Cross-Model Distillation of a Human-Pose Foundation Model from Unannotated Infant Video for Markerless 3D Pose Estimation

arly identification of motor impairment in infancy relies on expert visual assessment of spontaneous movement, motivating the development of automated, objective alternatives. One promising approach is using computer vision, which benefits from high quality pose estimation from video. In this study, we systematically evaluated three state-of-the-art pose estimation frameworks (MeTRAbs-ACAE, SAM 3D Body, and Sapiens) on 100 videos over 13 sessions of 8 infants recorded with a multi-view markerless motion capture system. We quantified keypoint detection accuracy using reprojection error, geometric consistency, and Procrustes-aligned 3D position error, and demonstrated proof-of-concept for fitting an inverse kinematic framework to infant data. While Sapiens achieved the lowest reprojection error and highest geometric consistency of the methods evaluated (22.8 pixels and 0.82, respectively), SAM 3D Body provided the most comprehensive 3D information for kinematic reconstruction with Procrustes-aligned position errors of 19 to 28 mm. We demonstrate in a case comparison example that biomechanical models fit to SAM 3D estimates distinguish representative movement patterns in infants related to motor development, as identified by a clinical expert. Together, these findings highlight both the promise and current limitations of 3D pose estimation for infant biomechanics and establish preliminary groundwork for scalable, video-based assessment of early motor development.

We propose a method of estimating a 3D human pose from a single view without 3D supervision. The key to our method is to leverage the 2D diffusion priors of motion diffusion models (MDMs) pre-trained on large 2D human pose datasets. Specifically, we extend multi-view ancestral sampling of diffusion models to the task of 2D-3D lifting of human pose. To this end, we newly propose a conditional multi-view ancestral sampling (cMAS) that optimizes the 3D pose such that its multi-view projections follow the manifold in 2D MDM noise space, while conditioning the 3D pose to match the given 2D poses and anatomical constraints of humans. Experiments on the Yoga dataset demonstrate that our method achieves better cross-domain performance compared to state-of-the-art supervised and unsupervised 3D pose estimation methods, including extreme human poses where 3D supervision is unavailable. Code is available at: https://github.com/asaa0001/c-MAS.

State-of-the-art monocular body recovery methods predict mesh vertices and angles on the corresponding kinematic tree, but their outputs lack biomechanically defined joint angles that downstream applications like clinical and biomechanical analyses require. We extend an existing foundation model, SAM-3D-Body, with an additional biomechanical prediction head that, from a single RGB image, regresses the joint angles and scales of a biomechanical model. Training this model presents a challenge, as there are limited datasets of paired images and biomechanical fits. To overcome this, we supervise biomechanical outputs with in-loop optimized targets from a Levenberg-Marquardt solver performing inverse kinematics fits against markers from the mesh predictions. This allows distilling the biomechanical head from the mesh head, even from unlabeled images. To make this work with GPU-optimized biomechanical models in MuJoCo, the entire model was implemented in JAX using Equinox. We trained this distilled output head on the publicly released SAM-3D-Body dataset. We then validated this model on biomechanical fits to two publicly available marker-based datasets, MoVi and BioCV, as well as movements from a clinical cohort captured with multiview markerless motion capture. The resulting model outperforms existing models for direct regression of biomechanics from images while only slightly underperforming the state-of-the-art monocular biomechanics method that performs more costly inference-time optimization of entire trajectories.