Abstract

The emergence of pose estimation algorithms represents a potential paradigm shift in the study and assessment of human movement. Human pose estimation algorithms leverage advances in computer vision to track human movement automatically from simple videos recorded using common household devices with relatively low-cost cameras (e.g., smartphones, tablets, laptop computers). In our view, these technologies offer clear and exciting potential to make measurement of human movement substantially more accessible; for example, a clinician could perform a quantitative motor assessment directly in a patient’s home, a researcher without access to expensive motion capture equipment could analyze movement kinematics using a smartphone video, and a coach could evaluate player performance with video recordings directly from the field. In this review, we combine expertise and perspectives from physical therapy, speech-language pathology, movement science, and engineering to provide insight into applications of pose estimation in human health and performance. We focus specifically on applications in areas of human development, performance optimization, injury prevention, and motor assessment of persons with neurologic damage or disease. We review relevant literature, share interdisciplinary viewpoints on future applications of these technologies to improve human health and performance, and discuss perceived limitations.

Highlights

  • Humans have long been interested in quantitative measurement of our movements [1,2]

  • We focus on applications of human pose estimation, an emerging technology for quantitative measurement of human movement kinematics [6,7,8,9,10,11,12,13]

  • Markerless human pose estimation relies on recent advances in computer vision to automatically track anatomical landmarks—so-called keypoints—of the human body from digital videos

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Summary

Introduction

Humans have long been interested in quantitative measurement of our movements [1,2]. This is evident in many aspects of life: an Olympic judge scrutinizes and scores a figure skater’s performance; a physical therapist measures a patient’s walking speed to assess mobility; a running coach inspects and adjusts a distance runner’s foot-strike pattern to prevent injury. We focus on applications of human pose estimation, an emerging technology for quantitative measurement of human movement kinematics [6,7,8,9,10,11,12,13]. Pose estimation algorithms use computer vision to identify key landmarks on the body (e.g., fingertip, elbow, knee) from simple digital videos that can be recorded using common household devices (example workflow and applications are shown in Figure 1A,B, respectively). This simplicity offers exciting potential for measuring whole-body kinematics in Sensors 2021, 21, 7315.

What Is Pose Estimation?
What Tools Are Available?
Clinical Use in Pediatric Populations
Clinical Motor Assessment in Adult Neurologic Conditions
What Are the Limitations of Pose Estimation?
Application Limitations
Barriers to Implementation
Findings
Methods
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