Uncertainty-Aware Federated Learning for Infant Movement Analysis

Infant movement analysis provides valuable biomarkers for the early identification of neurodevelopmental disorders. Recent advances in deep learning have enabled automated analysis of infant movements from video-derived skeletal representations, achieving performance comparable to expert assessment for tasks such as General Movement Assessment (GMA). However, most existing approaches rely on centralized training, requiring data from multiple institutions to be collected and stored at a single site. Such assumptions are often impractical in clinical settings due to privacy, governance, and data-sharing constraints. To address these challenges, we present, to the best of our knowledge, the first federated learning framework for automated infant movement analysis and General Movement Assessment using skeletal motion data. As a clinically relevant use case, the proposed framework is evaluated on fidgety movement classification. To quantify model confidence, Monte Carlo (MC) Dropout is employed to estimate predictive uncertainty during inference. Building upon this, we propose an Uncertainty-Aware Federated Averaging (UA-FedAvg) strategy that incorporates predictive entropy derived from MC-Dropout into the federated aggregation process, enabling client contributions to be adjusted according to their predictive uncertainty. Experiments were conducted using a cross-subject evaluation protocol under a three-client federated learning setting. Results demonstrate that federated learning substantially improves classification performance compared with independently trained local models while achieving performance approaching that of centralized training. Furthermore, UA-FedAvg and its variant incorporating validation loss generally outperform conventional FedAvg across the evaluated data-split configurations.