Paving the Way Towards Kinematic Assessment Using Monocular Video: A Preclinical Benchmark of State-of-the-Art Deep-Learning-Based 3D Human Pose Estimators Against Inertial Sensors in Daily Living Activities

Advances in machine learning and wearable sensors offer new opportunities for capturing and analyzing human movement outside specialized laboratories. Accurate assessment of human movement under real-world conditions is essential for telemedicine, sports science, and rehabilitation. This preclinical benchmark compares monocular video-based 3D human pose estimation models with inertial measurement units (IMUs), leveraging the VIDIMU dataset containing a total of 13 clinically relevant daily activities which were captured using both commodity video cameras and five IMUs. During this initial study only healthy subjects were recorded, so results cannot be generalized to pathological cohorts. Joint angles derived from state-of-the-art deep learning frameworks (MotionAGFormer, MotionBERT, MMPose 2D-to-3D pose lifting, and NVIDIA BodyTrack) were evaluated against joint angles computed from IMU data using OpenSim inverse kinematics following the Human3.6M dataset format with 17 keypoints. Among them, MotionAGFormer demonstrated superior performance, achieving the lowest overall RMSE ($9.27\deg \pm 4.80\deg$) and MAE ($7.86\deg \pm 4.18\deg$), as well as the highest Pearson correlation ($0.86 \pm 0.15$) and the highest coefficient of determination $R^{2}$ ($0.67 \pm 0.28$). The results reveal that both technologies are viable for out-of-the-lab kinematic assessment. However, they also highlight key trade-offs between video- and sensor-based approaches including costs, accessibility, and precision. This study clarifies where off-the-shelf video models already provide clinically promising kinematics in healthy adults and where they lag behind IMU-based estimates while establishing valuable guidelines for researchers and clinicians seeking to develop robust, cost-effective, and user-friendly solutions for telehealth and remote patient monitoring.

Custom IMU-Based Wearable System for Robust 2.4 GHz Wireless Human Body Parts Orientation Tracking and 3D Movement Visualization on an Avatar

Recent studies confirm the applicability of Inertial Measurement Unit (IMU)-based systems for human motion analysis. Notwithstanding, high-end IMU-based commercial solutions are yet too expensive and complex to democratize their use among a wide range of potential users. Less featured entry-level commercial solutions are being introduced in the market, trying to fill this gap, but still present some limitations that need to be overcome. At the same time, there is a growing number of scientific papers using not commercial, but custom do-it-yourself IMU-based systems in medical and sports applications. Even though these solutions can help to popularize the use of this technology, they have more limited features and the description on how to design and build them from scratch is yet too scarce in the literature. The aim of this work is two-fold: (1) Proving the feasibility of building an affordable custom solution aimed at simultaneous multiple body parts orientation tracking; while providing a detailed bottom-up description of the required hardware, tools, and mathematical operations to estimate and represent 3D movement in real-time. (2) Showing how the introduction of a custom 2.4 GHz communication protocol including a channel hopping strategy can address some of the current communication limitations of entry-level commercial solutions. The proposed system can be used for wireless real-time human body parts orientation tracking with up to 10 custom sensors, at least at 50 Hz. In addition, it provides a more reliable motion data acquisition in Bluetooth and Wi-Fi crowded environments, where the use of entry-level commercial solutions might be unfeasible. This system can be used as a groundwork for developing affordable human motion analysis solutions that do not require an accurate kinematic analysis.

VIDIMU. Multimodal video and IMU kinematic dataset on daily life activities using affordable devices

Human activity recognition and clinical biomechanics are challenging problems in physical telerehabilitation medicine. However, most publicly available datasets on human body movements cannot be used to study both problems in an out-of-the-lab movement acquisition setting. The objective of the VIDIMU dataset is to pave the way towards affordable patient tracking solutions for remote daily life activities recognition and kinematic analysis. The dataset includes 13 activities registered using a commodity camera and five inertial sensors. The video recordings were acquired in 54 subjects, of which 16 also had simultaneous recordings of inertial sensors. The novelty of VIDIMU lies in: i) the clinical relevance of the chosen movements, ii) the combined utilization of affordable video and custom sensors, and iii) the implementation of state-of-the-art tools for multimodal data processing of 3D body pose tracking and motion reconstruction in a musculoskeletal model from inertial data. The validation confirms that a minimally disturbing acquisition protocol, performed according to real-life conditions can provide a comprehensive picture of human joint angles during daily life activities.