Markerless Motion Capture for Biomechanical Whole-Body Kinematic Estimation in Infants

Spontaneous movement is one of the earliest windows onto an infant's neuromotor health, and structured clinical instruments that score it are validated early predictors of cerebral-palsy risk. However, they require specially trained raters, are time-consuming, and carry inter-rater variability. This motivates automated, video-based markerless assessment, especially as marker-based motion capture is impractical in infants. Yet the foundation models that make markerless capture possible are trained almost entirely on adults: our recent multi-view infant study found that no single model is jointly best, with strong 2D keypoint accuracy and direct 3D body recovery split across different models. While that study identifies this trade-off, it does not resolve it. Here, we perform cross-model distillation from the Sapiens 2 pose model into the SAM 3D Body model, using unannotated infant video alone. A frozen teacher supplies dense pseudo-labels, and a differentiable renderer aligns the predicted mesh to them in the training loop. On eleven held-out infants (18 sessions, 173 recordings) under our prior study's multi-view protocol, fine-tuning improves same-view 2D keypoint agreement with the Sapiens reference (median body percentage of correct keypoints @ 10px 0.22 -> 0.42, face 0.22 -> 0.42) and Procrustes-aligned mean per joint 3D position error (25.5 -> 22.2 mm). This demonstrates how cross-model distillation improves SAM 3D Body model performance on infants.

Recent progress in 3D human pose estimation has made markerless recovery of skeletal motion increasingly accurate and scalable. However, most pose estimators remain optimized for geometric keypoint accuracy, while many real-world applications in rehabilitation, sports science, ergonomics, and clinical movement analysis require biomechanical quantities that describe how the body moves, loads, and activates. In this work, we propose BioModule, a lightweight plug-in temporal transformer that attaches downstream of any 3D pose estimator and predicts biomechanical attributes from standard 17-joint 3D skeletons. BioModule is estimator-agnostic and requires no modification of the upstream pose model, enabling existing pose estimators to be extended toward physically interpretable motion analysis. To train and evaluate BioModule, we construct a large-scale aligned dataset pairing Human3.6M video and 3D keypoints with the biomechanical label space of Human3.6Mplus. We establish and verify anatomical correspondence between coordinate systems of the two datasets, enabling frame-accurate cross-modal supervision. Using this aligned supervision, BioModule predicts biomechanical quantities. We further benchmark BioModule across seven state-of-the-art 3D pose estimators, providing the first systematic analysis of how upstream pose estimation quality propagates to downstream biomechanical prediction fidelity. The results position BioModule as a compact, modular bridge between vision-based pose estimation and biomechanically meaningful human motion analysis.

Markerless motion capture (MMC) techniques have been widely beneficial in biomechanical analysis of human movement; however, application to complex motions of the hand lags other musculoskeletal systems. The primary goal of this study was to evaluate the performance of a biomechanical reconstruction method that implements a gradient-based optimization approach with a biomechanical model in the loop for tracking dexterous, unconstrained hand movements using MMC. Using a custom, 8-camera setup, we acquired 121 video recordings from 6 participants performing 11 different tasks that spanned 6 hand postures, 5 object manipulation tasks, and involved motion of the proximal upper limb joints. Performance of the proposed MMC pipeline was directly compared to a more commonly adopted two-stage reconstruction method that first triangulates 2D keypoints from computer vision pose estimation algorithms to 3D and then enforces biomechanical constraints by solving a constrained inverse kinematics problem. Relative performance was assessed qualitatively by visual inspection and quantitatively using a computer vision metric. Our method generated solutions for all 121 video recordings; the two-stage method did not converge for 15% of the recordings. Across the remaining videos, our method produced more biomechanically plausible hand kinematics than the two-stage method and was more robust to occlusion effects during tasks that involved objects. The relative robustness of the end-to-end method suggests that it is more effective in utilizing the available 2D digital keypoint information. Automatic and biomechanically meaningful tracking of hand kinematics during dexterous movements has the potential to support clinical evaluation, rehabilitation monitoring, and studies of human motor control.