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/
Xu Dong, Wanqing Li, Anthony Adeyemi-Ejeye +1cs.CV
EgoExo proficiency estimation aims to assess action quality by integrating fine-grained motion cues from egocentric (1st-person) views with spatial context from multiple exocentric (3rd-person) views. Simply adding more exocentric views degrades EgoExo performance, as redundant or noisy perspectives dilute useful motion cues. Our analysis identifies two key causes: (1) Multiview redundancy - From the data perspective, certain views provide limited or noisy information, diluting discriminative cues; (2) Overfitting - From the feature perspective, conventional fusion increases representational complexity, causing the model to memorise view-specific patterns rather than learn generalisable representations. To address these issues, we propose two complementary modules: AdaMVS, which adaptively identifies and fuses the most informative view tokens under weak supervision from the data perspective, and VIB-GB, which combines Gradient Blending and Variational Information Bottleneck regularisation from the feature perspective to compress redundant signals and suppress overfitting during training. Experiments on EgoExo-4D and EgoExo-Fitness demonstrate that our method learns both which view to look at and how to fuse them, achieving new state-of-the-art results. Our source code is available at https://github.com/dx199771/AdaMVS
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 objectively evaluate performance quality from action videos. Most existing methods follow a ``one-by-one'' paradigm, training a separate model for each action type. This setting limits real-world deployment, as it requires prior action-type knowledge to select the corresponding model and suffers from poor generalization across diverse actions. To address these limitations, we study the challenging task of all-in-one AQA, which aims to assess heterogeneous actions within a single unified model. We propose a novel Mixture of Action Knowledge Experts (MoAKE) framework, designed to mitigate negative knowledge transfer caused by large semantic discrepancies among actions. MoAKE learns complementary experts that capture diverse action patterns within a shared semantic space and dynamically aggregates their knowledge to adapt the assessment to the input action. Each expert is tailored with segment-aware prototypes to handle varying temporal lengths, together with an Adaptive Intra- and Inter-Segment Relationship Modeling (AIISRM) module to model multi-granularity temporal dynamics. Furthermore, we establish comprehensive benchmarks for all-in-one as well as zero/few-shot AQA. Extensive experiments on three long-term datasets demonstrate that MoAKE significantly outperforms existing methods in the all-in-one setting, while also achieving consistent generalization on three short-term datasets under zero/few-shot evaluation. Code is available at https://github.com/XuHuangbiao/MoAKE.
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.
Francis Xiatian Zhang, Hao Yao, Shengxuan Chen +4cs.CV cs.LG
Vision-based assessment can provide convenient and cost-effective evaluation in Traditional Chinese Medicine (TCM) rehabilitation training, where action quality assessment (AQA) from computer vision offers a promising solution. Existing automatic AQA frameworks for physical therapy typically rely on skeletal data captured from a single viewpoint, which is inefficient for TCM techniques such as acupuncture or Tuina that involve dense hand self-occlusion and complex hand-object interactions. To address these challenges, we propose CME-AQA, a cross-view, multimodal vision-based assessment framework that integrates visual-pose fusion to enhance understanding of environmental context and leverages both first-person and third-person videos during training to improve inference robustness. We collected two dual-view datasets, TCM-AQA61-A (Acupuncture) and TCM-AQA61-T (Tuina), each containing synchronized first-person and third-person recordings of 61 subjects with expert annotations. Experimental results show that our approach achieves superior or comparable mean performance against competitive baselines, achieving over 10% relative improvement in weighted F1 over the best competing method on key rating tasks such as Needle Depth and Quick Needle Insertion, while also reducing mean absolute error in quantitative measures such as insertion time and manipulation frequency. Testing on a CPR dataset further demonstrates comparable performance on several posture-based criteria, suggesting applicability to related structured simulated clinical skill assessments where participant motion is central to evaluation. Overall, CME-AQA enhances assessment accuracy for structured TCM rehabilitation training and facilitates more convenient and effective training-oriented skill evaluation.
Analyzing fine-grained skill activities (e.g., sports, surgery) requires not only recognizing visual patterns but also performing step-by-step visual reasoning that leads to the final judgment. While recent advances in action quality assessment have achieved remarkable progress in evaluating performance, existing models remain black boxes, where they lack the ability to explicitly reveal the reasoning processes underlying their judgments. To address this limitation, we propose Latent Visual Diffusion Reasoning (LVDR), a novel framework that integrates keypoint-guided Monte Carlo Tree Search (MCTS) to model and visualize the latent visual reasoning process. LVDR not only produces more accurate skill assessments but also uncovers the critical visual reasoning sequences that contribute to the final evaluation. Extensive experiments across four datasets spanning diverse sports and surgical domains demonstrate that LVDR achieves competitive quantitative performance while providing interpretable visual reasoning trajectories leading to the final predictions. Source codes and models can be found through the following link: https://github.com/XiruiTeng/LVDR_Official.git.