Large-scale Vision-Language Models have demonstrated impressive transfer learning capabilities across a wide range of tasks. For few-shot classification, we observe that VLMs exhibit a notable ability to filter candidate categories and thus achieve high Top-K accuracy. However, they often struggle with fine-grained discrimination among visually similar categories, resulting in unsatisfactory Top-1 performance, as shown in Figure 1. Existing studies on VLM adapters generally focus on global alignment between visual and textual representations in the feature space, but fail to exploit semantically similar categories to refine fine-grained visual representations. Based on these observations, we propose a novel coarse-to-fine VLM fine-tuning approach for few-shot learning that leverages quantum computation, termed the Multi-Modal Quantum Adapter (MQAdapter). Specifically, MQAdapter first retrieves the Top-K category candidates most similar to the input image and uses them as semantic anchors. It then employs a cross-modal quantum learning mechanism to refine visual features under the guidance of these anchors. The core of this mechanism is the encoding of visual and textual features into quantum states. By leveraging quantum entanglement and superposition in a high-dimensional Hilbert space, MQAdapter effectively models higher-order cross-modal interactions, producing more discriminative representations than traditional Euclidean adapters. MQAdapter is parameter-efficient and can be integrated with various existing fine-tuning algorithms to achieve further performance gains. Evaluations on 15 datasets demonstrate the effectiveness of MQAdapter while requiring fewer trainable parameters.
This paper presents a cascaded Low-Rank Adaptation (LoRA)-based multimodal fusion framework for action and activity recognition in healthcare-oriented training environments. The proposed architecture combines parameter-efficient modality-specific adaptation with sequential fusion, enabling modalities to be integrated in stages without retraining previously learned components. Rather than assuming a fixed fusion structure, the framework first integrates more closely related modalities and then incorporates additional heterogeneous modalities, supporting scalable adaptation across datasets with different modality sets.We evaluate the framework on two healthcare-oriented training environment datasets: NurViD and the Nurse Training dataset. Across these datasets, preliminary results suggest that the proposed cascaded fusion strategy improves over individual modality models and provides competitive performance relative to previously reported dataset-specific baselines. Overall, these findings indicate that cascaded LoRA-based fusion is a promising parameter-efficient approach for integrating heterogeneous modalities in medical training action and activity recognition tasks. github: https://github.com/anonymous0-ai/LoRA-Based-Cascaded-Multimodal-Fusion-.git.