Hand and finger disorders are leading contributors to musculoskeletal disability, creating a clinical need for precise methods to quantify joint motion. Range of motion (ROM) serves as the metric for diagnosis, rehabilitation monitoring, and evaluating surgical outcomes. Currently, the goniometer is the standard tool for assessing finger flexion and extension. However, manual goniometry is labor-intensive and suffers from inconsistent inter-rater reliability due to variations in examiner technique. While digital alternatives exist, current software-based approaches often lack the necessary accuracy for clinical usage. To address these limitations, we present a novel pipeline for 3-D hand joint location and pose estimation using neural rendering. Unlike previous methods, our approach combines 2-D feature extraction with view synthesis to significantly improve accuracy and clinical viability. Furthermore, we introduce a discrete density hill climbing algorithm that facilitates the meaningful correction of projected landmarks in 3-D space. This system overcomes the inefficiencies of manual measurement and the inaccuracies of existing software, providing a robust tool for objective functional assessment.
We introduce a novel 3D hand pose estimator that can accurately recover the shape and pose of people's hands in a room from afar, typically from fixed cameras at room corners, in extremely low-resolution and frequently occluded views. Our key idea is to fully leverage hand-body coordination, its temporal progression, and multiview observations. We achieve this with a novel Transformer-based model, in which hand and body configurations are modeled through correlations between their visual features expressed as per-view tokens, and their temporal coordination is exploited in an autoregressive manner. We introduce a novel dataset, which we refer to as REACH, Room-Environment dataset Annotated with Chest cameras for Hand pose estimation, to train and test our method. REACH is a first-of-its-kind large-scale hand pose dataset that captures accurate hand movements of 50 participants across a wide variety of daily activities. In order to avoid interfering with natural movements while annotating the hands with accurate shape and pose, we leverage concealed chest cameras. Through extensive experiments, including comparative studies with existing methods, we show that our model, REACH-Net, achieves highly accurate 3D hand pose estimation from afar. These results broaden the horizon of 3D hand pose estimation, especially towards "in-the-wild" continuous human behavior analysis.
Accurate hand and finger tracking from video has significant clinical applications for monitoring activities of daily living and measuring range of motion, yet monocular video approaches for obtaining hand biomechanics remain under-developed. We present a method that combines the SAM 3D Body foundation model with inverse kinematics optimization in a full-body biomechanical model to extract anatomically-constrained finger joint angles from single-view video. We port SAM 3D Body from PyTorch to JAX for integration with MuJoCo-MJX, enabling GPU-accelerated optimization, and develop a novel mapping between the Momentum Human Rig (MHR) outputs and biomechanical model markers. Validation against 8-camera multiview reconstruction on 4,590 frames from 7 participants performing a variety of hand poses and object manipulation tasks shows finger joint angle errors of approximately 10 degrees and hand position errors of approximately 6 mm, after Procrustes alignment. Results were consistent across camera viewpoints and robust to different methods for producing reference values from multiview video. This work extends monocular biomechanical analysis to detailed finger tracking, expanding access to quantitative characterization of hand movement from readily available video.
Mixed reality applications can be designed for hand rehabilitation. Augmented reality (AR) head mounted displays (HMDs) specifically allow for ecologically valid tasks because individuals can see their real environment and interact with real objects while receiving additional cues on the HMD. While these applications rely on accurate hand pose estimation, there is a gap in investigating the influence of hand impairment or occlusion from real-object interactions on pose estimation accuracy. Further, comparisons between AR HMD predictions and state-of-the-art pose estimation methods have not been established. The current study assessed pose estimation accuracy of the HoloLens 2 HMD and state-of-the-art pose estimation algorithms (WiLoR, HaMeR, WildHands, and MediaPipe) while individuals with cervical spinal cord injury (cSCI; n = 13, Neurological Level of Injury: C3-C6; American Spinal Injury Association Impairment Scale: A-D) and 15 uninjured controls interacted with clear and opaque objects. Ground truth estimates of 3D joint positions were generated via triangulation from a multi-camera setup. Pose estimation accuracy did not differ between the cSCI and uninjured control groups suggesting that 3D joint predictions from the HoloLens 2 and pose estimation algorithms can generalize to populations with hand impairment. Further, clear objects provided a small accuracy advantage over opaque objects (0.1 mm) and predictions from both WiLoR and HaMeR were slightly more accurate than the HoloLens 2 (2 mm). Overall, these results suggest that the HoloLens 2 may be viable for hand rehabilitation applications and the dataset generated can be used to refine pose estimation methods for hand-impaired populations.
Damian M. Manzone, Mathew Szymanowski, Olga Taran +6