Automated ARAT Scoring Using Multimodal Video Analysis, Multi-View Fusion, and Hierarchical Bayesian Models: A Clinician Study

Manual scoring of the Action Research Arm Test (ARAT) for upper extremity assessment in stroke rehabilitation is time-intensive and variable. We propose an automated ARAT scoring system integrating multimodal video analysis with SlowFast, I3D, and Transformer-based models using OpenPose keypoints and object locations. Our approach employs multi-view data (ipsilateral, contralateral, and top perspectives), applying early and late fusion to combine features across views and models. Hierarchical Bayesian Models (HBMs) infer movement quality components, enhancing interpretability. A clinician dashboard displays task scores, execution times, and quality assessments. We conducted a study with five clinicians who reviewed 500 video ratings generated by our system, providing feedback on its accuracy and usability. Evaluated on a stroke rehabilitation dataset, our framework achieves 89.0% validation accuracy with late fusion, with HBMs aligning closely with manual assessments. This work advances automated rehabilitation by offering a scalable, interpretable solution with clinical validation.

Automatic Temporal Segmentation for Post-Stroke Rehabilitation: A Keypoint Detection and Temporal Segmentation Approach for Small Datasets

Rehabilitation is essential and critical for post-stroke patients, addressing both physical and cognitive aspects. Stroke predominantly affects older adults, with 75% of cases occurring in individuals aged 65 and older, underscoring the urgent need for tailored rehabilitation strategies in aging populations. Despite the critical role therapists play in evaluating rehabilitation progress and ensuring the effectiveness of treatment, current assessment methods can often be subjective, inconsistent, and time-consuming, leading to delays in adjusting therapy protocols. This study aims to address these challenges by providing a solution for consistent and timely analysis. Specifically, we perform temporal segmentation of video recordings to capture detailed activities during stroke patients' rehabilitation. The main application scenario motivating this study is the clinical assessment of daily tabletop object interactions, which are crucial for post-stroke physical rehabilitation. To achieve this, we present a framework that leverages the biomechanics of movement during therapy sessions. Our solution divides the process into two main tasks: 2D keypoint detection to track patients' physical movements, and 1D time-series temporal segmentation to analyze these movements over time. This dual approach enables automated labeling with only a limited set of real-world data, addressing the challenges of variability in patient movements and limited dataset availability. By tackling these issues, our method shows strong potential for practical deployment in physical therapy settings, enhancing the speed and accuracy of rehabilitation assessments.