Existing action quality assessment (AQA) datasets and methods rely primarily on visual inputs such as RGB and pose, overlooking physiological dynamics such as muscle mechanics and often modeling actions as monolithic patterns. These limitations hinder fine-grained, biomechanically grounded feedback. We introduce MyoMechanix, a multimodal ecosystem for weight-loaded actions that aligns motion with muscle activity. Expert-annotated, it contains 7,500+ samples of 20 actions from 38 subjects, with synchronized multiview RGB video, 3D pose, sEMG, and additional physiological signals, forming the largest multimodal AQA benchmark to date. We further construct the Fitness Knowledge Graph (FKG), which organizes expert annotations into structured relationships among actions, phases, key steps, errors, and corrective feedback, enabling compositional scoring and interpretable assessment. Building on these representations, we develop CUBIST (Compositional Ontological Reasoning Engine), which performs decomposition-analysis-recomposition for fine-grained error attribution and feedback generation. We also establish MyoMechanix-AQA, MyoMechanix-VideoQA, and a novel MyoMechanix-Video2EMG task. Experiments show that multimodal sensing and structured representations improve performance, interpretability, and error attribution, with CUBIST achieving state-of-the-art results; VideoQA enhances language-grounded action understanding; and Video2EMG suggests video-based alternatives to costly EMG sensing. MyoMechanix advances skilled activity understanding toward biomechanically grounded, multimodal, and compositional reasoning for Physical AI applications in fitness, rehabilitation, healthcare, and machine learning. Project page: https://haoyin116.github.io/MyoMechanix/
Fitness Action Quality Assessment (AQA) is important for intelligent sports training, yet the capabilities of Multimodal Large Language Models (MLLMs) in this setting remain underexplored. Existing benchmarks rely on action-specific annotation schemes and focus primarily on final assessment outputs, offering limited insight into how models assess exercise quality. We introduce FitAQA, a systematic benchmark for evaluating MLLMs in fitness AQA, containing 2,219 videos and 5,512 QA instances across 30 bodyweight exercises. In collaboration with experts in sports science, we develop a unified form error taxonomy that defines 38 recurring form errors within six complementary quality dimensions: alignment, symmetry, stability, coordination, tempo, and completeness. This taxonomy provides a shared assessment framework across different exercises. FitAQA further formulates three evaluation tasks: perception for recognizing relevant visual evidence, judgement for combining that evidence with domain knowledge to assess execution correctness, and temporal grounding for localizing form errors over time. Extensive evaluation shows that current MLLMs still struggle to assess exercise quality comprehensively and localize form errors precisely. Controlled experiments further indicate that visual perception is a key bottleneck, as judgement performance improves substantially when ground-truth perceptual evidence is provided. The dataset and evaluation code will be made publicly available.
Action Quality Assessment (AQA) aims to evaluate how well a person performs a movement, which is essential in applications such as sports scoring, skill assessment, and healthcare. However, unimodal approaches often struggle to capture subtle cues of movement quality in real-world settings. Although multi-modal inputs provide complementary information, existing methods still face two major challenges: heterogeneous modalities often lead to cross-modal misalignment and unstable fusion, and reliable multi-modal annotation is costly, resulting in limited dataset diversity. To address these challenges, we propose DualAlign, a two-stage multi-modal fusion framework with adaptive alignment. The framework first constructs a coherent visual representation by maximizing shared structural information across RGB video, optical flow, and skeleton modalities. Textual semantics are then incorporated after visual stabilization, allowing high-level descriptions to complement rather than distort the underlying visual manifold. To evaluate the framework under realistic multi-modal conditions, we introduce MM--JDM, a movement-quality assessment dataset integrating RGB videos, optical flow, skeleton sequences, and structured text. MM--JDM naturally exhibits modality noise, class imbalance, and label scarcity, making it a challenging benchmark for studying multi-modal fusion and alignment. Extensive experiments show that DualAlign improves average correlation on MM--JDM by 21.16% over the state-of-the-art methods and achieves gains of 3.53% and 5.95% on the RG and Fis-V benchmarks, respectively. DualAlign also remains robust under missing-modality and label-scarce conditions.