Multimodal Injury Risk Prediction in Tennis

Machine learning has had a significant positive impact on the prediction of athlete performance and injury risk. Most works in this field rely on subjective observations and expert assessments, which restrict their effectiveness. In sports like soccer, basketball, and wrestling, some studies attempt to address this challenge by integrating data from alternative sources, such as readings from wearable devices, alongside traditional subjective observations and expert assessments to enhance accuracy. However, similar research in tennis remains largely unexplored. In this paper, we propose a multimodal Predictive Athlete Readiness framework for Tennis (PART) to assess both performance and injury risk in tennis players. By leveraging machine learning and deep learning techniques, PART processes multiple sources of data collected from nine collegiate tennis players, including physiological metrics, training and match data, sleep data from wearable devices, self-reported information via daily questionnaires, jump assessments, and motion analysis from match play videos. PART captures four characteristics of tennis players: overall wellness, injury risk, physical capability, and playing style. By integrating these four characteristics by supervised learning, it is capable of providing a holistic assessment of the tennis athlete's condition, along with advanced forecasts of specific body areas at risk such as the upper body (e.g., elbows) or lower body (e.g., knees). Our evaluation, conducted with data from nine collegiate tennis players, shows that PART achieves strong performance in predicting both overall wellness and injury risk. Additionally, our framework also shows promise for recreational tennis players, who often suffer from injuries due to incorrect playing techniques.

Evaluating Deep Multivariate Imputation Models on Wearable Device Data

Wearable device data enables continuous health monitoring, but suffers from structured missingness: features sharing a physical sensor drop out together. Deep imputation methods such as BRITS and SAITS have seen limited evaluation on multimodal physiological data under realistic missingness, and existing benchmarks use random-point holdout protocols that incorrectly assume missingness is independent across features and time. Using data from a person with epilepsy recorded on a Garmin smartwatch, we develop an evaluation protocol that mines contiguous missing-run templates from training data, stratifies them by per-feature gap-length quantiles, and injects them as block masks with preserved co-missingness structure. A matched training protocol exposing models to the same missingness distribution reduces BRITS's severe-gap MAE by 43%, demonstrating the potential benefit of the proposed evaluation and training protocol within this single-participant dataset. We further extend BRITS with time-of-day encoding and a circadian harmonic channel. No single model dominates: linear interpolation is optimal for slow-moving features over short gaps; extended BRITS achieves lower MAE on dynamic cardiac features in moderate and severe gaps; and SAITS better preserves the ground-truth distribution by Jensen-Shannon distance despite higher MAE. Ultimately, model rankings strongly depend on evaluation designs. By exposing how traditional evaluation methods obscure true model capabilities, our transferable protocol establishes critical steps towards developing better imputation strategies for future multi-sensor wearable datasets.

Multimodal Injury Risk and Performance Prediction in Tennis Using Weighted Ensemble Learning

Machine learning has had a positive impact on the sports industry, with one of its most promising applications being the prediction of athlete performance and injury risk. Recent advances have employed state-of-the-art models to improve prediction accuracy, yet progress remains limited by data availability and the reliance on subjective observations or expert assessments. To address these limitations, researchers in sports such as soccer, basketball, and wrestling have begun integrating heterogeneous data sources, such as wearable device readings, with traditional subjective assessments. However, similar multimodal approaches remain underexplored in tennis. In this work, we propose a multimodal weighted ensemble learning framework, Predictive Athlete Readiness for Tennis (PART), to monitor athlete wellness and estimate near-term injury risk in tennis players. PART processes a wide range of inputs, including physiological metrics, training and match data, sleep information from wearable devices, self-reported questionnaires, vertical jump assessments, and motion analysis from match-play videos. From these modalities, specialized machine learning and deep learning models independently extract four athlete-specific characteristics: overall wellness, injury risk, physical capability, and playing style. To overcome the complexity of combining these diverse modalities, PART employs a supervised weighted ensemble integration strategy, assigning adaptive weights to each predictive model based on its reliability. Evaluation of multimodal data collected from nine collegiate tennis players demonstrates that PART achieves strong performance in monitoring athlete wellness and estimating near-term injury susceptibility. Beyond collegiate athletes, the framework also shows promise for recreational tennis players, offering personalized insights to mitigate injury risk and optimize performance.

Adaptive Multi-Agent Feature Selection for Personalized Fall Risk Prevention

Falls among older adults represent a major public health challenge driven by complex, time-varying interactions across multiple risk domains. Effective fall risk factor identification requires learning from heterogeneous longitudinal data while accounting for sparse and delayed fall-related outcome events. However, existing approaches are largely static and fail to adaptively model evolving, individualized risk factors across modalities and time. We propose PAFIR, a Personalized and Adaptive Feature selection framework for fall risk Identification and pRevention, which formulates adaptive feature selection as a reinforcement learning problem over longitudinal multimodal health data. PAFIR jointly models structural dependencies among correlated assessment variables and temporal dynamics in wearable-derived physical activity data, and learns adaptive selection policies across repeated study visits using reward signals derived from sparse fall incidence outcomes. We apply PAFIR to data from the Physio fEedback Exercise pRogram (PEER) cluster-randomized trial. Experimental results demonstrate that PAFIR more effectively captures longitudinal and structural patterns of feature relevance than state-of-the-art baselines, and enables dynamic, subject-specific feature selection. By adapting selected features over time, PAFIR supports more timely and personalized fall prevention strategies.

From Wearable Data to Personalized and Actionable Health Insights

Commercial wearable devices continuously capture rich physiological data (e.g., heart rate, respiration), opening new possibilities for monitoring health conditions, notably around stress. Despite their promise, turning raw wearable physiological data streams into visualizations that surface stress-related insights in daily activities, and that ultimately foster reflection, awareness, and better stress management, remains a significant challenge. The data are noisy and context-dependent: the same spike in heart rate can come from sprinting, a tense presentation, or laughing with friends. To address these challenges, we propose a framework that combines user annotations with wearable data to support better stress management. We introduce a web framework offering interactive visualizations that layer daily activities, stress events, and interventions onto raw physiological streams, enabling users to reflect and identify trends. In a four-week pilot with seven university graduate and undergraduate student participants who logged 269 events, our tool revealed patterns between different types of interventions and stress: social interaction reduced average heart rate by 4.35 to 5.0 beats per minute, deliberate rest reduced average Garmin stress scores by 10.03 to 13.83 points, and mindfulness activities decreased average HRV by 6.61 to 13.22 milliseconds.

Zero-Shot Heart Rate Variability Forecasting from Consumer Wearables Using Time Series Foundation Models

Short-term Heart Rate Variability (HRV) forecasting could provide clinicians with actionable lead time for detecting autonomic dysfunction and adverse cardiac events. Consumer wearable devices generate fragmented, artifact-rich HRV signals that challenge conventional forecasting approaches. In this study, we evaluated the forecasting ability of three Time Series Foundation Models (TSFMs), TimesFM, Chronos, and MOIRAI, against traditional baselines (Mean, Exponential Smoothing, and Exponentially Weighted Moving Average) on real-world wearable data collected from 49 healthy individuals. To address data fragmentation, we introduce a variability-preserving imputation method that augments linear interpolation with locally adaptive stochastic noise, retaining physiological dynamics essential for accurate forecasting. The results show that TSFMs outperformed all baselines without fine-tuning, achieving average Mean Absolute Scaled Error (MASE) between 0.81 and 0.87 across TSFMs and both context lengths (32 and 64 time steps), with Chronos and TimesFM as the top models, though MOIRAI showed limited gains over baselines. With up to a 2-hour forecast horizon, the results establish a baseline for TSFMs' performance on a real-world dataset, highlighting domain-specific fine-tuning as a promising direction for clinical deployment.