Professional Documents
Culture Documents
doi: 10.4085/1062-6050-0540.19
Ó by the National Athletic Trainers’ Association, Inc Current Concepts
www.natajournals.org
The current technological age has created exponential growth in whether to implement any given technology into practice. In
the availability of technology and data in every industry, this article, we review the vision and pitfalls behind technology’s
including sport. It is tempting to get caught up in the excitement potential in sport science and medicine applications and then
of purchasing and implementing technology, but technology has present a critical decision-making framework of 4 simple
a potential dark side that warrants consideration. Before
questions to help practitioners decide whether to purchase
investing in technology, it is imperative to consider the potential
and implement a given technology.
roadblocks, including its limitations and the contextual challeng-
es that compromise implementation in a specific environment. A Key Words: analytics, measurement, wearable devices,
thoughtful approach is therefore necessary when deciding global positioning systems
T
echnology is here to stay—not just in sport but in making framework consisting of 4 key questions to ask
virtually every discipline. This special issue focuses before purchasing a new technology.
on training load, recovery monitoring, and manage-
ment, and in nearly every article, readers will find examples PART 1: THE BRIGHT SIDE—A VISION FOR
of how technology can be used in these areas. External TECHNOLOGY
loads can be monitored through global positioning systems
Excitement is the most appropriate response when taking
(GPS), inertial measurement units (IMUs), optical tracking an optimist’s view of technology in sport. In this section,
systems, and so on.1 Internal loads may be captured with we outline just a handful of benefits practitioners can expect
heart-rate monitors, lactate measurements, and more.2 from successful technological implementation.
Recovery states may be measured with devices ranging
from low-tech wellness surveys3–5 to more high-tech Benefit 1: Improving and Off-Loading Data
solutions, such as heart-rate variability6,7 or force-plate Collection—An Example From Pro Football
testing.8,9 Currently, we are seeing new technological
solutions with potential sporting applications, such as Technology can improve measurement precision and
implantable devices,10 markerless motion capture,11,12 automate the process so that practitioners do not have to
breath analysis,13 smart garments, biomechanical insoles, manually record data as they did in the past. For example,
and skin sensors.14 In this technological age, sports science understanding the match demands to which athletes are
practitioners must critically appraise the plethora of options exposed is foundational in the sport sciences.15–17 Football
available and make informed decisions about evaluating is no exception, and time-motion analyses to understand
and adopting technology in their specific contexts. These football players’ physical outputs (eg, total distance run in a
match, time spent at different speeds) and physiological
context-specific questions demand a critical evaluation of
responses have been performed for decades.18–20 Before the
the case for the intended use and the available evidence that technological advances that are commonplace today, these
supports (or does not support) technological implementa- time-motion analyses were performed using tape-recorded
tion. Our aim in this article is to provide a simple, commentaries, video recordings, and film analyses. All of
foundational framework to aid practitioners in that critical these notational analysis processes were extremely time
decision-making process. consuming, often limiting researchers’ ability to examine
This article is divided into 3 parts: (1) a vision for what more than a small number of players in a defined number of
technology can provide and why we should be excited matches.21 Technological advances, both through wearable
about its potential, (2) a warning about the potential dark devices22 and optical tracking systems,21 now provide these
side of technology and the pitfalls that can derail its physical output measures to researchers and practitioners in
successful implementation, and (3) a critical decision- near real time.23,24 Although these systems are not without
wearable technology may provide insight for team-sport will need to extract and communicate in order to inform
practitioners, but this looks different in soccer, where GPS that decision.
data may be most valuable to understand athlete distances Explore existing paths. Is there an existing data stream
and speeds, than volleyball, where an accelerometer that you can use instead or a better alternative?
provides information about jump counts and distances may
be deemed less important (and not measurable with GPS
indoors). Note that in each of these instances, a need is a Question 2: Can You Trust the Information You Will
question that must be answered or a decision that must be Be Getting?
informed, rather than a specific technology that the
organization believes is in itself necessary. When researchers speak about technology, the discussion
Take-Home Suggestions. typically includes aspects of measurement error, reliability,
Start with the end in mind. Understand the decision you responsiveness, and validity. Beyond all these technical
want to inform and which data from the technology you terms, practitioners need to know whether they can take
Table. Unpacking Each Question Within the Critical Framework Through Follow-Up Questions, Sources of Evidence, and Take-Home
Messages
Can you trust Can you integrate, Can you implement
Would the promised the information you manage, and analyze the technology in
information be helpful? will be getting? the data effectively? your practice?
Follow-up What question will you How much validity-related In what format and by what What burden is placed on
questions answer or what decision will evidence is available means is information from the athletes and practitioners to
you inform? regarding the new technology delivered, and how collect the data?
Has a need already been technology? much cleaning needs to be Does your culture allow for
identified for the promised Are you confident enough done to integrate it with other technology to be implemented
information? with the limitations of the measurements? and data to be collected, and
technology to inform Do you have the analytical will the technology affect the
practice? resources to handle and culture?
analyze the data? Does your context allow for data
to inform and alter practice?
Sources of Understand the challenges of Scientific literature Data samples from the company, Qualitative scientific evidence
evidence your own context. surrounding the validity- short-term trials Internal communication (formal
Consult with other related evidence for the Internal discussions or and informal) and education
researchers and technology methodologic and statistical
practitioners who have Internal validation and consultancy
faced similar questions and reliability Professional network
challenges. Professional network
Take-home Start with the end in mind. Evaluate continually. Plan ahead. Understand the implementation
messages Evaluate the existing Consider the consequences. Educate practitioners involved in context.
environment and Pilot where possible. collection on proper formatting Look for invisible monitoring
infrastructure to see Partner where appropriate. and process. opportunities.
whether you need new Automate processes where Build technological
technology to get the possible. implementation into existing
information. Audit data and proactively set up routines.
quality controls.
information from a given technology and be confident in implemented these technologies may offer opportunities to
making a decision based on the evidence it provides. We discuss their internal validity-related evidence.
believe the principles of unified validity theory can help The consequences of testing are a final consideration that
guide researchers and practitioners in trying to answer this unified validity theory emphasizes and that practitioners
question of trustworthiness. should carefully consider. Implicit and explicit conse-
A Brief Overview of Unified Validity Theory. Ground- quences are inherent when measuring and testing some-
ed in the work of Loeveringer41 and Cronbach and Meehl,42 thing by implementing a technology. Athletes and
Samuel Messick posited and promoted a unified view of practitioners will consider the quality being measured as
validity theory.43–45 In place of validity types, the following important, athletes may train to improve that given quality,
definition of unified validity theory was proposed by and decisions may be based more heavily on the provided
Messick and adopted in the Standard for Educational and data than on other pieces of information. These intended
Psychological Testing: ‘‘Validity is an integrated evaluative and unintended consequences can be positive or negative
judgment of the degree to which empirical evidence and but should be considered carefully.
theoretical rationales support the adequacy and appropri- This process and evaluation must be performed on each
ateness of interpretations and actions based on test scores or of the different metrics that a practitioner hopes to use to
other modes of assessment.’’46 inform decision making. Returning to our volleyball
Unpacking this definition reveals 3 primary ways in example, the IMU provides a more accurate measure of
which unified validity theory differs from other common jump count than does video notation. However, this same
and more traditional views of validity: IMU also provides measures of jump height and ground
reaction forces. Although these measures may theoretically
1. Validity is about claims and inferences that can be made, be linked to overuse injuries and performance, they should
not about measures. each be further investigated. In this case, video notation
2. Validity evidence has multiple sources, and the aim is an would not be the appropriate comparison measure, and
integrated evaluative judgment (Figure 2). more advanced biomechanical analyses and equipment
3. Validity invites consideration of the consequences would be preferable.
associated with technology and the data it provides. Ultimately, no technology, or the data it provides, is
How Does Validity Theory Translate to Adopting a perfectly trustworthy. The practitioner faces this question:
New Technology? Unified validity theory provides prac- Given all the information at his or her disposal, are the
titioners and scientists with a lens to look through as they limitations of the technology minimal enough that it can
consider different measures. When we look through this still inform decision making?
lens, we see that thinking about measurements from Take-Home Suggestions.
technology is similar to thinking about science. The Evaluate continually. View trust in one’s data as an
answers to most of our questions are more nuanced than ongoing endeavor to judge how trustworthy the technol-
yes versus no or valid versus invalid. Instead, we use terms ogy and data are on a spectrum using all the available
such as it depends, to a degree, or in this specific context. sources of validity-related evidence.
This sets the stage for a practitioner considering a new Consider the consequences of testing. What potential
technology to evaluate the technology on a continuum in consequences, intended and unintended, could introduc-
terms of his or her specific context. ing the technology have for athletes and practitioners?
As an integrative, evaluative judgement, practitioners Pilot test where possible. If practitioners can gain early
should examine all the available sources of evidence access to the technology before purchasing, they can
regarding a given technology and the specific metric it conduct preliminary analyses of the data before purchas-
provides. Some answers may be found in the peer-reviewed ing.
literature, or the practitioner may have to pilot data Partner where appropriate. When in-house expertise is
internally. Reaching out to colleagues who have already not sufficient for examining certain aspects of the data,
Address correspondence to Johann Windt, PhD, CSCS, Vancouver Whitecaps FC, 3065 Wesbrook Mall, Vancouver, BC V6T 1Z3,
Canada. Address email to johannwindt@gmail.com.