Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations

Rehabilitation training is essential for the recovery of patients with conditions such as stroke and Parkinson’s disease. However, traditional skeletal-based assessments often fail to capture the subtle movement qualities necessary for personalized care and are not optimized for scoring t...

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Main Authors: Zhejun Kuang, Jingrui Wang, Dawen Sun, Jian Zhao, Lijuan Shi, Yusheng Zhu
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/10818452/
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author Zhejun Kuang
Jingrui Wang
Dawen Sun
Jian Zhao
Lijuan Shi
Yusheng Zhu
author_facet Zhejun Kuang
Jingrui Wang
Dawen Sun
Jian Zhao
Lijuan Shi
Yusheng Zhu
author_sort Zhejun Kuang
collection DOAJ
description Rehabilitation training is essential for the recovery of patients with conditions such as stroke and Parkinson’s disease. However, traditional skeletal-based assessments often fail to capture the subtle movement qualities necessary for personalized care and are not optimized for scoring tasks. To address these limitations, we propose a hierarchical contrastive learning framework that integrates multi-view skeletal data, combining both positional and angular joint information. This integration enhances the framework’s ability to detect subtle variations in movement during rehabilitation exercises. In addition, we introduce a novel contrastive loss function specifically designed for regression tasks. This new approach yields substantial improvements over existing state-of-the-art models, achieving over a 30% reduction in mean absolute deviation on both the KIMORE and UIPRMD datasets. The framework demonstrates robustness in capturing both global and local movement characteristics, which are critical for accurate clinical evaluations. By precisely quantifying action quality, the framework supports the development of more targeted, personalized rehabilitation plans and shows strong potential for broad application in rehabilitation practices as well as in a wider range of motion assessment tasks.
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institution Kabale University
issn 1534-4320
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publishDate 2025-01-01
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series IEEE Transactions on Neural Systems and Rehabilitation Engineering
spelling doaj-art-86e143f7254d4ce59232592cf5e88b312025-01-07T00:00:14ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-013320121110.1109/TNSRE.2024.352390610818452Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal RepresentationsZhejun Kuang0https://orcid.org/0000-0001-5632-7596Jingrui Wang1https://orcid.org/0009-0006-2641-2099Dawen Sun2https://orcid.org/0009-0008-6309-2711Jian Zhao3https://orcid.org/0000-0003-3265-6461Lijuan Shi4Yusheng Zhu5College of Computer Science and Technology and the Key Laboratory of Intelligent Rehabilitation and Barrier-Free for the Disabled, Ministry of Education, Changchun University, Changchun, ChinaCollege of Computer Science and Technology and the Key Laboratory of Intelligent Rehabilitation and Barrier-Free for the Disabled, Ministry of Education, Changchun University, Changchun, ChinaCollege of Computer Science and Technology and the Key Laboratory of Intelligent Rehabilitation and Barrier-Free for the Disabled, Ministry of Education, Changchun University, Changchun, ChinaCollege of Computer Science and Technology and the Key Laboratory of Intelligent Rehabilitation and Barrier-Free for the Disabled, Ministry of Education, Changchun University, Changchun, ChinaJilin Provincial Key Laboratory of Human Health Status Identification Function and Enhancement, Changchun, ChinaCollege of Computer Science and Technology and the Key Laboratory of Intelligent Rehabilitation and Barrier-Free for the Disabled, Ministry of Education, Changchun University, Changchun, ChinaRehabilitation training is essential for the recovery of patients with conditions such as stroke and Parkinson’s disease. However, traditional skeletal-based assessments often fail to capture the subtle movement qualities necessary for personalized care and are not optimized for scoring tasks. To address these limitations, we propose a hierarchical contrastive learning framework that integrates multi-view skeletal data, combining both positional and angular joint information. This integration enhances the framework’s ability to detect subtle variations in movement during rehabilitation exercises. In addition, we introduce a novel contrastive loss function specifically designed for regression tasks. This new approach yields substantial improvements over existing state-of-the-art models, achieving over a 30% reduction in mean absolute deviation on both the KIMORE and UIPRMD datasets. The framework demonstrates robustness in capturing both global and local movement characteristics, which are critical for accurate clinical evaluations. By precisely quantifying action quality, the framework supports the development of more targeted, personalized rehabilitation plans and shows strong potential for broad application in rehabilitation practices as well as in a wider range of motion assessment tasks.https://ieeexplore.ieee.org/document/10818452/Physical rehabilitationaction quality assessmentcontrastive learningrepresentation learning
spellingShingle Zhejun Kuang
Jingrui Wang
Dawen Sun
Jian Zhao
Lijuan Shi
Yusheng Zhu
Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Physical rehabilitation
action quality assessment
contrastive learning
representation learning
title Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations
title_full Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations
title_fullStr Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations
title_full_unstemmed Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations
title_short Hierarchical Contrastive Representation for Accurate Evaluation of Rehabilitation Exercises via Multi-View Skeletal Representations
title_sort hierarchical contrastive representation for accurate evaluation of rehabilitation exercises via multi view skeletal representations
topic Physical rehabilitation
action quality assessment
contrastive learning
representation learning
url https://ieeexplore.ieee.org/document/10818452/
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