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  • - There are very few things about me

  • that are similar to an NBA player.

  • For one I'm 5'4", but today I have at least one thing

  • in common with a professional basketball player.

  • I'm wearing this Smart Ring.

  • The NBA has bought 2000 of these rings,

  • which are made by Oura Health,

  • as part of their COVID-19 safety plan.

  • The league offered them to players

  • in the anti COVID-19 bubble at Disney world,

  • where they'll finish the rest of the season.

  • Inside the bubble, the NBA is using the rings

  • to predict if someone might be developing symptoms

  • of an illness, like COVID-19.

  • The problem is, there's no proof that predicting

  • any disease, including COVID-19,

  • via wearables is possible, yet.

  • - [James] We simply don't know enough right now.

  • - [Nicole] That's James Gilmore,

  • a wearable technologies researcher at Clemson university.

  • - [James] A lot of the reporting that's happening around

  • the NBA's decision risks inflating this wearable ring

  • into this sort of mystical object,

  • that anybody can buy, and anybody can use to, you know,

  • see if they're gonna have COVID-19 or not,

  • which is not the case,

  • based on the understanding that we have today.

  • - The Oura Ring monitors things like heart rate,

  • steps, body temperature, and sleep.

  • The theory is that subtle changes in those measures

  • can detect illness before you even feel sick.

  • NBA players who choose to use the ring,

  • will have their data shipped off to researchers

  • at the University of Michigan.

  • Those scientists will produce

  • an illness probability score for each player.

  • If they think the data indicates that someone could be sick,

  • they'll be flagged for additional COVID-19 testing.

  • - [James] The NBA's also said

  • that they're gonna be testing people

  • pretty much every day, which to me, makes me ask,

  • so what's the point of the Oura Ring,

  • except for just kind of running an experiment.

  • - The idea that wearable technology could predict illness

  • has been floating around for years.

  • It isn't new with COVID-19.

  • For a while now, researchers have been working with

  • devices like Fitbits, and Apple watches.

  • There are anecdotal stories about people who see changes

  • in their wearable data just before they start to feel sick.

  • And previous research found that there are certain patterns

  • in that data that tend to appear

  • before people with Lyme disease start showing symptoms.

  • Oura started looking into illness prediction

  • after seeing a Facebook post from a user.

  • Oura's CEO, Harpreet Rai told me how it all played out.

  • - [Harpreet] He happened to be traveling the week before,

  • and he opens his app up, and it says,

  • Hey, your readiness score is 54,

  • and it looks like you're actually getting a temperature.

  • He then starts to think like, wow,

  • I've never gotten a score that low,

  • and he didn't even feel any symptoms.

  • He describes himself as asymptomatic.

  • He's like, you know what? I was traveling.

  • I was in Austria, and it looks like

  • there was one COVID case there.

  • Now I'm gonna get tested, and he ended up being positive.

  • - So, the company pivoted to disease prediction.

  • Two ongoing studies at the University of California,

  • San Francisco, and at West Virginia University,

  • are checking to see if data from the ring,

  • along with symptom surveys,

  • and AI models can actually predict

  • that someone is getting sick, in general.

  • They'll also see if it can predict COVID-19 specifically,

  • but the NBA placed an order for the rings

  • before there were any published studies

  • proving that they worked,

  • which isn't surprising to experts.

  • This isn't the first time a pro sports league

  • has turned to an unproven wearable tech solution.

  • Athletes and pro sports leagues

  • have previously turned to devices

  • that are big on flash, but fuzzier on substance before.

  • A quick tech fix is appealing,

  • but it's especially appealing to elite athletes.

  • We're always striving for a sliver of competitive edge.

  • (high intensity techno music)

  • Back in 2016, a device called the halo sport

  • was popular with NFL players and other athletes.

  • It sends a stimulating current into the motor cortex

  • of the wearer's brain.

  • After wearing it for 20 minutes during your warmup,

  • it claims to help people build physical skills

  • and develop muscle memory more quickly.

  • So it would make training a physical skill,

  • like throwing a football, more efficient.

  • Some athletes felt like it helped them.

  • And there's some studies, mostly in mice,

  • showing that this type of electrical stimulation

  • of the brain can prime it for learning.

  • It's a plausible theory,

  • but it hadn't been proven by the time the NFL

  • started using the halo device.

  • Another wearable device called the Whoop,

  • is also used by dozens of pro athletes.

  • Like an Oura Ring, it monitors things like heart rate,

  • and sleep, and says it's algorithms

  • can help people optimize their workouts and their recovery.

  • It claims that wearers have fewer injuries,

  • and a lower resting heart rate.

  • There hasn't been much independent evaluation

  • to say if using the Whoop

  • actually does help people improve their performance,

  • but that didn't stop the NFL Players Association

  • from naming it an official recovery wearable.

  • Tech like this is appealing,

  • because it offers easy solutions to complex problems.

  • If strapping on a wearable can tell you

  • how much sleep you need to get,

  • to get the most out of your workout the next day,

  • that sounds pretty good.

  • At the highest level of sport,

  • the difference between the best and the worst athlete

  • can come down to millimeters.

  • Everyone is interested in trying anything they can

  • to chip away at those gaps.

  • For the past decade, people have increasingly

  • relied on science and data to push performance forward.

  • - [James] We seem to be increasingly interested

  • in athletes' data.

  • And this is something that is true

  • of their performance during the game.

  • It's true of the coaches and trainers

  • who are developing those athletes.

  • It's true of how the athletes internalize themselves.

  • They kind of become a testing ground for devices

  • that can measure different elements of athlete data

  • to try and improve their performance.

  • - But there are risks when that data

  • comes from unproven products.

  • In a 2016 paper, sports scientists warned

  • that wearables that aren't fully validated

  • could cause anxiety for athletes.

  • They might push out data that isn't quite accurate,

  • and people may make changes based on those numbers.

  • There are also privacy issues at stake.

  • Pro athletes definitely don't want information

  • on their physical health

  • being used in contract negotiations against them.

  • - [James] When the Players' Association formed,

  • they actually created a wearables committee

  • that was designed for the players

  • to work on developing protocols in a way

  • that would help the players learn from the devices

  • while sort of shielding that data

  • from being gobbled up by the organization.

  • - To be clear, the NBA has protections in place

  • around the ring data.

  • Coaches can't see it.

  • When a league like the NBA

  • uses something like the Oura Ring,

  • it boosts the credibility of the products

  • before we actually have the research

  • to know if that's warranted.

  • The Oura team knows this is still experimental.

  • The product wasn't designed

  • to be an illness prediction tool, but during the pandemic,

  • anything that can pivot to COVID-19 will,

  • and that ups the stakes.

  • - [James] The tricky issue here is because Oura

  • has entered into sort of this COVID-19

  • sort of solutionism framework,

  • it runs the risk of people buying it,

  • thinking that it's going to tell them

  • when they are experiencing COVID-19 related symptoms,

  • but I don't think that it can do that

  • right out of the box.

  • - Oura isn't explicitly making any claims

  • about the device's ability to predict anything.

  • They're more suggesting it's a possibility,

  • based on what they've seen so far,

  • but the case of the Oura user

  • who saw a change in their data

  • before they tested positive is just a story.

  • It takes a lot more evidence to prove

  • that something is actually predicting an illness.

  • Wearable advocates argue though,

  • that getting more information about your body is good.

  • People might still be able to see a relationship

  • between their own personal stats,

  • and when they start to feel ill.

  • But really, this is all just one big experiment.

  • Sports leagues like to experiment, and experiments are good.

  • They help give us important critical information,

  • but they also come with risks.

  • When we filmed this video,

  • there weren't any major outbreaks inside the NBA bubbles.

  • So I guess sticking a bunch of people in a hotel

  • and testing them every day, actually works.

  • Thanks for watching, and be sure to follow

  • the rest of our coronavirus coverage at theverge.com.

- There are very few things about me

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