Skeleton-based rehabilitation movement quality classification: a leakage-controlled benchmark on IntelliRehabDS
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By
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Zhen Zhu
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Yuqiong Xiang
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Xianzhu Tian
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July 15, 2026
Clinical Report: Classification of Rehabilitation Movement Quality Using Skeleton Data
Overview
This study establishes a benchmark for assessing rehabilitation movement quality using skeleton data, addressing issues of subject leakage and class imbalance. The multilayer perceptron achieved the highest accuracy of 0.869.
Background
Automated assessment of rehabilitation movements is crucial for scalable physiotherapy monitoring, particularly as traditional methods can be resource-intensive and inconsistent. The ability to objectively evaluate movement quality using three-dimensional skeleton recordings can enhance monitoring. However, existing methodologies often suffer from biases due to subject leakage and imbalanced datasets, necessitating a rigorous benchmarking approach.
Data Highlights
| Model | Accuracy | ROC-AUC | Incorrect-Class Recall |
|---|---|---|---|
| Multilayer Perceptron | 0.869 | - | - |
| Random Forest | - | 0.861 | - |
| Support Vector Machine | - | - | 0.629 |
| ST-SkelNet | 0.846 | 0.855 | 0.612 |
Key Findings
- The study utilized a leakage-controlled, subject-independent benchmark on the IntelliRehabDS dataset.
- A total of 2,575 sequences from 29 participants were analyzed, with 2,047 correct and 528 incorrect executions across nine gestures.
- The multilayer perceptron model achieved the highest accuracy of 0.869.
- Head-motion and bilateral-asymmetry features were significant in distinguishing between correct and incorrect executions.
- ST-SkelNet did not consistently outperform classical models despite its advanced architecture.
Clinical Implications
The findings highlight the importance of using leakage-controlled methodologies in evaluating rehabilitation movement quality.
Conclusion
This benchmark study provides a reproducible framework for assessing rehabilitation movement quality, emphasizing the need for rigorous evaluation protocols in future research.
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