Rehabilitation Exercise Quality Assessment and Feedback Generation Using Large Language Models with Prompt Engineering
This addresses the need for accessible virtual rehabilitation tools to help patients perform exercises correctly at home, though it is incremental as it applies existing LLM techniques to a new domain.
The paper tackles the problem of providing automated feedback for rehabilitation exercises by using large language models (LLMs) with prompt engineering to assess exercise quality and generate natural language feedback, showing promising results on two public datasets.
Exercise-based rehabilitation improves quality of life and reduces morbidity, mortality, and rehospitalization, though transportation constraints and staff shortages lead to high dropout rates from rehabilitation programs. Virtual platforms enable patients to complete prescribed exercises at home, while AI algorithms analyze performance, deliver feedback, and update clinicians. Although many studies have developed machine learning and deep learning models for exercise quality assessment, few have explored the use of large language models (LLMs) for feedback and are limited by the lack of rehabilitation datasets containing textual feedback. In this paper, we propose a new method in which exercise-specific features are extracted from the skeletal joints of patients performing rehabilitation exercises and fed into pre-trained LLMs. Using a range of prompting techniques, such as zero-shot, few-shot, chain-of-thought, and role-play prompting, LLMs are leveraged to evaluate exercise quality and provide feedback in natural language to help patients improve their movements. The method was evaluated through extensive experiments on two publicly available rehabilitation exercise assessment datasets (UI-PRMD and REHAB24-6) and showed promising results in exercise assessment, reasoning, and feedback generation. This approach can be integrated into virtual rehabilitation platforms to help patients perform exercises correctly, support recovery, and improve health outcomes.