Automated Gait Analysis Based on a Marker-Free Pose Estimation Model

Validation of Automated Countermovement Vertical Jump Analysis: Markerless Pose Estimation vs. 3D Marker-Based Motion Capture System

This study aimed to validate the automated temporal analysis of countermovement vertical jump (CMJ) using MMPose, a markerless pose estimation framework, by comparing it with the gold-standard 3D marker-based motion capture system. Twelve participants performed five CMJ trials, which were simultaneously recorded using the marker-based system and two smartphone cameras capturing both sides of the body. Key kinematic points, including center of mass (CoM) and toe trajectories, were analyzed to determine jump phases and temporal variables. The agreement between methods was assessed using Bland-Altman analysis, root mean square error (RMSE), and Pearson's correlation coefficient (r), while consistency was evaluated via intraclass correlation coefficient (ICC 3,1) and two-way repeated-measures ANOVA. Cohen's effect size (d) quantified the practical significance of differences. Results showed strong agreement (r > 0.98) with minimal bias and narrow limits of agreement for most variables. The markerless system slightly overestimated jump height and CoM vertical velocity, but ICC values (ICC > 0.91) confirmed strong reliability. Cohen's d values were near zero, indicating trivial differences, and no variability due to recording side was observed. Overall, MMPose proved to be a reliable alternative for in-field CMJ analysis, supporting its broader application in sports and rehabilitation settings.

Biomechanical Posture Analysis in Healthy Adults with Machine Learning: Applicability and Reliability

Posture analysis is important in musculoskeletal disorder prevention but relies on subjective assessment. This study investigates the applicability and reliability of a machine learning (ML) pose estimation model for the human posture assessment, while also exploring the underlying structure of the data through principal component and cluster analyses. A cohort of 200 healthy individuals with a mean age of 24.4 ± 4.2 years was photographed from the frontal, dorsal, and lateral views. We used Student's t-test and Cohen's effect size (d) to identify gender-specific postural differences and used the Intraclass Correlation Coefficient (ICC) to assess the reliability of this method. Our findings demonstrate distinct sex differences in shoulder adduction angle (men: 16.1° ± 1.9°, women: 14.1° ± 1.5°, d = 1.14) and hip adduction angle (men: 9.9° ± 2.2°, women: 6.7° ± 1.5°, d = 1.67), with no significant differences in horizontal inclinations. ICC analysis, with the highest value of 0.95, confirms the reliability of the approach. Principal component and clustering analyses revealed potential new patterns in postural analysis such as significant differences in shoulder-hip distance, highlighting the potential of unsupervised ML for objective posture analysis, offering a promising non-invasive method for rapid, reliable screening in physical therapy, ergonomics, and sports.

Improving Gait Analysis Techniques with Markerless Pose Estimation Based on Smartphone Location

Marker-based 3D motion capture systems, widely used for gait analysis, are accurate but have disadvantages such as cost and accessibility. Whereas markerless pose estimation has emerged as a convenient and cost-effective alternative for gait analysis, challenges remain in achieving optimal accuracy. Given the limited research on the effects of camera location and orientation on data collection accuracy, this study investigates how camera placement affects gait assessment accuracy utilizing five smartphones. This study aimed to explore the differences in data collection accuracy between marker-based systems and pose estimation, as well as to assess the impact of camera location and orientation on accuracy in pose estimation. The results showed that the differences in joint angles between pose estimation and marker-based systems are below 5°, an acceptable level for gait analysis, with a strong correlation between the two datasets supporting the effectiveness of pose estimation in gait analysis. In addition, hip and knee angles were accurately measured at the front diagonal of the subject and ankle angle at the lateral side. This research highlights the significance of careful camera placement for reliable gait analysis using pose estimation, serving as a concise reference to guide future efforts in enhancing the quantitative accuracy of gait analysis.

Development and Validation of an Artificial Intelligence-Based Motion Analysis System for Upper Extremity Rehabilitation Exercises in Patients with Spinal Cord Injury: A Randomized Controlled Trial

In this study, we developed an AI-based real-time motion feedback system for patients with spinal cord injury (SCI) during rehabilitation, aiming to enhance their interest and motivation. The effectiveness of the system in improving upper-limb muscle strength during the Thera band exercises was evaluated. The motion analysis program, including exercise repetition counts and calorie consumption, was developed using MediaPipe, focusing on three key motions (chest press, shoulder press, and arm curl) for upper extremity exercises. The participants with SCI were randomly assigned to the experimental group (EG = 4) or control group (CG = 5), engaging in 1 h sessions three times a week for 8 weeks. Muscle strength tests (chest press, shoulder press, lat pull-down, and arm curl) were performed before and after exercises. Although both groups did not show significant differences, the EG group exhibited increased strength in all measured variables, whereas the CG group showed constant or reduced results. Consequently, the computer program-based system developed in this study could be effective in muscle strengthening. Furthermore, these findings may serve as a valuable foundation for future AI-driven rehabilitation exercise systems.