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Autores principales: Mesquita, Gonçalo, Cóias, Ana Rita, Dubrawski, Artur, Bernardino, Alexandre
Formato: Preprint
Publicado: 2025
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Acceso en línea:https://arxiv.org/abs/2506.03752
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author Mesquita, Gonçalo
Cóias, Ana Rita
Dubrawski, Artur
Bernardino, Alexandre
author_facet Mesquita, Gonçalo
Cóias, Ana Rita
Dubrawski, Artur
Bernardino, Alexandre
contents The growing demands of stroke rehabilitation have increased the need for solutions to support autonomous exercising. Virtual coaches can provide real-time exercise feedback from video data, helping patients improve motor function and keep engagement. However, training real-time motion analysis systems demands frame-level annotations, which are time-consuming and costly to obtain. In this work, we present a framework that learns to classify individual frames from video-level annotations for real-time assessment of compensatory motions in rehabilitation exercises. We use a gradient-based technique and a pseudo-label selection method to create frame-level pseudo-labels for training a frame-level classifier. We leverage pre-trained task-specific models - Action Transformer, SkateFormer - and a foundation model - MOMENT - for pseudo-label generation, aiming to improve generalization to new patients. To validate the approach, we use the \textit{SERE} dataset with 18 post-stroke patients performing five rehabilitation exercises annotated on compensatory motions. MOMENT achieves better video-level assessment results (AUC = $73\%$), outperforming the baseline LSTM (AUC = $58\%$). The Action Transformer, with the Integrated Gradient technique, leads to better outcomes (AUC = $72\%$) for frame-level assessment, outperforming the baseline trained with ground truth frame-level labeling (AUC = $69\%$). We show that our proposed approach with pre-trained models enhances model generalization ability and facilitates the customization to new patients, reducing the demands of data labeling.
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institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Frame-Level Real-Time Assessment of Stroke Rehabilitation Exercises from Video-Level Labeled Data: Task-Specific vs. Foundation Models
Mesquita, Gonçalo
Cóias, Ana Rita
Dubrawski, Artur
Bernardino, Alexandre
Image and Video Processing
The growing demands of stroke rehabilitation have increased the need for solutions to support autonomous exercising. Virtual coaches can provide real-time exercise feedback from video data, helping patients improve motor function and keep engagement. However, training real-time motion analysis systems demands frame-level annotations, which are time-consuming and costly to obtain. In this work, we present a framework that learns to classify individual frames from video-level annotations for real-time assessment of compensatory motions in rehabilitation exercises. We use a gradient-based technique and a pseudo-label selection method to create frame-level pseudo-labels for training a frame-level classifier. We leverage pre-trained task-specific models - Action Transformer, SkateFormer - and a foundation model - MOMENT - for pseudo-label generation, aiming to improve generalization to new patients. To validate the approach, we use the \textit{SERE} dataset with 18 post-stroke patients performing five rehabilitation exercises annotated on compensatory motions. MOMENT achieves better video-level assessment results (AUC = $73\%$), outperforming the baseline LSTM (AUC = $58\%$). The Action Transformer, with the Integrated Gradient technique, leads to better outcomes (AUC = $72\%$) for frame-level assessment, outperforming the baseline trained with ground truth frame-level labeling (AUC = $69\%$). We show that our proposed approach with pre-trained models enhances model generalization ability and facilitates the customization to new patients, reducing the demands of data labeling.
title Frame-Level Real-Time Assessment of Stroke Rehabilitation Exercises from Video-Level Labeled Data: Task-Specific vs. Foundation Models
topic Image and Video Processing
url https://arxiv.org/abs/2506.03752