MMTA: Multi Membership Temporal Attention for Fine-Grained Stroke Rehabilitation Assessment

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Main Authors: Helvaci, Halil Ismail, Huber, Justin, Bae, Jihye, Cheung, Sen-ching Samson
Format: Preprint
Published: 2026
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author Helvaci, Halil Ismail
Huber, Justin
Bae, Jihye
Cheung, Sen-ching Samson
author_facet Helvaci, Halil Ismail
Huber, Justin
Bae, Jihye
Cheung, Sen-ching Samson
contents To empower the iterative assessments involved during a person's rehabilitation, automated assessment of a person's abilities during daily activities requires temporally precise segmentation of fine-grained actions in therapy videos. Existing temporal action segmentation (TAS) models struggle to capture sub-second micro-movements while retaining exercise context, blurring rapid phase transitions and limiting reliable downstream assessment of motor recovery. We introduce Multi-Membership Temporal Attention (MMTA), a high-resolution temporal transformer for fine-grained rehabilitation assessment. Unlike standard temporal attention, which assigns each frame a single attention context per layer, MMTA lets each frame attend to multiple locally normalized temporal attention windows within the same layer. We fuse these concurrent temporal views via feature-space overlap resolution, preserving competing local contexts near transitions while enabling longer-range reasoning through layer-wise propagation. This increases boundary sensitivity without additional depth or multi-stage refinement. MMTA supports both video and wearable IMU inputs within a unified single-stage architecture, making it applicable to both clinical and home settings. MMTA consistently improves over the Global Attention transformer, boosting Edit Score by +1.3 (Video) and +1.6 (IMU) on StrokeRehab while further improving 50Salads by +3.3. Ablations confirm that performance gains stem from multi-membership temporal views rather than architectural complexity, offering a practical solution for resource-constrained rehabilitation assessment.
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institution arXiv
publishDate 2026
record_format arxiv
spellingShingle MMTA: Multi Membership Temporal Attention for Fine-Grained Stroke Rehabilitation Assessment
Helvaci, Halil Ismail
Huber, Justin
Bae, Jihye
Cheung, Sen-ching Samson
Computer Vision and Pattern Recognition
To empower the iterative assessments involved during a person's rehabilitation, automated assessment of a person's abilities during daily activities requires temporally precise segmentation of fine-grained actions in therapy videos. Existing temporal action segmentation (TAS) models struggle to capture sub-second micro-movements while retaining exercise context, blurring rapid phase transitions and limiting reliable downstream assessment of motor recovery. We introduce Multi-Membership Temporal Attention (MMTA), a high-resolution temporal transformer for fine-grained rehabilitation assessment. Unlike standard temporal attention, which assigns each frame a single attention context per layer, MMTA lets each frame attend to multiple locally normalized temporal attention windows within the same layer. We fuse these concurrent temporal views via feature-space overlap resolution, preserving competing local contexts near transitions while enabling longer-range reasoning through layer-wise propagation. This increases boundary sensitivity without additional depth or multi-stage refinement. MMTA supports both video and wearable IMU inputs within a unified single-stage architecture, making it applicable to both clinical and home settings. MMTA consistently improves over the Global Attention transformer, boosting Edit Score by +1.3 (Video) and +1.6 (IMU) on StrokeRehab while further improving 50Salads by +3.3. Ablations confirm that performance gains stem from multi-membership temporal views rather than architectural complexity, offering a practical solution for resource-constrained rehabilitation assessment.
title MMTA: Multi Membership Temporal Attention for Fine-Grained Stroke Rehabilitation Assessment
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2603.00878