Current medical retrieval-augmented generation (RAG) approaches overlook evidence-based medicine (EBM) principles, leading to two key gaps: (1) the lack of PICO alignment between queries and retrieved evidence, and (2) the absence of evidence hierarchy considerations during reranking. We present SR-RAG, an EBM-adapted GraphRAG framework that integrates the PICO framework into knowledge graph construction and retrieval, and proposes Bayesian Evidence Tier Reranking (BETR) to calibrate ranking scores by evidence grade without predefined weights. Validated in sports rehabilitation, we release a knowledge graph (357,844 nodes, 371,226 edges) and a benchmark of 1,637 QA pairs. SR-RAG achieves 0.812 evidence recall@10, 0.830 nugget coverage, 0.819 answer faithfulness, 0.882 semantic similarity, and 0.788 PICOT match accuracy, substantially outperforming five baselines. Five expert clinicians rated the system 4.66--4.84 on a 5-point Likert scale, and system rankings are preserved on a human-verified gold subset (n=80).
This chapter explores the complexities of sports governance, taxation, dispute resolution, and the impact of digital transformation within the sports sector. This study identifies a critical research gap regarding the integration of innovative technologies to enhance governance and talent identification in sports law. The objective is to evaluate how data-driven approaches and AI can optimize recruitment processes; also ensuring compliance with existing regulations. A comprehensive analysis of current governance structures and taxation policies,(ie Income Tax Act and GST Act), reveals preliminary results indicating that reform is necessary to support sustainable growth in the sports economy. Key findings demonstrate that AI enhances player evaluation by minimizing biases and expanding access to diverse talent pools. While the Court of Arbitration for Sport provides an efficient mechanism for dispute resolution. The implications emphasize the need for regulatory reforms that align taxation policies with international best practices, promoting transparency and accountability in sports organizations. This research contributes valuable insights into the evolving dynamics of sports mana
Small Language Models (SLMs) have potential to be used for automatically labelling and identifying aspects of text data for medicine/health-related purposes from documents and the web. As their resource requirements are significantly lower than Large Language Models (LLMs), these can be deployed potentially on more types of devices. SLMs often are benchmarked on health/medicine-related tasks, such as MedQA, although performance on these can vary especially depending on the size of the model in terms of number of parameters. Furthermore, these test results may not necessarily reflect real-world performance regarding the automatic labelling or identification of texts in documents and the web. As a result, we compared topic-relatedness scores from Microsofts phi-3-mini-4k-instruct SLM to the topic-relatedness scores from 7 human evaluators on 1144 samples of medical/health-related texts and 1117 samples of sports injury-related texts. These texts were from a larger dataset of about 9 million news headlines, each of which were processed and assigned scores by phi-3-mini-4k-instruct. Our sample was selected (filtered) based on 1 (low filtering) or more (high filtering) Boolean condition
This study investigates the application of novel model architectures and large-scale foundational models in temporal series analysis of lower limb rehabilitation motion data, aiming to leverage advancements in machine learning and artificial intelligence to empower active rehabilitation guidance strategies for post-stroke patients in limb motor function recovery. Utilizing the SIAT-LLMD dataset of lower limb movement data proposed by the Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, we systematically elucidate the implementation and analytical outcomes of the innovative xLSTM architecture and the foundational model Lag-Llama in short-term temporal prediction tasks involving joint kinematics and dynamics parameters. The research provides novel insights for AI-enabled medical rehabilitation applications, demonstrating the potential of cutting-edge model architectures and large-scale models in rehabilitation medicine temporal prediction. These findings establish theoretical foundations for future applications of personalized rehabilitation regimens, offering significant implications for the development of customized therapeutic interventions in clinical pract
Camera virtualization -- an emerging solution to novel view synthesis -- holds transformative potential for visual entertainment, live performances, and sports broadcasting by enabling the generation of photorealistic images from novel viewpoints using images from a limited set of calibrated multiple static physical cameras. Despite recent advances, achieving spatially and temporally coherent and photorealistic rendering of dynamic scenes with efficient time-archival capabilities, particularly in fast-paced sports and stage performances, remains challenging for existing approaches. Recent methods based on 3D Gaussian Splatting (3DGS) for dynamic scenes could offer real-time view-synthesis results. Yet, they are hindered by their dependence on accurate 3D point clouds from the structure-from-motion method and their inability to handle large, non-rigid, rapid motions of different subjects (e.g., flips, jumps, articulations, sudden player-to-player transitions). Moreover, independent motions of multiple subjects can break the Gaussian-tracking assumptions commonly used in 4DGS, ST-GS, and other dynamic splatting variants. This paper advocates reconsidering a neural volume rendering fo
This chapter provides an overview of recent and promising Machine Learning applications, i.e. pose estimation, feature estimation, event detection, data exploration & clustering, and automated classification, in gait (walking and running) and sports biomechanics. It explores the potential of Machine Learning methods to address challenges in biomechanical workflows, highlights central limitations, i.e. data and annotation availability and explainability, that need to be addressed, and emphasises the importance of interdisciplinary approaches for fully harnessing the potential of Machine Learning in gait and sports biomechanics.
Physical rehabilitation exercises suggested by healthcare professionals can help recovery from various musculoskeletal disorders and prevent re-injury. However, patients' engagement tends to decrease over time without direct supervision, which is why there is a need for an automated monitoring system. In recent years, there has been great progress in quality assessment of physical rehabilitation exercises. Most of them only provide a binary classification if the performance is correct or incorrect, and a few provide a continuous score. This information is not sufficient for patients to improve their performance. In this work, we propose an algorithm for error classification of rehabilitation exercises, thus making the first step toward more detailed feedback to patients. We focus on skeleton-based exercise assessment, which utilizes human pose estimation to evaluate motion. Inspired by recent algorithms for quality assessment during rehabilitation exercises, we propose a Transformer-based model for the described classification. Our model is inspired by the HyperFormer method for human action recognition, and adapted to our problem and dataset. The evaluation is done on the KERAAL d
Robotic rehabilitation can deliver high-dose gait therapy and improve motor function after a stroke. However, for many devices, high costs and lengthy setup times limit clinical adoption. Thus, we designed, built, and evaluated the Passive Mechanical Add-on for Treadmill Exercise (P-MATE), a low-cost passive end-effector add-on for treadmills that couples the movement of the paretic and non-paretic legs via a reciprocating system of elastic cables and pulleys. Two human-device mechanical interfaces were designed to attach the elastic cables to the user. The P-MATE and two interface prototypes were tested with a physical therapist and eight unimpaired participants. Biomechanical data, including kinematics and interaction forces, were collected alongside standardized questionnaires to assess usability and user experience. Both interfaces were quick and easy to attach, though user experience differed, highlighting the need for personalization. We also identified areas for future improvement, including pretension adjustments, tendon derailing prevention, and understanding long-term impacts on user gait. Our preliminary findings underline the potential of the P-MATE to provide effective
One of the most frequent and severe aftermaths of a stroke is the loss of upper limb functionality. Therapy started in the sub-acute phase proved more effective, mainly when the patient participates actively. Recently, a novel set of rehabilitation and support robotic devices, known as supernumerary robotic limbs, have been introduced. This work investigates how a surface electromyography (sEMG) based control strategy would improve their usability in rehabilitation, limited so far by input interfaces requiring to subjects some level of residual mobility. After briefly introducing the phenomena hindering post-stroke sEMG and its use to control robotic hands, we describe a framework to acquire and interpret muscle signals of the forearm extensors. We applied it to drive a supernumerary robotic limb, the SoftHand-X, to provide Task-Specific Training (TST) in patients with sub-acute stroke. We propose and describe two algorithms to control the opening and closing of the robotic hand, with different levels of user agency and therapist control. We experimentally tested the feasibility of the proposed approach on four patients, followed by a therapist, to check their ability to operate th
Medicine, including fields in healthcare and life sciences, has seen a flurry of quantum-related activities and experiments in the last few years (although biology and quantum theory have arguably been entangled ever since Schrödinger's cat). The initial focus was on biochemical and computational biology problems; recently, however, clinical and medical quantum solutions have drawn increasing interest. The rapid emergence of quantum computing in health and medicine necessitates a mapping of the landscape. In this review, clinical and medical proof-of-concept quantum computing applications are outlined and put into perspective. These consist of over 40 experimental and theoretical studies. The use case areas span genomics, clinical research and discovery, diagnostics, and treatments and interventions. Quantum machine learning (QML) in particular has rapidly evolved and shown to be competitive with classical benchmarks in recent medical research. Near-term QML algorithms have been trained with diverse clinical and real-world data sets. This includes studies in generating new molecular entities as drug candidates, diagnosing based on medical image classification, predicting patient pe
This paper explores the potential opportunities, risks, and challenges associated with the use of large language models (LLMs) in sports science and medicine. LLMs are large neural networks with transformer style architectures trained on vast amounts of textual data, and typically refined with human feedback. LLMs can perform a large range of natural language processing tasks. In sports science and medicine, LLMs have the potential to support and augment the knowledge of sports medicine practitioners, make recommendations for personalised training programs, and potentially distribute high-quality information to practitioners in developing countries. However, there are also potential risks associated with the use and development of LLMs, including biases in the dataset used to create the model, the risk of exposing confidential data, the risk of generating harmful output, and the need to align these models with human preferences through feedback. Further research is needed to fully understand the potential applications of LLMs in sports science and medicine and to ensure that their use is ethical and beneficial to athletes, clients, patients, practitioners, and the general public.
Vision-based assessment can provide convenient and cost-effective evaluation in Traditional Chinese Medicine (TCM) rehabilitation training, where action quality assessment (AQA) from computer vision offers a promising solution. Existing automatic AQA frameworks for physical therapy typically rely on skeletal data captured from a single viewpoint, which is inefficient for TCM techniques such as acupuncture or Tuina that involve dense hand self-occlusion and complex hand-object interactions. To address these challenges, we propose CME-AQA, a cross-view, multimodal vision-based assessment framework that integrates visual-pose fusion to enhance understanding of environmental context and leverages both first-person and third-person videos during training to improve inference robustness. We collected two dual-view datasets, TCM-AQA61-A (Acupuncture) and TCM-AQA61-T (Tuina), each containing synchronized first-person and third-person recordings of 61 subjects with expert annotations. Experimental results show that our approach achieves superior or comparable mean performance against competitive baselines, achieving over 10% relative improvement in weighted F1 over the best competing method
Camera calibration in broadcast sports videos presents numerous challenges for accurate sports field registration due to multiple camera angles, varying camera parameters, and frequent occlusions of the field. Traditional search-based methods depend on initial camera pose estimates, which can struggle in non-standard positions and dynamic environments. In response, we propose an optimization-based calibration pipeline that leverages a 3D soccer field model and a predefined set of keypoints to overcome these limitations. Our method also introduces a novel refinement module that improves initial calibration by using detected field lines in a non-linear optimization process. This approach outperforms existing techniques in both multi-view and single-view 3D camera calibration tasks, while maintaining competitive performance in homography estimation. Extensive experimentation on real-world soccer datasets, including SoccerNet-Calibration, WorldCup 2014, and TS-WorldCup, highlights the robustness and accuracy of our method across diverse broadcast scenarios. Our approach offers significant improvements in camera calibration precision and reliability.
Patients with neurological conditions require rehabilitation to restore their motor, visual, and cognitive abilities. To meet the shortage of therapists and reduce their workload, a robotic rehabilitation platform involving the clinical trail making test is proposed. Therapists can create custom trails for each patient and the patient can trace the trails using a robotic device. The platform can track the performance of the patient and use these data to provide dynamic assistance through the robot to the patient interface. Therefore, the proposed platform not only functions as an evaluation platform, but also trains the patient in recovery. The developed platform has been validated at a rehabilitation center, with therapists and patients operating the device. It was found that patients performed poorly while using the platform compared to healthy subjects and that the assistance provided also improved performance amongst patients. Statistical analysis demonstrated that the speed of the patients was significantly enhanced with the robotic assistance. Further, neural networks are trained to classify between patients and healthy subjects and to forecast their movements using the data
Many neurological conditions, e.g., a stroke, can cause patients to experience upper limb (UL) motor impairments that hinder their daily activities. For such patients, while rehabilitation therapy is key for regaining autonomy and restoring mobility, its long-term nature entails ongoing time commitment and it is often not sufficiently engaging. Virtual reality (VR) can transform rehabilitation therapy into engaging game-like tasks that can be tailored to patient-specific activities, set goals, and provide rehabilitation assessment. Yet, most VR systems lack built-in methods to track progress over time and alter rehabilitation programs accordingly. We propose using arm kinematic modeling and capability maps to allow a VR system to understand a user's physical capability and limitation. Next, we suggest two use cases for the VR system to utilize the user's capability map for tailoring rehabilitation programs. Finally, for one use case, it is shown that the VR system can emphasize and assess the use of specific UL joints.
Modeling each hit as a multivariate event in racket sports and conducting sequential analysis aids in assessing player/team performance and identifying successful tactics for coaches and analysts. However, the complex correlations among multiple event attributes require pattern mining algorithms to be highly effective and efficient. This paper proposes Beep to discover meaningful multivariate patterns in racket sports. In particular, Beep introduces a new encoding scheme to discover patterns with correlations among multiple attributes and high-level tolerances of noise. Moreover, Beep applies an algorithm based on LSH (Locality-Sensitive Hashing) to accelerate summarizing patterns. We conducted a case study on a table tennis dataset and quantitative experiments on multi-scaled synthetic datasets to compare Beep with the SOTA multivariate pattern mining algorithm. Results showed that Beep can effectively discover patterns and noises to help analysts gain insights. Moreover, Beep was about five times faster than the SOTA algorithm.
Count data play a crucial role in sports analytics, providing valuable insights into various aspects of the game. Models that accurately capture the characteristics of count data are essential for making reliable inferences. In this paper, we propose the use of the Conway-Maxwell-Poisson (CMP) model for analyzing count data in sports. The CMP model offers flexibility in modeling data with different levels of dispersion. Here we consider a bivariate CMP model that models the potential correlation between home and away scores by incorporating a random effect specification. We illustrate the advantages of the CMP model through simulations. We then analyze data from baseball and soccer games before, during, and after the COVID-19 pandemic. The performance of our proposed CMP model matches or outperforms standard Poisson and Negative Binomial models, providing a good fit and an accurate estimation of the observed effects in count data with any level of dispersion. The results highlight the robustness and flexibility of the CMP model in analyzing count data in sports, making it a suitable default choice for modeling a diverse range of count data types in sports, where the data dispersion
This paper presents GARD, an upper limb end-effector rehabilitation device developed for stroke patients. GARD offers assistance force along or towards a 2D trajectory during physical therapy sessions. GARD employs a non-backdrivable mechanism with novel motor velocity-control-based algorithms, which offers superior control precision and stability. To our knowledge, this innovative technical route has not been previously explored in rehabilitation robotics. In alignment with the new design, GARD features two novel control algorithms: Implicit Euler Velocity Control (IEVC) algorithm and a generalized impedance control algorithm. These algorithms achieve O(n) runtime complexity for any arbitrary trajectory. The system has demonstrated a mean absolute error of 0.023mm in trajectory-following tasks and 0.14mm in trajectory-restricted free moving tasks. The proposed upper limb rehabilitation device offers all the functionalities of existing commercial devices with superior performance. Additionally, GARD provides unique functionalities such as area-restricted free moving and dynamic Motion Restriction Map interaction. This device holds strong potential for widespread clinical use, poten
Precision rehabilitation offers the promise of an evidence-based approach for optimizing individual rehabilitation to improve long-term functional outcomes. Emerging techniques, including those driven by artificial intelligence, are rapidly expanding our ability to quantify the different domains of function during rehabilitation, other encounters with healthcare, and in the community. While this seems poised to usher rehabilitation into the era of big data and should be a powerful driver of precision rehabilitation, our field lacks a coherent framework to utilize these data and deliver on this promise. We propose a framework that builds upon multiple existing pillars to fill this gap. Our framework aims to identify the Optimal Dynamic Treatment Regimens (ODTR), or the decision-making strategy that takes in the range of available measurements and biomarkers to identify interventions likely to maximize long-term function. This is achieved by designing and fitting causal models, which extend the Computational Neurorehabilitation framework using tools from causal inference. These causal models can learn from heterogeneous data from different silos, which must include detailed documenta
Robotic systems are increasingly used in rehabilitation to provide high intensity training for patients with motor impairment. The results of controlled trials involving human subjects confirm the effectiveness of robot-enhanced methods and prove them to be marginally superior over standard manual therapy in some cases. Although very promising, this line of research is still in its infancy and further studies are required to fully understand the potential benefits of using robotic devices such as exoskeletons. Exoskeletons have been widely studied due to their capability in providing more control over paretic limb as well as the complexities involved in their design and control. This paper briefly discusses the main challenges in development of rehabilitation exoskeletons and elaborates more on how some of these issues are addressed in the design of CLEVERarm, a recently developed upper limb rehabilitation exoskeleton. The paper is concluded with several remarks on the current challenges in wide-spread use of exoskeletons in medical facilities, and a vision for the future of these technologies in rehabilitation medicine.