Action Quality Assessment

Valuing player actions in football requires accounting for strategic interactions among 22 players, including off-ball movements and defensive positioning. Existing reinforcement-learning-based methods commonly aggregate decisions at the team level or estimate player values independently, leaving strategic interdependence among players insufficiently represented. This study proposes an action valuation framework inspired by Markov perfect equilibrium (MPE) for all players. Each possession is modeled as a finite-horizon dynamic game, with each player represented as an autonomous agent whose policy depends on the current game state. MPE is used as a motivating solution concept rather than an exact equilibrium. To improve interpretability, we use Expandable Decision-Making States (EDMS) and decompose the Q-value into a successor-feature basis and a linear reward-weight vector. The value basis is estimated by linear TD initialization followed by nonlinear refinement. Using tracking and event data from 95 J1 League matches, we compare the proposed formulation with an independent reinforcement learning baseline. Because the two formulations define TD errors in different target spaces, TD MSE is used only for within-formulation consistency. With EDMS fixed, the independent baseline assigns the highest value to forward movement in 99.21% of evaluated off-ball states, whereas the most frequent direction under the proposed formulation accounts for 17.63%. Team-level average Q-values show a negative association with season-level expected goals for the baseline and a weakly positive association for the proposed formulation. Qualitative analyses illustrate context-dependent valuations of off-ball movements and defensive positioning. Overall, the proposed formulation produces more context-sensitive action rankings, although the comparison does not isolate the MPE-inspired component.

Automated quality assessment of rehabilitation exercises relies heavily on accurate human pose estimation from video data. Although numerous RGB-based pose estimation methods have been proposed, the impact of camera placement on detecting clinically relevant movement errors remains insufficiently explored. To address this gap, we introduce REHAB26-ViewAngles, a dataset comprising correct and incorrect rehabilitation exercise executions captured from a wide range of camera angles. Furthermore, we propose a novel separability metric to quantify an algorithm's ability to distinguish between valid and faulty exercise repetitions. Using these tools, we analyze how various RGB-based pose-estimation strategies are suitable for exercise quality assessment under varying camera placements. In particular, we analyze single-camera 2D and 3D pose estimation and four multi-camera strategies: a combination of two orthogonal 2D views, 3D triangulation, weighted 3D fusion, and an AI-based pose-estimation transformer model specifically trained from two synchronized cameras. Our findings reveal that an optimally placed 2D camera can improve the separability by 16.9% over the commonly used 0° frontal view and frequently outperforms single-camera 3D estimation, while combining two views can further improve accuracy by up to 13.1%. These results offer practical guidance for deploying rehabilitation monitoring in both home and clinical settings.

Automated action quality assessment (AQA) in Olympic sports remains a challenging task due to the complexity of human motion and the subjectivity inherent in expert judging. This work evaluates the capability of open-source Vision-Language Models (VLMs) to perform zero-shot action quality assessment on Olympic diving videos using the AQA-7 benchmark dataset. In this regard, a regression-based framework is pro-posed to leverage both the semantic reasoning and phase-level sub-scores generated by the VLMs, combining TF-IDF vectorization, dimensionality reduction, and ensemble learning to predict final competition scores. Experimental results show that standalone VLMs achieve moderate Spearman correlations below 0.32, while the proposed ensemble regression framework substantially improves performance in the reported evaluation, reaching a Spearman correlation of 0.67 with a four-model configuration. Textual reasoning features con-sistently outperformed raw numerical sub-scores, highlighting the richness of VLM-generated explanations for action quality analysis. These findings suggest that VLMs hold strong potential as assistive tools for explainable and semi-automated sports performance evaluation. The code is publicly available on GitHub https://github.com/hvelesaca/olympic diving judge vlm

Traditional player evaluation in professional handball relies on basic box-score metrics or heuristic indices, which fail to credit the multi-player build-up chain. While football (soccer) analytics has adopted Expected Threat (xT) and Valuing Actions by Estimating Probabilities (VAEP), these event-based action valuation frameworks have not yet been adapted to handball. In this paper, we present the first comprehensive adaptation and evaluation of xT and VAEP for handball, utilizing five seasons of tracking-derived event data from the Handball Bundesliga. We develop Handball-xT (H-xT) using a handball-native court zoning layout, demonstrating via simulations that it is systematically more robust than standard rectangular grids. We optimize Handball-VAEP (H-VAEP) by tailoring its feature space and selecting the context length to limit team-identity leakage. Our evaluation shows that H-VAEP yields exceptionally stable, discriminative, and intuitive player ratings that highlight build-up play. Finally, we release our complete code repository to help professional clubs deploy these models.

Fitness Action Quality Assessment (AQA) is important for intelligent sports training, yet the capabilities of Multimodal Large Language Models (MLLMs) in this setting remain underexplored. Existing benchmarks rely on action-specific annotation schemes and focus primarily on final assessment outputs, offering limited insight into how models assess exercise quality. We introduce FitAQA, a systematic benchmark for evaluating MLLMs in fitness AQA, containing 2,219 videos and 5,512 QA instances across 30 bodyweight exercises. In collaboration with experts in sports science, we develop a unified form error taxonomy that defines 38 recurring form errors within six complementary quality dimensions: alignment, symmetry, stability, coordination, tempo, and completeness. This taxonomy provides a shared assessment framework across different exercises. FitAQA further formulates three evaluation tasks: perception for recognizing relevant visual evidence, judgement for combining that evidence with domain knowledge to assess execution correctness, and temporal grounding for localizing form errors over time. Extensive evaluation shows that current MLLMs still struggle to assess exercise quality comprehensively and localize form errors precisely. Controlled experiments further indicate that visual perception is a key bottleneck, as judgement performance improves substantially when ground-truth perceptual evidence is provided. The dataset is available at https://huggingface.co/datasets/Kelly0510/FitAQA.

Rehabilitation scoring systems are most useful when their outputs can be reviewed and interpreted within clinical workflows. This study presents PhaseAware, a compact framework for continuous rehabilitation quality assessment that combines a temporal backbone with phase- and body-group descriptors through a backbone-conditioned gated residual pathway. The model was evaluated on the UI-PRMD deep-squat protocol and further tested on the KIMORE squatting subset. On UI-PRMD, PhaseAware achieved an RMSE of 0.0230, corresponding to an 88.9% reduction relative to the accepted baseline. It also maintained favorable performance on KIMORE, suggesting that the phase-aware design transfers across related squatting protocols. In addition to score prediction, PhaseAware generates structured review cues based on phase- and body-level sensitivity, highlighting the movement stages and body regions most relevant to each prediction. The architecture employs a backbone-conditioned gated residual mechanism to stabilize feature representation, supporting use in resource-constrained settings. These cues are intended to support clinician review, boundary-case monitoring, and human-in-the-loop triage rather than autonomous decision-making. Overall, PhaseAware offers a practical and interpretable approach to rehabilitation scoring that may help integrate automated assessment into information systems while preserving clinician oversight.

Action Quality Assessment (AQA) aims to objectively evaluate performance quality from action videos. Most existing methods follow a ``one-by-one'' paradigm, training a separate model for each action type. This setting limits real-world deployment, as it requires prior action-type knowledge to select the corresponding model and suffers from poor generalization across diverse actions. To address these limitations, we study the challenging task of all-in-one AQA, which aims to assess heterogeneous actions within a single unified model. We propose a novel Mixture of Action Knowledge Experts (MoAKE) framework, designed to mitigate negative knowledge transfer caused by large semantic discrepancies among actions. MoAKE learns complementary experts that capture diverse action patterns within a shared semantic space and dynamically aggregates their knowledge to adapt the assessment to the input action. Each expert is tailored with segment-aware prototypes to handle varying temporal lengths, together with an Adaptive Intra- and Inter-Segment Relationship Modeling (AIISRM) module to model multi-granularity temporal dynamics. Furthermore, we establish comprehensive benchmarks for all-in-one as well as zero/few-shot AQA. Extensive experiments on three long-term datasets demonstrate that MoAKE significantly outperforms existing methods in the all-in-one setting, while also achieving consistent generalization on three short-term datasets under zero/few-shot evaluation. Code is available at https://github.com/XuHuangbiao/MoAKE.

Objective Structured Clinical Examinations (OSCEs) are the gold standard for assessing clinical competence, yet scoring remains vulnerable to examiner subjectivity, fatigue, and cognitive bias. Standard examiner validation via inter-rater statistics lacks explanatory power regarding the source of errors, as it neither analyzes examiner reasoning nor verifies examiner claims against actual events. Thus, we introduce Quality Action Assurance (QAA), a multimodal framework that verifies examiner claims in Virtual Reality (VR) pediatric OSCEs by comparing actions claimed by examiners against a reference record of events constructed from video, VR logs, and actor annotations. QAA combines a constrained temporal action alignment model, which performs action localization and actor source attribution, with a large language model that extracts examiner claims and checks them against the record. Across a 5-fold cross-validation, QAA achieves 99.2% $\pm$ 0.7% Actor F1 and 93.4% $\pm$ 1.9% W@16 for temporal alignment. Overall, QAA detects examiner errors with 69.9% precision and 76.7% recall; in retrospective evaluation, correcting the detected errors raises the share of factually correct transcripts from 39.2% to 79.2%, supporting fairer OSCE quality assessment.

Action Quality Assessment (AQA) aims to evaluate how well a person performs a movement, which is essential in applications such as sports scoring, skill assessment, and healthcare. However, unimodal approaches often struggle to capture subtle cues of movement quality in real-world settings. Although multi-modal inputs provide complementary information, existing methods still face two major challenges: heterogeneous modalities often lead to cross-modal misalignment and unstable fusion, and reliable multi-modal annotation is costly, resulting in limited dataset diversity. To address these challenges, we propose DualAlign, a two-stage multi-modal fusion framework with adaptive alignment. The framework first constructs a coherent visual representation by maximizing shared structural information across RGB video, optical flow, and skeleton modalities. Textual semantics are then incorporated after visual stabilization, allowing high-level descriptions to complement rather than distort the underlying visual manifold. To evaluate the framework under realistic multi-modal conditions, we introduce MM--JDM, a movement-quality assessment dataset integrating RGB videos, optical flow, skeleton sequences, and structured text. MM--JDM naturally exhibits modality noise, class imbalance, and label scarcity, making it a challenging benchmark for studying multi-modal fusion and alignment. Extensive experiments show that DualAlign improves average correlation on MM--JDM by 21.16% over the state-of-the-art methods and achieves gains of 3.53% and 5.95% on the RG and Fis-V benchmarks, respectively. DualAlign also remains robust under missing-modality and label-scarce conditions.

Vision-based assessment can provide convenient and cost-effective evaluation in Traditional Chinese Medicine (TCM) rehabilitation training, where action quality assessment (AQA) from computer vision offers a promising solution. Existing automatic AQA frameworks for physical therapy typically rely on skeletal data captured from a single viewpoint, which is inefficient for TCM techniques such as acupuncture or Tuina that involve dense hand self-occlusion and complex hand-object interactions. To address these challenges, we propose CME-AQA, a cross-view, multimodal vision-based assessment framework that integrates visual-pose fusion to enhance understanding of environmental context and leverages both first-person and third-person videos during training to improve inference robustness. We collected two dual-view datasets, TCM-AQA61-A (Acupuncture) and TCM-AQA61-T (Tuina), each containing synchronized first-person and third-person recordings of 61 subjects with expert annotations. Experimental results show that our approach achieves superior or comparable mean performance against competitive baselines, achieving over 10% relative improvement in weighted F1 over the best competing method on key rating tasks such as Needle Depth and Quick Needle Insertion, while also reducing mean absolute error in quantitative measures such as insertion time and manipulation frequency. Testing on a CPR dataset further demonstrates comparable performance on several posture-based criteria, suggesting applicability to related structured simulated clinical skill assessments where participant motion is central to evaluation. Overall, CME-AQA enhances assessment accuracy for structured TCM rehabilitation training and facilitates more convenient and effective training-oriented skill evaluation.

Analyzing fine-grained skill activities (e.g., sports, surgery) requires not only recognizing visual patterns but also performing step-by-step visual reasoning that leads to the final judgment. While recent advances in action quality assessment have achieved remarkable progress in evaluating performance, existing models remain black boxes, where they lack the ability to explicitly reveal the reasoning processes underlying their judgments. To address this limitation, we propose Latent Visual Diffusion Reasoning (LVDR), a novel framework that integrates keypoint-guided Monte Carlo Tree Search (MCTS) to model and visualize the latent visual reasoning process. LVDR not only produces more accurate skill assessments but also uncovers the critical visual reasoning sequences that contribute to the final evaluation. Extensive experiments across four datasets spanning diverse sports and surgical domains demonstrate that LVDR achieves competitive quantitative performance while providing interpretable visual reasoning trajectories leading to the final predictions. Source codes and models can be found through the following link: https://github.com/XiruiTeng/LVDR_Official.git.

Long-term multimodal action quality assessment (AQA) evaluates action execution in several-minute audiovisual sequences by mining discriminative quality cues for score prediction. Existing multimodal methods usually model entire sequences with a single temporal encoder and fuse modality features by direct alignment or concatenation, causing key cues to be obscured by global trends, weakened by modal redundancy, and distorted during one-shot score mapping. To address this issue, we reformulate long-term multimodal AQA as a quality cue organization problem and propose MLCR, a multi-level cue refinement framework. MLCR organizes quality evidence at three levels: intra-modal representation, cross-modal interaction, and stage-wise aggregation. Specifically, the intra-modal decoupling encoder (IMDE) preserves modality identity while refining global temporal context and local frequency details. The cross-modal dynamic complementarity-aware retrieval (CMDCR) module retrieves incremental evidence conditioned on the evolving fused state and suppresses redundant responses. The stage-wise multimodal integration (SMI) block progressively accumulates intra-modal and cross-modal cues to refine the fused representation. Experiments on the Rhythmic Gymnastics and Fis-V datasets show that MLCR achieves the best or second-best performance in both Spearman correlation and prediction error, demonstrating its effectiveness and robustness.

Estimating how well a person performs an action, rather than which action is performed, is central to coaching, rehabilitation, and talent identification. This task is challenging because proficiency is encoded in subtle differences in timing, balance, body mechanics, and execution, often distributed across multiple views and short temporal events. We discuss three recent contributions to multi-view proficiency estimation on Ego-Exo4D. SkillFormer introduces a parameter-efficient discriminative architecture for selective multi-view fusion; PATS improves temporal sampling by preserving locally dense excerpts of fundamental movements; and ProfVLM reformulates proficiency estimation as conditional language generation, producing both a proficiency label and expert-style feedback through a gated cross-view projector and a compact language backbone. Together, these methods achieve state-of-the-art accuracy on Ego-Exo4D with up to 20x fewer trainable parameters and up to 3x fewer training epochs than video-transformer baselines, while moving from closed-set classification toward interpretable feedback generation. These results highlight a shift toward efficient, multi-view systems that combine selective fusion, proficiency-aware sampling, and actionable generative feedback.

Real-world multimodal learning is often hindered by missing modalities. While Incomplete Multimodal Learning (IML) has gained traction, existing methods typically rely on the unrealistic assumption of full-modal availability during training to provide reconstruction supervision or cross-modal priors. This paper tackles the more challenging setting of IML under training-time incomplete observations, which precludes reliance on a ``God's eye view'' of complete data. We propose LIMSSR (LLM-Driven Incomplete Multimodal Sequence-to-Score Reasoning), a framework that reformulates this challenge as a conditional sequence reasoning task. LIMSSR leverages the semantic reasoning capabilities of Large Language Models via Prompt-Guided Context-Aware Modality Imputation and Multidimensional Representation Fusion to infer latent semantics from available contexts without direct reconstruction. To mitigate hallucinations, we introduce a Mask-Aware Dual-Path Aggregation to dynamically calibrate inference uncertainty. Extensive experiments on three Action Quality Assessment datasets demonstrate that LIMSSR significantly outperforms state-of-the-art baselines without relying on complete training data, establishing a new paradigm for data-efficient multimodal learning. Code is available at https://github.com/XuHuangbiao/LIMSSR.

Action Quality Assessment (AQA) quantifies human actions in videos, supporting applications in sports scoring, rehabilitation, and skill evaluation. A major challenge lies in the non-stationary nature of quality distributions in real-world scenarios, which limits the generalization of conventional methods. We introduce Continual AQA (CAQA), which equips AQA with Continual Learning (CL) capabilities to handle evolving distributions while mitigating catastrophic forgetting. Although parameter-efficient fine-tuning of pretrained models has shown promise in continual learning, our empirical study shows that the evaluated adapter-based PEFT setting provides less effective downstream adaptation than FPFT for fine-grained AQA. Our empirical and theoretical analyses reveal two insights: (i) sufficiently expressive backbone adaptation is important for bridging the upstream--downstream representation gap; yet (ii) uncontrolled FPFT may induce overfitting and feature manifold shift, thereby aggravating forgetting. To address this, we propose Adaptive Manifold-Aligned Graph Regularization (MAGR++), which couples backbone fine-tuning that stabilizes shallow layers while adapting deeper ones with a two-step feature rectification pipeline: a manifold projector to translate deviated historical features into the current representation space, and a graph regularizer to align local and global distributions. We construct four CAQA benchmarks from three datasets with tailored evaluation protocols and strong baselines, enabling systematic cross-dataset comparison. Extensive experiments show that MAGR++ achieves state-of-the-art performance, with average correlation gains of 3.6% offline and 12.2% online over the strongest baseline, confirming its robustness and effectiveness.

Maintaining proper form while exercising is important for preventing injuries and maximizing muscle mass gains. Detecting errors in workout form naturally requires estimating human's body pose. However, off-the-shelf pose estimators struggle to perform well on the videos recorded in gym scenarios due to factors such as camera angles, occlusion from gym equipment, illumination, and clothing. To aggravate the problem, the errors to be detected in the workouts are very subtle. To that end, we propose to learn exercise-oriented image and video representations from unlabeled samples such that a small dataset annotated by experts suffices for supervised error detection. In particular, our domain knowledge-informed self-supervised approaches (pose contrastive learning and motion disentangling) exploit the harmonic motion of the exercise actions, and capitalize on the large variances in camera angles, clothes, and illumination to learn powerful representations. To facilitate our self-supervised pretraining, and supervised finetuning, we curated a new exercise dataset, Fitness-AQA (https://github.com/ParitoshParmar/Fitness-AQA), comprising of three exercises: BackSquat, BarbellRow, and OverheadPress. It has been annotated by expert trainers for multiple crucial and typically occurring exercise errors. Experimental results show that our self-supervised representations outperform off-the-shelf 2D- and 3D-pose estimators and several other baselines. We also show that our approaches can be applied to other domains/tasks such as pose estimation and dive quality assessment.