arXiv:2601.19526cs.CV2026-01

用单摄像头视频分析抑郁患者步态,客观量化运动迟缓程度。

A Non-Invasive 3D Gait Analysis Framework for Quantifying Psychomotor Retardation in Major Depressive Disorder

  • 通过重力坐标与闭环轨迹校正,从单目视频还原3D步态数据。
  • 提取297个生物力学指标,识别抑郁运动特征,准确率达83.3%。
  • 适合精神科临床筛查,结果可解释,无需特殊设备。

从客观、非侵入性方法预测重度抑郁症(MDD)状态是当前研究热点。然而,自动提取可解释的特征以实现对患者状态的详细分析仍不充分。在MDD症状中,精神运动迟滞(PMR)是核心表现之一,但其临床评估仍高度依赖主观判断。尽管3D动作捕捉能提供客观测量,但对专用设备的依赖限制了其在常规临床中的应用。本文提出一种非侵入性计算框架,将单目RGB视频转化为具有临床意义的3D步态生物力学数据。该流程采用重力视图坐标系,并结合一种新型轨迹校正算法,利用改进的计时起立行走(TUG)测试的闭环拓扑结构来缓解单目深度误差。该框架可从单摄像头捕获中提取297个明确的步态生物力学标志物。为应对小样本临床数据挑战,引入基于稳定性的机器学习框架,识别鲁棒运动特征并防止过拟合。在CALYPSO数据集上验证,该方法检测PMR的准确率为83.3%,解释了64%的抑郁严重程度方差(R²=0.64)。值得注意的是,研究揭示踝部推进力减弱与骨盆活动受限与抑郁运动表型密切相关。结果表明,身体运动可作为认知状态的强代理指标,为标准临床环境下的抑郁客观监测提供了透明且可扩展的工具。

原文摘要 · Abstract (English)

Predicting the status of Major Depressive Disorder (MDD) from objective, non-invasive methods is an active research field. Yet, extracting automatically objective, interpretable features for a detailed analysis of the patient state remains largely unexplored. Among MDD's symptoms, Psychomotor retardation (PMR) is a core item, yet its clinical assessment remains largely subjective. While 3D motion capture offers an objective alternative, its reliance on specialized hardware often precludes routine clinical use. In this paper, we propose a non-invasive computational framework that transforms monocular RGB video into clinically relevant 3D gait kinematics. Our pipeline uses Gravity-View Coordinates along with a novel trajectory-correction algorithm that leverages the closed-loop topology of our adapted Timed Up and Go (TUG) protocol to mitigate monocular depth errors. This novel pipeline enables the extraction of 297 explicit gait biomechanical biomarkers from a single camera capture. To address the challenges of small clinical datasets, we introduce a stability-based machine learning framework that identifies robust motor signatures while preventing overfitting. Validated on the CALYPSO dataset, our method achieves an 83.3% accuracy in detecting PMR and explains 64% of the variance in overall depression severity (R^2=0.64). Notably, our study reveals a strong link between reduced ankle propulsion and restricted pelvic mobility to the depressive motor phenotype. These results demonstrate that physical movement serves as a robust proxy for the cognitive state, offering a transparent and scalable tool for the objective monitoring of depression in standard clinical environments.

抑郁症步态分析非侵入生物力学

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