Tibial Acceleration-Based Prediction of Maximal Vertical Loading Rate During Overground Running: A Machine Learning Approach.

Ground reaction forces are often used by sport scientists and clinicians to analyze the mechanical risk-factors of running related injuries or athletic performance during a running analysis. An interesting ground reaction force-derived variable to track is the maximal vertical instantaneous loading rate (VILR). This impact characteristic is traditionally derived from a fixed force platform, but wearable inertial sensors nowadays might approximate its magnitude while running outside the lab. The time-discrete axial peak tibial acceleration (APTA) has been proposed as a good surrogate that can be measured using wearable accelerometers in the field. This paper explores the hypothesis that applying machine learning to time continuous data (generated from bilateral tri-axial shin mounted accelerometers) would result in a more accurate estimation of the VILR. Therefore, the purpose of this study was to evaluate the performance of accelerometer-based predictions of the VILR with various machine learning models trained on data of 93 rearfoot runners. A subject-dependent gradient boosted regression trees (XGB) model provided the most accurate estimates (mean absolute error: 5.39 ± 2.04 BW⋅s, mean absolute percentage error: 6.08%). A similar subject-independent model had a mean absolute error of 12.41 ± 7.90 BW⋅s (mean absolute percentage error: 11.09%). All of our models had a stronger correlation with the VILR than the APTA ( < 0.01), indicating that multiple 3D acceleration features in a learning setting showed the highest accuracy in predicting the lab-based impact loading compared to APTA.