Real-time musculoskeletal (MSK) surrogates could support personalized rehabilitation for children with cerebral palsy (CP), but their credibility depends on subject-wise evaluation, low inference latency, and calibrated uncertainty. We develop a subject-conditioned causal neural surrogate using OpenSim-derived static parameters, temporal joint kinematics, true muscle capacities, and training-only perturbations. On a real pediatric CP gait dataset comprising nine children, we use leave-one-subject-out validation on six development subjects and evaluate a frozen configuration once on three locked test subjects. The surrogate accurately reproduces musculotendon lengths (R-square = 0.92 in development validation and approximately 0.95 on locked subjects; nRMSE < 8%) while requiring only sub-millisecond to few-millisecond neural inference, well below a 100 ms interactive-rehabilitation target. In contrast, direct muscle-force estimation remains unstable at this small, heterogeneous scale: pooled metrics can overstate within-subject, per-muscle accuracy. A Monte Carlo credibility pilot further shows that propagating only +/-5% anthropometry and muscle-capacity variation produces severely overconfident nominal 90% intervals (approximately 4% force coverage and below 1% MT-length coverage). These results establish a leakage-free evaluation and credibility framework for pediatric MSK surrogates, while identifying force modeling and epistemic uncertainty as the central next challenges for clinically credible digital twins.
The First AI Children Challenge aims to advance real-world applications of computer vision and AI in child healthcare, child education, and pediatrics. The 2026 CV4CHL edition featured the first track in this domain: Children Gait Visual Analysis. The main goal of Children Gait Visual Analysis is the fine-grained analysis of children's gait behaviors from keypoint sequences. This is still a big challenge for human action recognition. Experienced medical doctors can distinguish these subtle nuances, but none of the people test AI models in this domain. To bridge this gap, we introduce thousands of 2D children keypoint sequences walking around videos across various age groups of children (3-16 years old). There is a significant opportunity for batch analysis of these videos to provide clinically relevant insights into medical diagnosis. The Challenge will be launched with two problem tracks: Edinburgh Visual Gait Score (EVGS) Scoring and Classification of Gait Patterns in Bilateral Spastic Cerebral Palsy. Each track is chosen in consultation with board-certified pediatricians based on the value of potential solutions. With the first available dataset for such tasks and ground truth for each track, the challenge enabled participants to evaluate their solutions. Final rankings will be revealed after the competition concludes, fostering reproducibility and mitigating overfitting.