Real-time biomechanical feedback (BMF) is a relatively new area of research. The potential of using advanced technology to improve motion skills in sport and accelerate physical rehabilitation has been demonstrated in a number of studies. This paper provides a literature review of BMF systems in sports and rehabilitation. Our motivation was to examine the history of the field to capture its evolution over time, particularly how technologies are used and implemented in BMF systems, and to identify the most recent studies showing novel solutions and remarkable implementations. We searched for papers in three research databases: Scopus, Web of Science, and PubMed. The initial search yielded 1167 unique papers. After a rigorous and challenging exclusion process, 144 papers were eventually included in this report. We focused on papers describing applications and systems that implement a complete real-time feedback loop, which must include the use of sensors, real-time processing, and concurrent feedback. A number of research questions were raised, and the papers were studied and evaluated accordingly. We identified different types of physical activities, sensors, modalities, actuators, communications, settings and end users. A subset of the included papers, showing the most perspectives, was reviewed in depth to highlight and present their innovative research approaches and techniques. Real-time BMF has great potential in many areas. In recent years, sensors have been the main focus of these studies, but new types of processing devices, methods, and algorithms, actuators, and communication technologies and protocols will be explored in more depth in the future. This paper presents a broad insight into the field of BMF.

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Sensors and smart equipment are frequently used in biomechanical systems and applications in sports and rehabilitation to measure various physical quantities. Various sensors, measuring different parameters, can produce a large amount of data at high speeds and volumes that must be stored for real-time or post-processing and analysis. In addition to sensor data, metadata is an important component and can vary between biomechanical applications. Currently however, each application typically has its own unique data flow and storage solution. In this research, we present a universal data model solution that can be applied to any sensor-based biomechanical application in sport and physical rehabilitation. Our proposed cloud platform architecture allows for the manipulation of sensor data and metadata using a combination of Big Data and conventional techniques. The main idea of this research is to develop a platform that allows a universal way for any biomechanical application to handle its data regardless of the type of data and metadata. This is achieved by creating a universal data model, and implementing this data model in a generalized architecture using a graph database. We demonstrate the benefits of this approach using examples from existing biomechanical systems and describe the development of the cloud platform architecture and the underlying data model. We also provide an example of the use of this platform in a sport shooting application. This approach is unique in that it allows data from different sources and applications to be stored and processed using the same procedures and techniques, facilitating data analysis and application development. We envision this system will expand to multiple different biomechanical applications in the future. We expect that in time, the ability to compare various data and store different biomechanical datasets will become necessity. With the advantages of modern recommender systems and utilization of artificial intelligence, huge amounts of relevant and well-prepared data with useful metadata are required thus having such system is an important advantage for future biomechanical systems development. With the increase of people’s awareness and usage of devices that increase well-being and quality of life, presented platform and similar systems will play a pivotal role in shaping the future lifestyle.