Automating Timed Up and Go Phase Segmentation and Gait Analysis via the tugturn Markerless 3D Pipeline

This paper presents a biomechanically interpretable framework for gait analysis using 3D human reconstruction from video data. Unlike conventional keypoint based approaches, the proposed method extracts biomechanically meaningful markers analogous to motion capture systems and integrates them within OpenSim for joint kinematic estimation. To evaluate performance, both spatiotemporal and kinematic gait parameters were analysed against reference marker-based data. Results indicate strong agreement with marker-based measurements, with considerable improvements when compared with pose-estimation methods alone. The proposed framework offers a scalable, markerless, and interpretable approach for accurate gait assessment, supporting broader clinical and real world deployment of vision based biomechanics

Gait assessment is a key clinical indicator of fall risk and overall health in older adults. However, standard clinical practice is largely limited to stopwatch-measured gait speed. We present a pipeline that leverages a 3D Human Mesh Recovery (HMR) model to extract gait parameters from recordings of older adults completing the Timed Up and Go (TUG) test. From videos recorded across different community centers, we extract and analyze spatiotemporal gait parameters, including step time, sit-to-stand duration, and step length. We found that video-derived step time was significantly correlated with IMU-based insole measurements. Using linear mixed effects models, we confirmed that shorter, more variable step lengths and longer sit-to-stand durations were predicted by higher self-rated fall risk and fear of falling. These findings demonstrate that our pipeline can enable accessible and ecologically valid gait analysis in community settings.

Dynamic Time Warping (DTW) is the dominant approach for measuring similarity between time series, yet standard practice discards the optimal warping path after computing a single distance value, losing local alignment information most relevant to clinical diagnosis. We introduce DiaSeg, a framework that extracts diagonal segments from DTW paths with controlled breaks, characterizing each segment by five geometric features (effective length, interruption count, cost variation, temporal position, and path context), and enabling unsupervised pattern discovery without domain-specific feature engineering. Validated on 91 subjects across six clinical conditions (healthy aging, Parkinson's, Huntington's, ALS, brain tumor, and stroke), three findings emerge. First, diagonal segments form consistent unsupervised patterns (silhouette 0.33) aligned with biomechanical phase annotations, with label-based validation confirming near-perfect separation of healthy and pathological gait (ARI up to 0.986). Second, segments discriminate pathology at 69% (supervised) and 75% (patient-level clustering), with pathology manifesting through distributional shifts in segment length; combining segment and cycle-level features further improves classification to 91.7%. Third, while cycle-based methods achieve higher accuracy (91%), diagonal segments provide phase-specific interpretability unavailable in global representations, localizing where coordination breaks down within the gait cycle. DiaSeg thus transforms DTW from a black-box distance into a source of interpretable temporal features for neurodegenerative disease assessment.