OGA-AID: Clinician-in-the-loop AI Report Drafting Assistant for Multimodal Observational Gait Analysis in Post-Stroke Rehabilitation

Gait analysis is essential in post-stroke rehabilitation but remains time-intensive and cognitively demanding, especially when clinicians must integrate gait videos and motion-capture data into structured reports. We present OGA-AID, a clinician-in-the-loop multi-agent large language model system for multimodal report drafting. The system coordinates 3 specialized agents to synthesize patient movement recordings, kinematic trajectories, and clinical profiles into structured assessments. Evaluated with expert physiotherapists on real patient data, OGA-AID consistently outperforms single-pass multimodal baselines with low error. In clinician-in-the-loop settings, brief expert preliminary notes further reduce error compared to reference assessments. Our findings demonstrate the feasibility of multimodal agentic systems for structured clinical gait assessment and highlight the complementary relationship between AI-assisted analysis and human clinical judgment in rehabilitation workflows.

Estimation of Ground Reaction Forces from Kinematic Data during Locomotion

Ground reaction forces (GRFs) provide fundamental insight into human gait mechanics and are widely used to assess joint loading, limb symmetry, balance control, and motor function. Despite their clinical relevance, the use of GRF remains underutilised in clinical workflows due to the practical limitations of force plate systems. In this work, we present a force-plate-free approach for estimating GRFs using only marker-based motion capture data. This kinematics only method to estimate and decompose GRF makes it well suited for widespread clinical depolyment. By using kinematics from sixteen body segments, we estimate the centre of mass (CoM) and compute GRFs, which are subsequently decomposed into individual components through a minimization-based approach. Through this framework, we can identify gait stance phases and provide access to clinically meaningful kinetic measures without a dedicated force plate system. Experimental results demonstrate the viability of CoM and GRF estimation based solely on kinematic data, supporting force-plate-free gait analysis.