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The stakes are high in the world of combat sports, highlighted by accidental deaths that have occurred in the ring. Researchers in the Faculty of Kinesiology at ��ݮ����Ƶ���� have a new technology that could help protect fighter brain health by providing trainers, coaches, and medical staff with important information for their ‘return-to-ring’ decision.

Dr. Ryan Peters’ team has uncovered evidence of accelerated vestibular damage and aging in middle-aged career boxing and Muay Thai fighters. “Just as high-intensity sound can damage the hair cells of your auditory system, there is mounting evidence that high-intensity head motion from being repeatedly punched and kicked has a similar effect on the vestibular system,” says Peters, PhD.

The team recently published their research in the , using��a cutting-edge technique called Electrical Vestibular Stimulation (EVS). Peters is now collaborating with PROTXX Medical Ltd. to mobilize balance assessment and EVS technologies within a new wearable device.

Stimulating our 'sixth sense'

The vestibular organs of the inner ear sense head motion and are important for balance control, eye stabilization, blood pressure regulation, and a perception of orientation and motion (a so-called “sixth sense”). Delicate hair cell receptors inside the vestibular organs are deflected when the head moves, which is signalled to the central nervous system by electrical impulses; these vestibular signals help us balance the body by causing reflexes in our muscles that keep us from falling over.

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The study team included Dr. Kathryn Schneider, PhD, Dr. Tyler Cluff, PhD, and Chris Banman, PhD student. Using EVS, they observed lower-strength, slower balance-correcting muscle reflexes in the fighters and a strong relationship with their total number of sparring and competitive bouts.

With greater fight exposure, these vestibular balance-correcting reflexes become weaker and delayed, suggesting that EVS-based balance assessments might provide a powerful new biomarker of head trauma.

Innovative partnerships drive potential

In the future, this new device could enable more precise in-clinic and remote diagnoses and treatment management for conditions such as stroke, spinal injuries, and invasive neurosurgeries, as well as healthy aging and neuro-degenerative conditions such as multiple sclerosis and Parkinson’s disease. “In the second year of our collaboration we look forward to exploring related neurostimulation therapeutics for these and other neurological conditions that can be delivered by this same device,” says PROTXX CEO John Ralston.

This research is further supported through a Mitacs Accelerate industry collaboration with wearables technology company, PROTXX Medical Ltd. Together they have developed a next generation wearable balance assessment device that includes EVS, for which they have recently filed a U.S. provisional patent.

Dr. Peters’ work in wearable technologies grew out of his collaboration with Kinesiology’s Dr. Ferber and ��ݮ����Ƶ����’s Wearables Technology Research and Collaboration (We-TRAC), “I cannot thank the We-TRAC program enough for being an initial and continued funding supporter of this project,” says Peters.