1. Introduction
In recent years, advanced emerging information technologies such as 5G communication, artificial intelligence, big data, and cloud computing have found extensive applications in the healthcare field [
1,
2,
3]. These advancements have prompted the traditional healthcare industry to embark on a new development path, focusing on digital health [
4,
5]. This shift has created favourable conditions for the rapid growth of the digital health industry. Notably, in April 2019, the World Health Organization released evidence-based digital health guidelines, followed by the Global Strategy for Digital Health (2020-2024), which emphasized the priority of digital health development in healthcare systems worldwide. Digital health encompasses various digital technologies, including e-health, telehealth, and m-health [
6], and presents new opportunities to enhance health outcomes by leveraging information technology to provide healthcare services that transcend time and space, with a focus on personalization. Going forward, utilizing digital technologies to improve physical and mental health and achieve universal health coverage is of utmost importance.
Digital health has gained significant traction across multiple disciplines and is currently a prominent research topic [
7,
8,
9]. “Sport science,” an interdisciplinary field rooted in the principles of kinesiology and influenced by natural and social sciences, stands to benefit immensely from the introduction of digital health [
10]. In recent years, there has been a notable surge in interest from domestic and international experts and scholars regarding the application of digital health in sport science. Extensive research has been conducted, yielding substantial results. However, there is a lack of comprehensive and systematic bibliometric analysis and summarization of the scientific literature pertaining to digital health in the field of sport science. As a result, researchers struggle to discern the research dynamics, identify research hotspots, and stay up to date with the latest advancements in this domain.
The bibliometric analysis serves as a quantitative method for summarizing scientific literature and studying its popularity [
11]. By employing techniques such as keyword co-occurrence analysis, clustering, and timeline plots, it enables the identification of research hotspots and trends within a specific field. Furthermore, bibliometric analysis facilitates an understanding of the contributions made by countries, institutions, and authors through knowledge graphs and collaboration networks. It enables citation analysis, journal analysis, and an assessment of publication impact, thereby assisting researchers in gaining insights into the past, present, and future of research in a given field. This, in turn, fosters high-quality development within relevant subject areas.
Therefore, the objective of this study is to conduct a comprehensive and systematic bibliometric and visual analysis of the intersection between sport science and digital health, based on an extensive corpus of scientific literature. By utilizing various analytical methods, the study aims to map global research networks, identify and summarize global research hotspots, and pinpoint key frontiers for future investigation. The ultimate goal is to provide experts and scholars with fresh perspectives and recommendations for conducting in-depth research in this evolving field.
4. Discussion
The findings of this study reveal that the field of sport science related to digital health has witnessed substantial growth with a total of 1,870 publications between 2010 and 2023. Notably, there has been a consistent upward trend in the number of publications each year, particularly exceeding 200 publications annually after 2019. These results suggest that digital health holds significant potential for development and offers promising prospects within the realm of sports disciplines. Following 2016, several influential policy documents such as the “Monitoring and Evaluating Digital Health Intervention” and the “Global Strategy on Digital Health 2020-2025” issued by the World Health Organization (WHO) [
13], along with the Digital Health Innovation Action Plan by the Food and Drug Administration (FDA), have played a pivotal role in consolidating the concept of digital health and establishing its central importance. Consequently, numerous scholars have actively engaged in research on digital health. Furthermore, the release of the 24-hour activity guidelines by Canada and the World Health Organization has revolutionized the traditional paradigm of exercise behavior [
14,
15]. This shift emphasizes the integration of various exercise behaviors, including physical activity, sedentary behavior, and sleep. The author believes that this paradigm shift has been a key driver contributing to the rapid increase in the number of publications in the field of sport science.
Regarding national and institutional publication volume, the United States, along with the Commonwealth of Pennsylvania System of Higher Education (PCSHE), emerged as the most productive contributors. Their research focus centered on areas such as physical activity [
16,
17], falls [
18,
19], soccer [
20], traumatic brain injury [
21,
22], and anterior cruciate ligament(ACL) [
23], significantly contributing to sports injury rehabilitation and soccer training in relevant populations. On the other hand, Harvard University’s research primarily targeted sports injury rehabilitation in populations affected by traumatic brain injury [
24], ankle [
25] and femoral hip displacement disorders[
26], and spinal cord injury rehabilitation [
27]. Australia and Harvard University ranked highest in centrality, indicating their research’s influential and central position. Australian research shared similarities with the United States, with a primary focus on physical activity [
28,
29,
30] and ball exercise [
31,
32]. One impactful study by Mirelman et al. from Harvard University titled “Effects of virtual reality training on gait biomechanics of individuals post-stroke” garnered significant citation frequency, with 109 citations [
33]. In this study, participants were randomly assigned to either the virtual reality (VR) group (n=9) or the non-virtual reality (NVR) group (n=9). The VR group underwent training three times a week for approximately 1 hour per session over a period of 4 weeks. The results demonstrated that the VR group exhibited a greater improvement in ankle range of motion and a significant increase in force generation during push-ups. These findings support the notion that virtual reality training can enhance ankle motion control in post-stroke patients. Additionally, an analysis of highly cited Australian literature revealed that researchers primarily focused on evaluating the validity [
34,
35] and reliability [
36] of accelerometers for measuring physical activity. This research laid a solid foundation for the widespread adoption of accelerometers as a data collection tool.
Keyword co-occurrence analysis, clustering, and timeline plots provide valuable insights into research trends and future directions in the field of digital health-related sport science. Based on our analysis, we have identified the following research hotspots and emerging trends:
Hotspot 1: Assessing the validity, reliability, and accuracy of digital health technologies for objective measurement of physical activity. Keywords associated with this hotspot include reliability, validity, accuracy, standard, accelerometer, and activity monitor. In sport science, there is a growing emphasis on using physical activity as an outcome measure. Accelerometers and pedometers are commonly used tools for objectively measuring physical activity. Previous studies have evaluated the effectiveness of different types of accelerometers in various exercise settings. For example, Maddocks, M et al., [
37] explored the relative accuracy of ActivPAL, PALlite, and Digi-Walker accelerometers in treadmill walking and motorized driving and found that the ActivPAL accelerometer accurately measured steps at walking speeds of 0.6 m/s-1.4 m/s, with the other two accelerometers having significantly higher measurement errors. John, D et al., [
38] and Janssen, I et al., [
39] also analyzed the effectiveness of different accelerometers. In recent years, mobile devices including wearable sensors or devices and smartphones have attracted the attention of researchers. Fuller, D et al., [
40] used Apple Watch and Fitbit data to predict individuals’ lying, sitting, walking and running, Viciana, J et al., [
41] explored whether wrist-worn activity trackers and mobile apps could be used to assess physical activity of high school students, Lyu, S et al., [
18] who used suspended wearable sensors to assess postural stability and balance.
Hotspot 2: Digital health technology and assessment and rehabilitation of sports injuries. Keywords associated with this hotspot include risk, injury, rehabilitation, gait, fatigue, ACL, fall, and care. Sports injuries, whether acute or chronic, are a significant concern in athletes’ training. Consequently, research on sports injuries has garnered substantial attention. Through keyword analysis, studies on traumatic brain injury, spinal cord injury, ACL, ankle, shoulder, and multiple sclerosis were identified as highly relevant. The application of digital health technology in the diagnosis, risk assessment, and rehabilitation of these injuries has become a focal point for current research. Representative scholars in this area include Lawrason et al., [
42] (mHealth physical activity intervention), Jacobsson et al., [
43] (web-based digital health platform), and Carey et al., [
24] (wearable sensors). Gait analysis and postural control also play a crucial role in determining the risk of sports injuries, as demonstrated by Llorens et al., [
44] who used a virtual reality-based telerehabilitation program to facilitate balance-related motor skills reacquisition in stroke patients.
Hotspot 3: Digital health technology and physical activity, motor training. Keywords associated with this hotspot include walking, exercise, sedentary behavior, energy expenditure, and performance. The current research in this area focuses on evaluating the effectiveness of different digital health technologies in objectively measuring physical activity and sedentary behavior (e.g., accelerometers, and wristband devices). Researchers are also investigating the application of digital health interventions to improve individual physical activity [
45] and sedentary behavior [
46,
47], exploring the relationship between digital health technologies and exercise behavior [
48,
49], and studying the correlation between digital health and exercise performance [
50,
51]. Prominent digital health technologies used in this area include virtual reality, social media, and wearable devices such as activity monitors, accelerometers, and motion sensors. The types of studies conducted include meta-analyses, randomized controlled trials, and cross-sectional studies.
Overall, the field of digital health-related sport science is witnessing significant advancements in assessing physical activity, rehabilitation of sports injuries, and exploring the intersection of digital health technologies with physical activity and motor training. Researchers are employing various methodologies and technologies to gain insights into these areas, leading to promising advancements in the field.
Frontier direction: Looking towards the future, telemedicine, machine learning, therapy/therapy, and physical therapy emerged as promising frontiers in the field.
Telemedicine refers to the use of electronic communication technologies to provide remote clinical healthcare, education, and public health management [
52]. Its significance has been amplified in the past two years due to the COVID-19 pandemic. In the field of sport science, telemedicine is anticipated to be utilized for structured physical activity interventions, including physical exercise and sports training. It offers the potential to deliver remote guidance and monitoring, making exercise programs more accessible and convenient. Furthermore, telemedicine can be employed in physiotherapy, which is a vital component of rehabilitation. Various techniques such as joint mobility exercises, mobility exercises, muscle strengthening exercises, and total body conditioning exercises can enhance joint and muscle function, aiding individuals in improving their balance, walking, and overall physical abilities [
53].
Moreover, advancements in digital technology have opened new avenues for artificial intelligence (AI)-enabled medical imaging and disease prediction [
54]. In recent years, machine learning techniques based on AI have been increasingly integrated into sports science. The role of machine learning in enhancing sports decision-making, performance prediction, and various other applications has garnered significant attention in academia and industry. Moving forward, AI-based machine learning is expected to play a pivotal role in advancing the field of sports science, providing valuable insights and aiding in the development of innovative approaches.