3 Papers

HCJun 1
Quantitative Movement Testing: Measuring Patient Movements from a Single Smartphone Video

Pranav Mahajan, Amanda Wall, Eleonora Maria Camerone et al.

Chronic pain diminishes quality of life by decreasing functional ability, yet objectively measuring this functional impact remains challenging in real-world settings. While optical motion capture provides high precision for assessing altered movement quality, it is costly and restricted to laboratory environments. We aimed to develop and validate Quantitative Movement Testing (QMT), a computer vision pipeline extracting 3D kinematic biomarkers from standard monocular smartphone video, balancing clinical accessibility with biomechanical accuracy. We validated the QMT pipeline, utilising deep learning-based 3D pose-estimation, against gold-standard optical motion capture in healthy controls (N=13). Following leave-one-subject-out calibration to correct systematic bias, we deployed QMT in two prospective clinical cohorts to assess real-world utility: a pre- and post-intervention trial for fibromyalgia patients, and a 30-day longitudinal at-home monitoring study of chronic sciatica patients and healthy controls. In laboratory validation, QMT extracted clinical kinematic metrics with high agreement to optical motion capture, yielding strong correlations (r > 0.85) and low mean absolute errors. QMT demonstrated high test-retest reliability (r > 0.86) in fibromyalgia patients and successfully tracked day-to-day movement fluctuations in chronic sciatica. While real-world home settings introduced higher measurement variance than lab settings, QMT found group-level differences between healthy controls and sciatica patients based entirely on remote recordings. Monocular 3D pose estimation offers a scalable alternative to traditional assessments. QMT provides an objective, accessible biomarker for tracking disease progression and treatment response in clinical trials, though further research is needed to optimise reliability in home environments.

LGApr 15
Soft $Q(λ)$: A multi-step off-policy method for entropy regularised reinforcement learning using eligibility traces

Pranav Mahajan, Ben Seymour · oxford

Soft Q-learning has emerged as a versatile model-free method for entropy-regularised reinforcement learning, optimising for returns augmented with a penalty on the divergence from a reference policy. Despite its success, the multi-step extensions of soft Q-learning remain relatively unexplored and limited to on-policy action sampling under the Boltzmann policy. In this brief research note, we first present a formal $n$-step formulation for soft Q-learning and then extend this framework to the fully off-policy case by introducing a novel Soft Tree Backup operator. Finally, we unify these developments into Soft $Q(λ)$, an elegant online, off-policy, eligibility trace framework that allows for efficient credit assignment under arbitrary behaviour policies. Our derivations propose a model-free method for learning entropy-regularised value functions that can be utilised in future empirical experiments.

ROMay 14, 2025
Neural Associative Skill Memories for safer robotics and modelling human sensorimotor repertoires

Pranav Mahajan, Mufeng Tang, T. Ed Li et al.

Modern robots face challenges shared by humans, where machines must learn multiple sensorimotor skills and express them adaptively. Equipping robots with a human-like memory of how it feels to do multiple stereotypical movements can make robots more aware of normal operational states and help develop self-preserving safer robots. Associative Skill Memories (ASMs) aim to address this by linking movement primitives to sensory feedback, but existing implementations rely on hard-coded libraries of individual skills. A key unresolved problem is how a single neural network can learn a repertoire of skills while enabling fault detection and context-aware execution. Here we introduce Neural Associative Skill Memories (ASMs), a framework that utilises self-supervised predictive coding for temporal prediction to unify skill learning and expression, using biologically plausible learning rules. Unlike traditional ASMs which require explicit skill selection, Neural ASMs implicitly recognize and express skills through contextual inference, enabling fault detection across learned behaviours without an explicit skill selection mechanism. Compared to recurrent neural networks trained via backpropagation through time, our model achieves comparable qualitative performance in skill memory expression while using local learning rules and predicts a biologically relevant speed-accuracy trade-off during skill memory expression. This work advances the field of neurorobotics by demonstrating how predictive coding principles can model adaptive robot control and human motor preparation. By unifying fault detection, reactive control, skill memorisation and expression into a single energy-based architecture, Neural ASMs contribute to safer robotics and provide a computational lens to study biological sensorimotor learning.