example, by injury,
sensitization and/or residual fatigueinevitably dims the
runners fine-grained perception of their precise kine-
matic and kinetic context. (Although research in this
realm remains sparse, prior injury has been observed to
erode the proprioceptive capacities of elite runners and
ballet dancers [60,61]).
As a direct consequence, this diminished sensorimotor
capacity impedes optimal preparation for upcoming
ground contact and detracts from the sensitive calibra-
tion of running stiffness to the precise demands of the
impact challenge [54,59]. Consequently, reduced sen-
sorimotor sensitivity directly diminishes coordinated
control and can be expected to increase the magnitude
of unexpected deviations from projected trajectories,
thereby suggesting that diminished proprioception dir-
ectly impedes activation precision and degrades move-
ment smoothness [6264]. Specifically, in running
contexts, it has recently been suggested that the gradual
degradation of available complexity is compounded by
cycles of overuse, underuse, misuse and disuse [54,65].
As complexity contracts, running coordination inevitably
declines, and running smoothness deteriorates. Although
the exact mechanisms underpinning this progressive de-
terioration remain unclear, two broad inter-related
neuro-motor deficits have been implicated:
i. As the plastically embedded legacies of past cycles
of injury, misuse, disuse and overuse accumulate
within the CNS, the micro-structures underpinning
neuronal connectivity progressively degrade, and
available complexity contracts [54,58,59]. Conse-
quently, sensorimotor communication clarity
erodes, and both the interpretation of sensory feed-
back and the precision of feedforward activations
gradually decay.
ii. Declining muscular strengthdriven by neural
signalling decrements, decreasing muscle mass and
the degradation of tissue micro-
structuresnecessitates that, to adequately execute
a task requiring a given movement force, weaker
muscles require more relative activation, and hence
larger activation signals than stronger muscles [54,
66]. Inevitably, larger relative activations result in
increasing neural noise, thereby resulting in more
disorderly motor unit recruitment and more erratic-
ally variable force outputs.
As multiple aspects of sensorimotor controlsensory
acuity, activation accuracy and the load management
capacity of biological tissueserode, subsequent to the
accumulating legacy of past insults, underlying complex-
ity inevitably deteriorates. Accordingly, the spectrum of
available coordinative responses to running-imposed
mechanical challenges declines [67,68]; consequently,
smoothness declines. Although this proposed causal
chainlinking neurobiological complexity, entropy, vari-
ability and running smoothnessappears theoretically
robust, and has been observed in other movement
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 5 of 9
contexts, it remains barely explored and has not been
validated within human running applications [69].
Future (Practical and Research) Directions?
Conceptually, smoothness seems an important facet of
proficient running and a potential sensitive indicator of
injury or fatigue-induced running deterioration. Clearly,
however, evidence is lacking and the topic remains
under-explored. We can, however, draw some specula-
tive, but logical, initial conclusions:
1. Smoothness is modified by a range of factors,
including:
a. Underlying health status (including neuro-
physiological, psycho-emotional and disease
status)
b. Training and injury history
c. Current fatigue and/or psycho-emotional states
2. Smoothness progresses and regresses as a function
of normal maturation and aging, injury and
subsequent recovery, and declining smoothness
exposes tissues to exacerbated mechanical stress
3. Smoothness is a product of proficient coordination,
mediated by the CNS, and actioned via the skilled
deployment of the innate perturbation-resilient cap-
acities of robust biological tissues
Given the recent evolution and current ubiquity of
lightweight and sensitive accelerometer sensor technol-
ogy, the evidence and rationalisations provided here also
point towards potentially fruitful future research direc-
tions, highlighting, for example:
1. The opportunity to more fully explore the
associations between fatigue, prior injury and
running smoothness
2. The prospect of analysing acceleration time series
using entropy-based techniques to better illuminate
the hypothesised relationships between complexity,
inter-stride variability, running proficiency and
prior injury profiles
3. The proposition that enhanced accelerometer
technology, entropy analysis techniques and the
current availability of extensive computational
capacity all suggest that we may be on the
threshold of a transformation in how we
conventionally devise, prescribe and monitor fatigue
within running training contexts
Specifically, in relation to targeting running smooth-
ness within training design and prescription contexts,
beyond the general observation that running practice
under healthy, non-fatigued conditionsappears to en-
hance smoothness, there are no specific evidence-led
guidelines. Speculation based on the sparse existing evi-
dence does, however, hint that while practice improves,
excessively repetitive practice leads to deteriorating
neural communications and declining movement
smoothness [42,54]. Accordingly, more volume is not
necessarily better. Instead, as with other facets of train-
ing management, improving running smoothness likely
requires the sensitive regulation of volumes, intensities,
exercise variation and the judicious balancing of work
and recovery.
From a conditioning perspective, again, evidence is
lacking and once more we are limited to theory-based
speculation. Building on the rationale presented here,
and elsewhere [54], we suggest smoothness is promoted
by three broad categories of training intervention:
1. Engaging in the simple act of running at a range of
paces and/or at target race pace under healthy,
non-fatigued and non-sensitised conditions
2. Engaging in running-related challenges promoting
an enhanced calibration between feedforward acti-
vation and proprioceptive information by providing
non-habituated, coordination challenges capable of
stimulating neuro-plastic re-modelling processes
serving to refine communicative clarity between
CNS and the peripheral musculature [54,70,71]
3. Engaging in training strategies serving to upgrade
the structural and material resilience of biological
tissues habitually subjected to mechanical stress
during running activities [41], for example,
resistance loading strategies [72], and/or strategies
promoting more finely calibrated joint control, for
example, dynamic stability challenges [7375]
Conclusion
Smoothness is a product of the collaborative triangula-
tion between accurately interpreted sensory feedback
and sensitively adjusted feedforward activation, contex-
tualised against plastically embedded prior learning. As
physical capacities and movement experiences accumu-
late, we innately gravitate towards smoother movement
solutions as we learn to more sensitively respond to
small perturbations, thereby offsetting the need to peri-
odically and jerkilyrespond to the larger challenges that
would emerge if minor errors were allowed to accumu-
late. Smoothness thus reflects sensorimotor coordination
and provides a quantifiable window into movement pro-
ficiency [5].
The rapid evolution of wearable micro-technology
provides us with opportunities to accurately, and non-
invasively, evaluate running smoothness. Currently, how-
ever, although evidence strongly suggests smoothness
metrics provide insights into coordination proficiency,
and can be used as markers of neuro-rehabilitation
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 6 of 9
effectiveness, the most appropriate means to measure,
monitor and analyse smoothness remain unclear [3,48].
And so, just as Potter Stewart struggled to eloquently
articulate the essence of a phenomenon as superficially
self-evident as pornography, within both practical and
theoretical running contexts, we similarly struggle to de-
fine and describe a phenomenon as intuitively familiar,
yet as seemingly important as running smoothness. Al-
though preliminary evidence demonstrates the informa-
tional value of smoothness assessments, such measures
exist only on the periphery of our sporting cultural con-
sciousness and remain poorly articulated, poorly under-
stood and poorly explored.
Pornography may forever remain subjectively ambigu-
ous and objectively unquantifiable, but that need not be
the case with running smoothness. Yet, as discussed, an
evidence-led logic supports the potential worth of ob-
jective smoothness evaluations, and currently, there is
ready access to technologies enabling such evaluations.
And while, unquestionably, much remains to be clarified
and further research is (as always) necessary, the back-
ground and rationale outlined here serves as a useful
conceptual starting point from where to begin this
exploration.
Acknowledgements
Not applicable.
AuthorsContributions
JK designed and wrote the manuscript. CP and DC provided critical editorial
comment and feedback. All authors have read and approved the final
manuscript.
AuthorsInformation
JK is a former International Boxer, Head of Strength & Conditioning at UK
Athletics, and currently a Senior Lecturer in Elite Performance at the Institute
of Coaching & Performance, University of Central Lancashire, UK.
CP is a former Olympic sprinter and Winter Olympian undertaking a
Professional Doctorate in Elite Performance at the Institute of Coaching &
Performance, University of Central Lancashire, UK. He is currently the Athlete
Pathway Manager for Athletics Australia.
DC is a former Performance Director of UK Athletics and is currently a
performance psychology consultant and Professor at the University of
Edinburgh, UK.
Funding
No sources of funding were received to support the preparation of this
article.
Availability of Data and Materials
Not applicable.
Ethics Approval and Consent to Participate
Not applicable.
Consent for Publication
Not applicable.
Competing Interests
The authors, John Kiely, Craig Pickering, and David J. Collins, declare that
they have no competing interests.
Author details
1
Institute of Coaching and Performance, School of Sport and Health
Sciences, University of Central Lancashire, Preston, UK.
2
Athletics Australia,
Brisbane, Queensland, Australia.
3
Grey Matters Performance Ltd., Birmingham,
UK.
4
Moray House School of Education and Sport, University of Edinburgh,
Edinburgh, UK.
Received: 28 January 2019 Accepted: 12 September 2019
References
1. v Ohio, J. (1964). 378 US 184, 84 S. Ct, 1676, 12.
2. Zehr EP, Barss TS, Dragert K, Frigon A, Vasudevan EV, Haridas C, et al.
Neuromechanical interactions between the limbs during human
locomotion: an evolutionary perspective with translation to rehabilitation.
Exp Brain Res. 2016;234(11):305981.
3. Balasubramanian S, Melendez-Calderon A, Roby-Brami A, Burdet E. On the
analysis of movement smoothness. J Neuroeng Rehabil. 2015;12(1):112.
4. Flash T, Hogan N. The coordination of arm movements: an experimentally
confirmed mathematical model. J Neurosci. 1985;5(7):1688703.
5. Hogan N, Sternad D. Sensitivity of smoothness measures to movement
duration, amplitude, and arrests. J Mot Behav. 2009;41(6):52934.
6. Choi A, Joo SB, Oh E, Mun JH. Kinematic evaluation of movement
smoothness in golf: relationship between the normalized jerk cost of body
joints and the clubhead. Biomed Eng Online. 2014;13(1):20.
7. Hogan N, Sternad D. On rhythmic and discrete movements: reflections,
definitions and implications for motor control. Exp Brain Res. 2007;181(1):
1330.
8. Sander J, de Schipper A, Brons A, Mironcika S, Toussaint H, Schouten B,
Kröse B. Detecting delays in motor skill development of children through
data analysis of a smart play device. In: Proceedings of the 11th EAI
International Conference on Pervasive Computing Technologies for
Healthcare. New York: ACM; 2017. p. 88-92.
9. Einspieler C, Peharz R, Marschik PB. Fidgety movementstiny in appearance,
but huge in impact. J Pediatr. 2016;92(3):S6470.
10. Ketcham CJ, Seidler RD, Van Gemmert AW, Stelmach GE. Age-related
kinematic differences as influenced by task difficulty, target size, and
movement amplitude. J Gerontol Ser B Psychol Sci Soc Sci. 2002;57(1):54
P64.
11. Traynor R, Galea V, Pierrynowski MR. The development of rhythm regularity,
neuromuscular strategies, and movement smoothness during repetitive
reaching in typically developing children. J Electromyogr Kinesiol. 2012;
22(2):25965.
12. Hreljac A. Stride smoothness evaluation of runners and other athletes. Gait
Posture. 2000;11(3):199206.
13. Bartolo M, De Nunzio AM, Sebastiano F, Spicciato F, Tortola P, Nilsson J,
Pierelli F. Arm weight support training improves functional motor outcome
and movement smoothness after stroke. Funct Neurol. 2014;29(1):15.
14. Bisio A, Pedullà L, Bonzano L, Tacchino A, Brichetto G, Bove M. The
kinematics of handwriting movements as expression of cognitive and
sensorimotor impairments in people with multiple sclerosis. Sci Rep. 2017;
7(1):17730.
15. Seifert L, Orth D, Boulanger J, Dovgalecs V, Hérault R, Davids K. Climbing
skill and complexity of climbing wall design: assessment of jerk as a novel
indicator of performance fluency. J Appl Biomech. 2014;30(5):61925.
16. Choi JS, Kim HS, Shin YH, Choi MH, Chung SC, Min BC, Tack GR. Differences
in driving performance due to headway distances and gender: the
application of jerk cost function. Int J Occup Saf Ergon. 2015;21(1):1117.
17. Caramiaux B, Bevilacqua F, Wanderley MM, Palmer C. Dissociable effects of
practice variability on learning motor and timing skills. PLoS One. 2018;13(3):
e0193580.
18. Jayaraman C, Beck CL, Sosnoff JJ. Shoulder pain and jerk during recovery
phase of manual wheelchair propulsion. J Biomech. 2015;48(14):393744.
19. Bronner S, Shippen J. Biomechanical metrics of aesthetic perception in
dance. Exp Brain Res. 2015;233(12):356581.
20. Yan JH, Hinrichs RN, Payne VG, Thomas JR. Normalized jerk: a measure to
capture developmental characteristics of young girlsoverarm throwing. J
Appl Biomech. 2000;16(2):196203.
21. Ghasemloonia A, Maddahi Y, Zareinia K, Lama S, Dort JC, Sutherland GR.
Surgical skill assessment using motion quality and smoothness. J Surg Educ.
2017;74(2):295305.
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 7 of 9
22. Pandey, S., Byrne, M. D., Jantscher, W. H., OMalley, M. K., & Agarwal, P.
(2017). Toward training surgeons with motion-based feedback: initial
validation of smoothness as a measure of motor learning. In Proceedings of
the Human Factors and Ergonomics Society Annual Meeting. 61, 1, pp.
1531-1535. Los Angeles: SAGE Publications.
23. Pozaic T, Lindemann U, Grebe AK, Stork W. Sit-to-stand transition reveals
acute fall risk in activities of daily living. IEEE J Transl Eng Health Med. 2016;
4:111.
24. Dixon PC, Stirling L, Xu X, Chang CC, Dennerlein JT, Schiffman JM. Aging
may negatively impact movement smoothness during stair negotiation.
Hum Mov Sci. 2018;60:7886.
25. Sakata K, Kogure A, Hosoda M, Isozaki K, Masuda T, Morita S. Evaluation of
the age-related changes in movement smoothness in the lower extremity
joints during lifting. Gait Posture. 2010;31(1):2731.
26. Smith MA, Brandt J, Shadmehr R. Motor disorder in Huntingtons disease
begins as a dysfunction in error feedback control. Nature. 2000;403:5449.
27. Nayate A, Bradshaw JL, Rinehart NJ. Autism and Aspergers disorder: are
they movement disorders involving the cerebellum and/or basal ganglia?
Brain Res Bull. 2005;67(4):32734.
28. Ali Farshchiansadegh MS, Seáñez-González I. Body-machine interface
enables people with cervical spinal cord injury to control devices with
available body movements: proof of concept. Neurorehabil Neural Repair.
2017;31:5.
29. Baydal-Bertomeu JM, Page ÁF, Belda-Lois JM, Garrido-Jaén D, Prat JM. Neck
motion patterns in whiplash-associated disorders: quantifying variability and
spontaneity of movement. Clin Biomech. 2011;26(1):2934.
30. Kim HS, Choi MH, Choi JS, Kim HJ, Hong SP, Jun JH, et al. Driving
performance changes of middle-aged experienced taxi drivers due to
distraction tasks during unexpected situations. Percept Mot Skills. 2013;
117(2):41126.
31. Baddoura R, Venture G. Human motion characteristics in relation to feeling
familiar or frightened during an announced short interaction with a
proactive humanoid. Front Neurorobot. 2014;8:12.
32. Kistemaker DA, Wong JD, Gribble PL. The central nervous system does not
minimize energy cost in arm movements. J Neurophysiol. 2010;104(6):298594.
33. Kistemaker DA, Wong JD, Gribble PL. The cost of moving optimally:
kinematic path selection. J Neurophysiol. 2014;112(8):181524.
34. Srinivasan M, Ruina A. Computer optimization of a minimal biped model
discovers walking and running. Nature. 2006;439(7072):72.
35. Daley MA, Usherwood JR. Two explanations for the compliant running
paradox: reduced work of bouncing viscera and increased stability in
uneven terrain. Biol Lett. 2010;6(3):41821.
36. Harris CM, Wolpert DM. Signal-dependent noise determines motor
planning. Nature. 1998;394(6695):780.
37. Todorov E, Jordan MI. Optimal feedback control as a theory of motor
coordination. Nat Neurosci. 2002;5(11):1226.
38. Bobbert MF, Casius LR. Spring-like leg behaviour, musculoskeletal mechanics
and control in maximum and submaximum height human hopping. Philos
Trans R Soc Lond Ser B Biol Sci. 2011;366(1570):151629.
39. Schwartz AB. Movement: how the brain communicates with the world. Cell.
2016;164(6):112235.
40. Buma FE, van Kordelaar J, Raemaekers M, van Wegen EE, Ramsey NF,
Kwakkel G. Brain activation is related to smoothness of upper limb
movements after stroke. Exp Brain Res. 2016;234(7):207789.
41. Salmond LH, Davidson AD, Charles SK. Proximal-distal differences in
movement smoothness reflect differences in biomechanics. J Neurophysiol.
2016;117(3):123957.
42. Kiely J, Collins DJ. Uniqueness of human running coordination: the
integration of modern and ancient evolutionary innovations. Front Psychol.
2016;7:262.
43. Wolpert DM, Ghahramani Z. Computational principles of movement
neuroscience. Nat Neurosci. 2000;3(Suppl):12127.
44. Turvey MT, Fonseca ST. The medium of haptic perception: a tensegrity
hypothesis. J Mot Behav. 2014;46(3):14387.
45. Biewener AA, Daley MA. Unsteady locomotion: integrating muscle function
with whole body dynamics and neuromuscular control. J Exp Biol. 2007;
210(17):294960.
46. Zehr EP, Duysens J. Regulation of arm and leg movement during human
locomotion. Neuroscientist. 2004;10(4):34761.
47. Zehr EP. Neural control of rhythmic human movement: the common core
hypothesis. Exerc Sport Sci Rev. 2005;33(1):5460.
48. Gulde P, Hermsdörfer J. Smoothness metrics in complex movement tasks.
Front Neurol. 2018;9:615.
49. Choi JS, Kim HS, Mun KR, Kang DW, Kang MS, Bang YH, et al. Differences in
kinematics and heart rate variability between winner and loser of various
skilled levels during competitive golf putting tournament. Br J Sports Med.
2010;44(14):i25.
50. Wilkerson GB, Gupta A, Colston MA. Mitigating sports injury risks using
internet of things and analytics approaches. Risk Anal. 2018;38(7):134860.
51. Cortes N, Onate J, Morrison S. Differential effects of fatigue on movement
variability. Gait Posture. 2014;39(3):88893.
52. Lipsitz LA, Goldberger AL. Loss of complexityand aging: potential
applications of fractals and chaos theory to senescence. J Am Med Assoc.
1992;267(13):18069.
53. Bauer CM, Rast FM, Ernst MJ, Meichtry A, Kool J, Rissanen SM, et al. The
effect of muscle fatigue and low back pain on lumbar movement variability
and complexity. J Electromyogr Kinesiol. 2017;33:94102.
54. Kiely J. The robust running ape: unravelling the deep underpinnings of
coordinated human running proficiency. Front Psychol. 2017;8:892.
55. Schütte KH, Maas EA, Exadaktylos V, Berckmans D, Venter RE, Vanwanseele
B. Wireless tri-axial trunk accelerometry detects deviations in dynamic
center of mass motion due to running-induced fatigue. PLoS One. 2015;
10(10):e0141957.
56. Murray AM, Ryu JH, Sproule J, Turner AP, Graham-Smith P, Cardinale M. A
pilot study using entropy as a noninvasive assessment of running. Int J
Sports Physiol Performance. 2017;12(8):111922.
57. Schütte KH, Seerden S, Venter R, Vanwanseele B. Influence of outdoor
running fatigue and medial tibial stress syndrome on accelerometer-based
loading and stability. Gait Posture. 2018;59:2228.
58. Billat V, Brunel NJ, Carbillet T, Labbé S, Samson A. Humans are able to self-
paced constant running accelerations until exhaustion. Phys A: Stat Mech
Appl. 2018;506:290304.
59. Zhang S, Li Y, Li L. Running ground reaction force complexity at the initial
stance phase increased with ageing. Sports Biomech. 2019;1:110.
60. Switlick T, Kernozek TW, Meardon S. Differences in joint-position sense and
vibratory threshold in runners with and without a history of overuse injury.
J Sport Rehabil. 2015;24(1):612.
61. Steinberg N, Adams R, Tirosh O, Karin J, Waddington G. Effects of textured
balance board training in adolescent ballet dancers with ankle pathology. J
Sport Rehabil. 2018;28:132.
62. Bellenger CR, Arnold JB, Buckley JD, Thewlis D, Fuller JT. Detrended
fluctuation analysis detects altered coordination of running gait in athletes
following a heavy period of training. J Sci Med Sport. 2019;22(3):2949.
63. Iwańska D, Karczewska M, Madej A, Urbanik C. Symmetry of proprioceptive
sense in female soccer players. Acta Bioeng Biomech. 2015;17(2):584.
64. Riva D, Bianchi R, Rocca F, Mamo C. Proprioceptive training and injury
prevention in a professional mens basketball team: a six-year prospective
study. J Strength Cond Res. 2016;30(2):461.
65. Laczko J, Scheidt RA, Simo LS, Piovesan D. Inter-joint coordination deficits
revealed in the decomposition of endpoint jerk during goal-directed arm
movement after stroke. IEEE Trans Neural Syst Rehabil Eng. 2017;25(7):798810.
66. Reid KF, Pasha E, Doros G, Clark DJ, Patten C, Phillips EM, et al. Longitudinal
decline of lower extremity muscle power in healthy and mobility-limited
older adults: influence of muscle mass, strength, composition,
neuromuscular activation and single fiber contractile properties. Eur J Appl
Physiol. 2014;114(1):2939.
67. Kline PW, Williams DB III. Effects of normal aging on lower extremity loading
and coordination during running in males and females. Int J Sports Phys
Ther. 2015;10(6):901.
68. Shmuelof L, Krakauer JW, Mazzoni P. How is a motor skill learned? Change
and invariance at the levels of task success and trajectory control. J
Neurophysiol. 2012;108(2):57894.
69. Hutchins AR, Manson RJ, Zani S, Mann BP. Sample entropy of speed power
spectrum as a measure of laparoscopic surgical instrument trajectory
smoothness. In: 2018 40th Annual International Conference of the IEEE
Engineering in Medicine and Biology Society (EMBC). Honolulu: IEEE; 2018.
p. 54103.
70. Kiely, J. (2013). The running machine myth. The running times. Available at:
http://www.runnersworld.com/race-training/the-running-machine-myth.
Accessed 4 Sept 2013.
71. Bosch F, Cook K. Strength training and coordination: an integrative
approach. Rotterdam: Ten brink: 2010 publishers; 2015.
Kiely et al. Sports Medicine - Open (2019) 5:43 Page 8 of 9
72. Baar K. Using molecular biology to maximize concurrent training. Sports
Med. 2014;44(2):11725.
73. Frank NS, Prentice SD, Callaghan JP. Local dynamic stability of the lower
extremity in novice and trained runners while running in traditional and
minimal footwear. Gait Posture. 2019;68:504.
74. Kibele A, Granacher U, Muehlbauer T, Behm DG. Stable, unstable and
metastable states of equilibrium: definitions and applications to human
movement. J Sports Sci Med. 2015;14(4):885.
75. Kim E, Choi H, Cha JH, Park JC, Kim T. Effects of neuromuscular training on
the rear-foot angle kinematics in elite women field hockey players with
chronic ankle instability. J Sports Sci Med. 2017;16(1):137.
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... Lately, researchers have introduced compound metrics based on the rate of change in acceleration, called jerk in classic physics, as a way to quantify the change in the force exerted on the body (Eager et al., 2016). Researchers have highlighted that it is possible to measure muscular movement smoothness with jerk and that its deterioration can be influenced by fatigue, training, and injury history among other factors Kiely et al. (2019). Also, the central nervous system has a key role in motion smoothness and its decline can be seen through a decay in motor coordination and, therefore, a less smooth movement pattern, such as running or lifting something. ...
... Although this metric (jerk) seems to be useful for measuring physical and mental fatigue (Eager et al., 2016;Zhang et al., 2019), it is still not quite studied in a training environment in team sports, and it has only been studied for limb fatigue (Hostler et al., 2021;Kiely et al., 2019). Moreover, a very common external load metric in team sports, the Player Load (PL) (Boyd et al., 2011), is based on the jerk. ...
Article
Full-text available
Exploración de las métricas de carga externa en el balonmano de equipo: Un estudio del Campeonato Europeo Masculino Sub-20 Abstract The objective assessment of external physical loads has become promising in better understanding players' match loads and responses. However, there is a lack of consensus on the metrics used along with limited information on this topic in elite handball. This study investigated differences in conventional and novel external load metrics according to playing positions. Methods: 27 matches of EHF Euro M20 2022 were used, with a total of 711 player match observations recorded. The data series were collected using a local positioning system (LPS) integrated with inertial measurement unit (IMU) devices. Kinematic variables: match-jerk, match-Dynamic Stress Load (match-DSL), distance covered, distance covered at high speed (HSR distance). Despite the lack of handball-specific validation, differences between studied positions were found in all variables. Greater sensibility seems possible based on the match-DSL compared to match-jerk. Accordingly, Backs exhibited the highest match-DSL values. Divergently, the Wings covered more distance at total and high-speed running while showing lower match-DSL relative to the Backs. The Line Players had similar HSR distances to Backs while covering lower total distances. Future studies are needed to explore the validity of the available metrics and arbitrary parameters, as well as comparing those variables with internal-load variables. Resumen La evaluación objetiva de las cargas físicas externas se ha convertido en algo promisorio para mejor comprender la carga y la respuesta de un jugador. Sin embargo, hay una falta de consenso sobre las métricas a utilizar junto con información limitada sobre este tema en el balonmano de élite. Este estudio investigó las diferencias con métricas tradicionales y nuevas de carga mecánica externa según las posiciones de juego. Métodos: se utilizaron 27 partidos de la EHF Euro M20 2022, con un total de 711 muestras de jugadores registradas. Data series se recopiló con un sistema de posicionamiento local (LPS) con dispositivos de unidad de medición inercial (IMU) integrados. Variables cinemáticas: match-jerk, match-Dynamic Stress Load (match-DSL), la distancia recorrida y la distancia recorrida a alta velocidad. A pesar de carecer de validación contextual en balonmano, se encontraron diferencias entre las posiciones estudiadas en todas las variables. Parece posible una mayor sensibilidad basada en el match-DSL en comparación con el match-jerk. Los jugadores de primera línea y pivotes exhibieron los valores más altos de match-DSL. De forma divergente, los extremos cubrieron más distancia en carrera a alta velocidad mientras mostraban un menor match-DSL en relación con la primera línea. Las variables de locomoción proporcionan ventajas prácticas en comparación con match-DSL y match-jerk. Futuros estudios son necesarios que exploren la validez de las métricas y parámetros establecidos arbitrariamente y comparen estas variables de carga externa con las de carga interna.
... Lately, researchers have introduced compound metrics based on the rate of change in acceleration, called jerk in classic physics, as a way to quantify the change in the force exerted on the body (Eager et al., 2016). Researchers have highlighted that it is possible to measure muscular movement smoothness with jerk and that its deterioration can be influenced by fatigue, training, and injury history among other factors Kiely et al. (2019). Also, the central nervous system has a key role in motion smoothness and its decline can be seen through a decay in motor coordination and, therefore, a less smooth movement pattern, such as running or lifting something. ...
... Although this metric (jerk) seems to be useful for measuring physical and mental fatigue (Eager et al., 2016;Zhang et al., 2019), it is still not quite studied in a training environment in team sports, and it has only been studied for limb fatigue (Hostler et al., 2021;Kiely et al., 2019). Moreover, a very common external load metric in team sports, the Player Load (PL) (Boyd et al., 2011), is based on the jerk. ...
Article
Full-text available
The objective assessment of external physical loads has become promising in better understanding players’ match loads and responses. However, there is a lack of consensus on the metrics used along with limited information on this topic in elite handball. This study investigated differences in conventional and novel external load metrics according to playing positions. Methods: 27 matches of EHF Euro M20 2022 were used, with a total of 711 player match observations recorded. The data series were collected using a local positioning system (LPS) integrated with inertial measurement unit (IMU) devices. Kinematic variables: match-jerk, match-Dynamic Stress Load (match-DSL), distance covered, distance covered at high speed (HSR distance). Despite the lack of handball-specific validation, differences between studied positions were found in all variables. Greater sensibility seems possible based on the match-DSL compared to match-jerk. Accordingly, Backs exhibited the highest match-DSL values. Divergently, the Wings covered more distance at total and high-speed running while showing lower match-DSL relative to the Backs. The Line Players had similar HSR distances to Backs while covering lower total distances. Future studies are needed to explore the validity of the available metrics and arbitrary parameters, as well as comparing those variables with internal-load variables.
... From a practical perspective, smooth swimming movements referring to a low jerk cost, are those without abrupt, intermittent and discontinuous changes in accelerations, whereas non-smooth stroke patterns reflect abruptness and erratic discordance. In that sense, smoothness is a universal feature of skilled movement which may be used as a unique window into athletic coordinative proficiency (Kiely et al., 2019). Finally, tracking jerk cost across the race can be a powerful way to quantify the achievement of the successful conservative approach. ...
... Indeed, we found a significantly lower overall jerk cost value for better performers suggesting their higher efficiency as well as lower impact of stroke rate increase during race on stroke smoothness degradation. This higher smoothness could be the reflection of a more proficient movement as illustrated in other cyclic sports such as running (Kiely et al., 2019). However, this lower jerk cost may also reflect various combinations of stroke length and stroke rate at a given speed due to individual differences in anthropometrics, muscle flexibility or motor coordination (Psycharakis et al., 2008). ...
Article
Full-text available
This study aims to identify stroke regulation profiles and tipping-points in stroke regulation timing during international open water races according to performance level. Twelve elite or world-class swimmers were analysed during 18 international races. Stroke rate and jerk cost were computed cycle-to-cycle using an Inertial Measurement Unit and regulations profiles fitted using polynomials. We performed two-ways mixed-ANOVA to compare stroke kinematics among race segments and performance groups (G1 -fastest- to G3 -slowest-). Swimmers displayed specific regulation profiles (i.e., J-shape with end-spurt, J-shape without end-spurt and reverse L-shape for stroke rate and U-shape, reverse J-shape and reverse L-shape for jerk cost, for respectively G1, G2 and G3) with significant effect of race segment on stroke kinematics for G1 and G2. We highlighted tipping-points in stroke regulations profiles (TP1 and TP2) at respectively 30% and 75% of the race with greater magnitude in G1 than G2. TP1 reflects the end of a stroke economy period (0–30%) and TP2 the end of a progressive increase in stroke kinematics (30–75%) towards end-spurt (75–100%). Open water races follow a high-grading dynamics requiring biomechanical regulations along the race. Targeting stroke rate reserve and management of stroke smoothness should be considered during training of open water swimmers.
... Apart from SR, SL, and SI, jerk cost (JC) also reflects substantial technical abilities. JC quantifies movement smoothness, a universal indicator of skilled and efficient movement 17 . Thus, JC has been recently applied to evaluate technique 18 , discriminate biomechanical abilities 19 , and profile stroke regulations leading to success in open-water. ...
Article
Full-text available
Purpose: To investigate technical regulation mechanisms of long-distance swimmers that differentiate optimal pacing strategies and the underlying kinematic parameters. Methods: Twenty-one national and international swimmers equipped with a sacrum-worn IMU performed during 5000m indoor French championships. Percentage of critical swimming speed (CSS), stroke rate (SR), stroke length (SL), jerk cost (JC), stroke index (SI), and mechanical proficiency score (MPS) were computed by lap. Athletes were divided into groups of pacing effectiveness based on optimal potential performance level (OPPL)-optimal (nearOPPL) and suboptimal (farOPPL)-using functional clustering of %CSS. Race sections were analyzed with a change-in-slope detection method. Common stroke regulation abilities and deviations by pacing groups were profiled by fitting hierarchical generalized additive models between mechanical variables and laps. Results: The two clusters were discriminated by %CSS sustainment (p<0.01). Optimal performers showed a +41.4% more stable pacing (2 race sections vs. 3 for farOPPL) and a +36.7% higher end-spurt, with a trend combining higher overall SR (p=0.08) with lower JC (p=0.17). Functional profiles showed that maintaining a higher SL and SI in a fatigued state, rather than overall values, allows the swimmers to reach OPPL (p<0.001). High regulation of MPS across the race, in line with pacing expectations of particular race sections, is a game-changer to sustain CSS (p<0.001). Conclusions: Specific profiles of stroke regulations, regarding tradeoff between stroke smoothness and resultant speed, lead to optimal pacing during 5000m. The results of this study enhances the technical understanding of an optimal pacing in long-distance pool races for coaches and swimmers.
... Notably, smoothness is a hallmark of adept, healthy movement, intricately tied to extensive sensory feedback, and the corresponding finetuning of feedforward activation, as seen in activities like steady-state running. 28 Activities involving abrupt turns and directional changes, akin to those encountered in a soccer match, 29 showcase the remarkable adaptability of the healthy neuromuscular system to manage movement intermittency. In the current study, stroke participants strategically adopted a more cautious approach, prioritizing mobility smoothness over speed, particularly evident in tasks requiring changes in direction and intermittent movements like the timed-up-and-go test. ...
Article
Full-text available
Objective Current clinical practice guidelines support structured, progressive protocols for improving walking after stroke. Technology enables monitoring of exercise and therapy intensity, but safety concerns could also be addressed. This study explores functional mobility in post-stroke individuals using wearable technology to quantify movement smoothness—an indicator of safe mobility. Design Observational cohort study. Setting A movement analysis and rehabilitation laboratory. Participants A total of 56 chronic post-stroke individuals and 51 healthy controls. Intervention Participants performed the mobility test while wearing an inertial measurement unit attached to their waist. Thirty-two healthy participants also engaged in a steady-state walking task. Main measures Functional mobility smoothness by examining angular velocities in the yaw, pitch, and roll axes, employing the spectral arc length metrics. Results Our findings reveal that post-stroke individuals extend the duration of the timed-up-and-go test (≈9 s and 23 s longer compared to the controls) to ensure safe mobility—greater mobility smoothness ( p < 0.001). Notably, for mild and severe impairments, post-stroke mobility demonstrated ≈8% and ≈11% greater smoothness in pitch movements, respectively ( p = 0.025 and p = 0.002). In the roll direction, mobility was ≈12% smoother in cases of severe strokes ( p = 0.006). Conclusion This study addresses a crucial gap in the understanding of mobility smoothness in chronic stroke survivors using wearable technology. Our study suggests the potential utility of spectral arc length to predict challenging mobility situations in real-world situations. We highlight the potential for automated monitoring of safety offering promising avenues for real-time, real-life monitoring.
... Such dedicated accelerometer-driven measures have been used previously to assess movement quality (in terms of regularity, predictability, smoothness, and stability) [12] and have been described in a range of clinical populations during a habitual task such as running or gait analysis [13][14][15][16][17][18][19][20][21][22][23][24]. Within the field of UL function, these parameters are most often used in individuals with neurological disorders, for example, to analyze the spontaneous arm movement of premature infants with traumatic brain injury [25] or to assess movement smoothness in people post stroke [26,27]. ...
Article
Full-text available
(1) Background: This study aimed to describe upper-limb (UL) movement quality parameters in women after breast cancer surgery and to explore their clinical relevance in relation to post-surgical pain and disability. (2) Methods: UL movement quality was assessed in 30 women before and 3 weeks after surgery for breast cancer. Via accelerometer data captured from a sensor located at the distal end of the forearm on the operated side, various movement quality parameters (local dynamic stability, movement predictability, movement smoothness, movement symmetry, and movement variability) were investigated while women performed a cyclic, weighted reaching task. At both test moments, the Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire was filled out to assess UL disability and pain severity. (3) Results: No significant differences in movement quality parameters were found between the pre-surgical and post-surgical time points. No significant correlations between post-operative UL disability or pain severity and movement quality were found. (4) Conclusions: From this study sample, no apparent clinically relevant movement quality parameters could be derived for a cyclic, weighted reaching task. This suggests that the search for an easy-to-use, quantitative analysis tool for UL qualitative functioning to be used in research and clinical practice should continue.
... Theoretically, it is suggested that individuals try to minimise the magnitude of jerk of a specified end point jerk trajectory to promote smoothness (Flash & Hogan, 1985). Yet, there is limited understanding about smoothness as a control feature in running and in response to attentional cues (Kiely et al., 2019). Using the constrained action hypothesis, movement smoothness would be predicted to improve or be maintained with an EF cue in experienced runners, whilst an IF cue would be predicted to disrupt it. ...
Article
The human sensorimotor control system has exceptional abilities to perform skillful actions. We easily switch between strenuous tasks that involve brute force, such as lifting a heavy sewing machine, and delicate movements such as threading a needle in the same machine. Using a structure with different control architectures, the motor system is capable of updating its ability to perform through our daily interaction with the fluctuating environment. However, there are issues that make this a difficult computational problem for the brain to solve. The brain needs to control a nonlinear, nonstationary neuromuscular system, with redundant and occasionally undesired degrees of freedom, in an uncertain environment using a body in which information transmission is subject to delays and noise. To gain insight into the mechanisms of motor control, here we survey movement laws and invariances that shape our everyday motion. We then examine the major solutions to each of these problems in the three parts of the sensorimotor control system, sensing, planning, and acting. We focus on how the sensory system, the control architectures, and the structure and operation of the muscles serve as complementary mechanisms to overcome deviations and disturbances to motor behavior and give rise to skillful motor performance. We conclude with possible future research directions based on suggested links between the operation of the sensorimotor system across the movement stages. © 2024 American Physiological Society. Compr Physiol 14:5179‐5224, 2024.
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This study aims to profile biomechanical abilities during sprint front-crawl by identifying technical stroke characteristics, in light of performance level. Ninety-one recreational to world-class swimmers equipped with a sacrum-worn IMU performed 25m all-out. Intra and inter-cyclic 3D kinematical variabilities were clustered using a functional double partition model. Clusters were analyzed according to (1) swimming technique using continuous visualization and discrete features (standard deviation and jerk cost) and (2) performance regarding speed and competition caliber using respectively one-way ANOVA and Chi-squared test as well as Gamma statistics. Swimmers displayed specific technical profiles of intra-cyclic (smoothy and jerky) and inter-cyclic stroke regulation (low, moderate and high repeatability) significantly discriminated by speed (p<0.001, η²=0.62) and performance caliber (p<0.001, V=0.53). We showed that combining high levels of both kinds of variability (jerky+low repeatability) are associated with highest speed (1.86±0.12 m/s) and competition caliber (ℽ=0.75, p<0.001). It highlights the crucial importance of variabilities combination. Technical skills might be driven by a specific alignment of stroke pattern and its associated dispersion according to the task constraints. This data-driven approach can assist eyes-based technical evaluation. Targeting the development of an explosive swimming style with a high level of body stability should be considered during training of sprinters.
Chapter
The human sensorimotor control system has exceptional abilities to perform skillful actions. We easily switch between strenuous tasks that involve brute force, such as lifting a heavy sewing machine, and delicate movements such as threading a needle in the same machine. Using a structure with different control architectures, the motor system is capable of updating its ability to perform through our daily interaction with the fluctuating environment. However, there are issues that make this a difficult computational problem for the brain to solve. The brain needs to control a nonlinear, nonstationary neuromuscular system, with redundant and occasionally undesired degrees of freedom, in an uncertain environment using a body in which information transmission is subject to delays and noise. To gain insight into the mechanisms of motor control, here we survey movement laws and invariances that shape our everyday motion. We then examine the major solutions to each of these problems in the three parts of the sensorimotor control system, sensing, planning, and acting. We focus on how the sensory system, the control architectures, and the structure and operation of the muscles serve as complementary mechanisms to overcome deviations and disturbances to motor behavior and give rise to skillful motor performance. We conclude with possible future research directions based on suggested links between the operation of the sensorimotor system across the movement stages. © 2024 American Physiological Society. Compr Physiol 14:5179‐5224, 2024.
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Smoothness is a main characteristic of goal-directed human movements. The suitability of approaches quantifying movement smoothness is dependent on the analyzed signal's structure. Recently, activities of daily living (ADL) received strong interest in research on aging and neurorehabilitation. Such tasks have complex signal structures and kinematic parameters need to be adapted. In the present study we examined four different approaches to quantify movement smoothness in ADL. We tested the appropriateness of these approaches, namely the number of velocity peaks per meter (NoP), the spectral arc length (SAL), the speed metric (SM) and the log dimensionless jerk (LDJ), by comparing movement signals from eight healthy elderly (67.1a ± 7.1a) with eight healthy young (26.9a ± 2.1a) participants performing an activity of daily living (making a cup of tea). All approaches were able to identify group differences in smoothness (Cohen's d NoP = 2.53, SAL = 1.95, SM = 1.69, LDJ = 4.19), three revealed high to very high sensitivity (z-scores: NoP = 1.96 ± 0.55, SAL = 1.60 ± 0.64, SM = 3.41 ± 3.03, LDJ = 5.28 ± 1.52), three showed low within-group variance (NoP = 0.72, SAL = 0.60, SM = 0.11, LDJ = 0.71), two showed strong correlations between the first and the second half of the task execution (intra-trial R²s: NoP = 0.22 n.s., SAL = 0.33, SM = 0.36, LDJ = 0.91), and one was independent of other kinematic parameters (SM), while three showed strong models of multiple linear regression (R²s: NoP = 0.61, SAL = 0.48, LDJ = 0.70). Based on our results we make suggestion toward use examined smoothness measures. In total the log dimensionless jerk proved to be the most appropriate in ADL, as long as trial durations are controlled.
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Context: Ankle sprains are common amongst adolescent ballet dancers and may be attributed to inadequate ankle proprioception. Thus, a short period of training utilizing proprioceptive activities requires evaluation. Objective: To assess training conducted for 3 or 6 weeks on a textured-surface balance board using ankle proprioception scores for ballet dancers with and without chronic ankle instability (CAI), and with and without previous ankle sprain (PAS). Design: Intervention study. Setting: The Australian Ballet School. Participants: Forty-two ballet dancers, aged 14-18. Interventions: Dancers randomized into two groups: Group 1 (GRP1) undertook 1 minute of balance board training daily for 3-weeks; Group 2 (GRP2) undertook the same training for 6-weeks. Main outcome measures: Pre-intervention, CAIT questionnaire data was collected and PAS during the last two years was reported. Active ankle inversion movement discrimination ability was tested immediately pre and post-intervention and at three and four weeks. Results: Ankle discrimination acuity scores improved over time for both groups, with a performance decline associated with the early cessation of training for GRP1 (p=0.04). While dancers with PAS had significantly worse scores at the first test, before balance board training began (p <0.01), no significant differences in scores at any test occasion were found between dancers with and without CAI. A significantly faster rate of improvement in ankle discrimination ability score over the four test occasions was found for dancers with PAS (p=.002). Conclusions: Three weeks of textured balance board training improved the ankle discrimination ability of ballet dancers regardless of their reported level of CAI, and at a faster rate for dancers with PAS. PAS was associated with a lower level of ankle discrimination ability; however, following 3-weeks of balance board training, previously injured dancers had significantly improved their ankle discrimination acuity scores.
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Although it has been experimentally reported that speed variations is the optimal way of optimizing his pace for achieving a given distance in a minimal time, we still do not know what the optimal speed variations (i.e. accelerations) are. At first, we have to check the hypothesis that human is able to accurately self-pacing its acceleration and this even in a state of fatigue during exhaustive self-pacing ramp runs. For that purpose, 3 males and 2 females middle-aged, recreational runners ran, in random order, three exhaustive acceleration trials. We instructed the five runners to perform three self-paced acceleration trials based on three acceleration intensity levels: ”soft”, ”medium” and ”hard”. We chose a descriptive modelling approach to analyse the behaviour of the runners. Once we knew that the runners were able to perceive three acceleration intensity levels, we proposed a mean-reverting process (Ornstein–Uhlenbeck) to describe those accelerations: dat=−θ(at−a)dt+σdWt where a is the mean acceleration, at is the measured acceleration at each time interval t, θ the ability of the runner to correct the variations around a mean acceleration and σ the human induced variations. The goodness-of-fit of the Ornstein–Uhlenbeck process highlights the fact that humans are able to maintain a constant acceleration and are able to precisely regulate their acceleration (regardless of its intensity) in a run leading to exhaustion in the range from 1 min 36 s to 20 min.
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Motor skill acquisition inherently depends on the way one practices the motor task. The amount of motor task variability during practice has been shown to foster transfer of the learned skill to other similar motor tasks. In addition, variability in a learning schedule, in which a task and its variations are interweaved during practice, has been shown to help the transfer of learning in motor skill acquisition. However, there is little evidence on how motor task variations and variability schedules during practice act on the acquisition of complex motor skills such as music performance, in which a performer learns both the right movements (motor skill) and the right time to perform them (timing skill). This study investigated the impact of rate (tempo) variability and the schedule of tempo change during practice on timing and motor skill acquisition. Complete novices, with no musical training, practiced a simple musical sequence on a piano keyboard at different rates. Each novice was assigned to one of four learning conditions designed to manipulate the amount of tempo variability across trials (large or small tempo set) and the schedule of tempo change (randomized or non-randomized order) during practice. At test, the novices performed the same musical sequence at a familiar tempo and at novel tempi (testing tempo transfer), as well as two novel (but related) sequences at a familiar tempo (testing spatial transfer). We found that practice conditions had little effect on learning and transfer performance of timing skill. Interestingly, practice conditions influenced motor skill learning (reduction of movement variability): lower temporal variability during practice facilitated transfer to new tempi and new sequences; non-randomized learning schedule improved transfer to new tempi and new sequences. Tempo (rate) and the sequence difficulty (spatial manipulation) affected performance variability in both timing and movement. These findings suggest that there is a dissociable effect of practice variability on learning complex skills that involve both motor and timing constraints.
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Running mechanics could be influenced by some degenerative musculoskeletal changes associated with ageing. However, the shoe effect on ground reaction force (GRF) amplitude and complexity of older runners is still unclear. The objective of our study was to assess the effects of age and shoe on amplitude and complexity of GRF during treadmill running. In total, 20 healthy runners were recruited. GRF data were collected for 13 younger runners and seven older runners during running on an instrumented treadmill at 3.5 m/s. Maximum vertical loading rate and GRF variables were generated. Sample entropy of GRF during the first 20% of the stance phase was calculated to assess GRF complexity. Age and shoe type did not significantly affect the maximal loading rate and GRF. Older participants exhibited higher anteroposterior and vertical GRF sample entropy compared to younger runners. In conclusion, the amplitudes of GRF were not influenced by age group, which indicated that muscle strength in the older runners tested could fulfil mechanical demand (e.g., shock absorption, force generation) during running. However, the increased GRF complexity in initial stance phase with ageing could be a result of reduced muscle contraction coordination and smoothness of force production.
Conference Paper
In this study the complexity of the speed power spectrum is assessed as a metric for measuring trajectory smoothness. There are a variety of published methods for analyzing trajectory smoothness but many lack validity. This preliminary study took an information theoretic approach to assess trajectory smoothness by applying the sample entropy measure to the speed power spectrum of simulated and experimental trajectories. The complexity measurements of the speed power spectrum were compared to a traditional jerk-based measure of trajectory smoothness, namely log\log -dimensionless jerk. The approach was first tested on basic simulated shape tracings with varying locations of sporadic movement, simulated as Gaussian noise. This method was duplicated in an experimental setting with the same shapes and locations of sporadic movement by capturing the trace trajectories using an electromagnetic motion tracking system. Finally, this approach was applied to kinematic data of laparoscopic surgical instrument tips, captured over 105 iterations of a basic surgical task. Analysis from all three testing scenarios showed that there is a statistically significant linear correlation between log\log -dimensionless jerk and the sample entropy of speed power spectra.
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Background Understanding how footwear cushioning influences movement stability may be helpful in reducing injuries related to repetitive loading. Research Question: The purpose of this study was to identify the relationship between running experience and midsole cushioning on local dynamic stability of the ankle, knee and hip. Methods Twenty-four trained and novice runners were recruited to run on a treadmill for five minutes at the same relative intensity. Midsole thickness (thick/thin) and stiffness (soft / hard) were manipulated yielding four unique conditions. Lyapunov exponents were estimated using the Wolf algorithm from sagittal ankle, knee and hip kinematics. Results Trained runners had increased movement stability in all shoe conditions compared to their novice counterparts. Midsole thickness and stiffness, overall, did not affect movement stability within each of the running groups. Novice runners displayed decreased movement stability at the hip while running in the thick/soft running shoes. It was found that running experience has a greater influence on movement stability in the lower limbs compared to the midsole characteristics that were manipulated in this experiment. The hip was most stable followed by the knee and the ankle highlighting decreased stability in distal joints. Conclusions It appears that midsole design within current design ranges do not have the ability to influence movement stability.
Article
Objectives: To investigate whether functional overreaching affects locomotor system behaviour when running at fixed relative intensities and if any effects were associated with changes in running performance. Design: Prospective intervention study. Methods: Ten trained male runners completed three training blocks in a fixed order. Training consisted of one week of light training (baseline), two weeks of heavy training designed to induce functional overreaching, and ten days of light taper training designed to allow athletes to recover from, and adapt to, the heavy training. Locomotor behaviour, 5-km time trial performance, and subjective reports of training status (Daily Analysis of Life Demands for Athletes (DALDA) questionnaire) were assessed at the completion of each training block. Locomotor behaviour was assessed using detrended fluctuation analysis of stride intervals during running at speeds corresponding to 65% and 85% of maximum heart rate (HRmax) at baseline. Results: Time trial performance (effect size ±95% confidence interval (ES): 0.16±0.06; p<0.001), locomotor behaviour at 65% HRmax (ES: -1.12±0.95; p=0.026), and DALDA (ES: 2.55±0.80; p<0.001) were all detrimentally affected by the heavy training. Time trial performance improved relative to baseline after the taper (ES: -0.16±0.10; p=0.003) but locomotor behaviour at 65% HRmax (ES: -1.18±1.17; p=0.048) and DALDA (ES: 0.92±0.90; p=0.045) remained impaired. Conclusions: Locomotor behaviour during running at 65% HRmax was impaired by functional overreaching and remained impaired after a 10-day taper, despite improved running performance. Locomotor changes may increase injury risk and should be considered within athlete monitoring programs independently of performance changes.
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Stairs represent a barrier to safe locomotion for some older adults, potentially leading to the adoption of a cautious gait strategy that may lack fluidity. This strategy may be characterized as unsmooth; however, stair negotiation smoothness has yet to be quantified. The aims of this study were to assess age- and task-related differences in head and body center of mass (COM) acceleration patterns and smoothness during stair negotiation and to determine if smoothness was associated with the timed "Up and Go" (TUG) test of functional movement. Motion data from nineteen older and twenty young adults performing stair ascent, stair descent, and overground straight walking trials were analyzed and used to compute smoothness based on the log-normalized dimensionless jerk (LDJ) and the velocity spectral arc length (SPARC) metrics. The associations between TUG and smoothness measures were evaluated using Pearson's correlation coefficient (r). Stair tasks increased head and body COM acceleration pattern differences across groups, compared to walking (p < 0.05). LDJ smoothness for the head and body COM decreased in older adults during stair descent, compared to young adults (p ≤ 0.015) and worsened with increasing TUG for all tasks (-0.60 ≤ r ≤ -0.43). SPARC smoothness of the head and body COM increased in older adults, regardless of task (p < 0.001), while correlations showed improved SPARC smoothness with increasing TUG for some tasks (0.33 ≤ r ≤ 0.40). The LDJ outperforms SPARC in identifying age-related stair negotiation adaptations and is associated with performance on a clinical test of gait.
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Sport injuries restrict participation, impose a substantial economic burden, and can have persisting adverse effects on health-related quality of life. The effective use of Internet of Things (IoT), when combined with analytics approaches, can improve player safety through identification of injury risk factors that can be addressed by targeted risk reduction training activities. Use of IoT devices can facilitate highly efficient quantification of relevant functional capabilities prior to sport participation, which could substantially advance the prevailing sport injury management paradigm. This study introduces a framework for using sensor-derived IoT data to supplement other data for objective estimation of each individual college football player's level of injury risk, which is an approach to injury prevention that has not been previously reported. A cohort of 45 NCAA Division I-FCS college players provided data in the form of self-ratings of persisting effects of previous injuries and single-leg postural stability test. Instantaneous change in body mass acceleration (jerk) during the test was quantified by a smartphone accelerometer, with data wirelessly transmitted to a secure cloud server. Injuries sustained from the beginning of practice sessions until the end of the 13-game season were documented, along with the number of games played by each athlete over the course of a 13-game season. Results demonstrate a strong prediction model. Our approach may have strong relevance to the estimation of injury risk for other physically demanding activities. Clearly, there is great potential for improvement of injury prevention initiatives through identification of individual athletes who possess elevated injury risk and targeted interventions.