Fatigue Monitoring in Running Using Flexible Textile Wearable Sensors.

Fatigue is a multifunctional and complex phenomenon that affects how individuals perform an activity. Fatigue during running causes changes in normal gait parameters and increases the risk of injury. To address this problem, wearable sensors have been proposed as an unobtrusive and portable system to measure changes in human movement as a result of fatigue. Recently, a category of wearable devices that has gained attention is flexible textile strain sensors because of their ability to be woven into garments to measure kinematics. This study uses flexible textile strain sensors to continuously monitor the kinematics during running and uses a machine learning approach to estimate the level of fatigue during running. Five female participants used the sensor-instrumented garment while running to a state of fatigue. In addition to the kinematic data from the flexible textile strain sensors, the perceived level of exertion was monitored for each participant as an indication of their actual fatigue level. A stacked random forest machine learning model was used to estimate the perceived exertion levels from the kinematic data. The machine learning algorithm obtained a root mean squared value of 0.06 and a coefficient of determination of 0.96 in participant-specific scenarios. This study highlights the potential of flexible textile strain sensors to objectively estimate the level of fatigue during running by detecting slight perturbations in lower extremity kinematics. Future iterations of this technology may lead to real-time biofeedback applications that could reduce the risk of running-related overuse injuries.