Integrated Timing of Stroking, Breathing, and Kicking in Front-Crawl Swimming: A Novel Stroke-by-Stroke Approach Using Wearable Inertial Sensors.

Quantitative evaluation of synergic action among the different body segments is fundamental to swimming performance. The aim of the present study was to develop an easy-to-use tool for stroke-by-stroke evaluation of a swimmer's integrated timing of stroking, kicking, and breathing. Twelve swimmers were evaluated during one trial of 100 m front-crawl swimming at self-selected speed. Five three-axial inertial sensors were mounted on the head, wrists, and ankles. Algorithms for the wrist entry into the water, the lower limb beat during the downward action, and the exit/entry of the face from/into the water were developed. Temporal events identified by video-based technique, using one sagittal moving camera, were assumed as the gold standard. The performance was evaluated in terms of the root-mean-square error, 90th percentile of absolute error, coefficient of variation, Bland-Altman plots, and correlation analysis. Results of all temporal events showed high agreement with the gold standard, confirmed by a root-mean-square error of less than 0.05 s for absolute temporal parameters and less than 0.7% for the percentages of the stroke cycle duration, and with correlation coefficients higher than 0.856. The protocol proposed was not only accurate and reliable, but also user-friendly and as unobtrusive as possible for the swimmer, allowing a stroke-by-stroke analysis during the training session.