# Anthropometry and diagnostic aware deep learning for exercise assessment

**Authors:** Karla Miriam Reyes Leiva, Pavla Nikelova, Martin Cerny

PMC · DOI: 10.3389/fmedt.2025.1725661 · Frontiers in Medical Technology · 2026-02-06

## TL;DR

This paper introduces ADA, a deep learning framework that uses sensor data and personal features to assess exercise technique and predict injury risk.

## Contribution

ADA combines IMU kinematics with anthropometric and diagnostic data using attention-based fusion for improved movement assessment.

## Key findings

- ADA achieved 94.8% sequence-level accuracy in movement quality classification.
- Binary risk prediction reached 97.8% accuracy with diagnostic context.
- Personalized fine-tuning improved accuracy by 3%–5% depending on window length.

## Abstract

Correct technique during strength exercises such as squats and Romanian deadlifts (RDLs) is fundamental for performance and injury prevention.

We introduce ADA (Anthropometry and Diagnostic Aware), a multimodal deep-learning framework that integrates IMU kinematics with anthropometric and diagnostic features to classify movement quality and predict movement related risk.

Seventeen-sensor IMU data were collected from 15 healthy subjects performing correct and incorrect squat and RDL trials. A CNN-LSTM branch processed kinematic sequences and a fully connected branch processed static anthropometric/diagnostic inputs; feature fusion used attention weighting.

Incorporating anthropometry and diagnostic context increased sequence-level accuracy from 86.5% (kinematics only) to 94.8% (ADA) and enabled binary risk prediction at 97.8%. Personalized (transfer learning) fine tuning further improved accuracies (mean gains 3%–5% depending on window length).

ADA demonstrates that subject-specific static features improve movement quality classification and risk stratification, supporting wearable-based personalized feedback in training and rehabilitation.

## Full-text entities

- **Diseases:** ACL reconstruction (MESH:D000070598), reduced hip rotation (MESH:D001523), injury (MESH:D014947), hip flexion (MESH:D025981), ADA (MESH:D058926), PN (MESH:C565820), acute musculoskeletal injury (MESH:D001930), reduced hip mobility (MESH:D014086), knee hyperextension (MESH:D007718), flexion (MESH:D009140)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12920488/full.md

## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC12920488/full.md

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Source: https://tomesphere.com/paper/PMC12920488