GaitAgent

GaitAgent is a versatile application for parents and clinicians to monitor pediatric gait. From Cerebral Palsy assessment to early screening for typically developing children, we provide the tools for timely correction and expert guidance. The paper of the core algorithm in GaitAgent has been accepted by ECCV 2026 with title Decoding Children's Gait Behavior.

Watch demo ChildGait-video Project Read the overview
84%Average accuracy on EVGS
0.83Average F1 score on EVGS
Real-timeGait inference
InteractiveClinical Q&A

Project overview

From offline review to proactive early intervention.

GaitAgent turns live walking video into fine-grained pediatric gait analysis, automated EVGS scoring, and interactive guidance. Beyond assessing neurological conditions like Cerebral Palsy, it serves as a critical early-screening tool for typically developing children. Much like pediatric orthodontics, catching minor gait abnormalities early empowers parents and clinicians to work together on timely, preventative corrections—all through an easy-to-use mobile application.

Real-time gait video

Walking footage streams incrementally for online analysis instead of offline batch review.

Automated EVGS scoring

ChildGait-Video predicts Edinburgh Visual Gait Scores across 34 sub-items per limb as the child walks.

Built-in clinical VLM

A vision-language model lets clinicians ask questions about gait patterns, scores, and observed abnormalities.

Expert guidance for all

Returns reviewable EVGS scores and grounded Q&A responses — support for both parents and clinicians, not autonomous diagnosis.

02 · App Demo

See the GaitAgent app in motion.

A cinematic walk-through of capture, kinematic prompting, and EVGS scoring within the application.

03 · System Architecture

GaitAgent — System
Architecture.

Our framework bridges the gap between raw video capture and clinical decision-making, utilizing a Vision-Language Model (VLM) to provide grounded, interactive evidence across mobile and XR devices.

VLM-Powered Clinician-in-the-loop Cross-Device Deployment
GaitAgent System Framework Architecture
The GaitAgent system architecture: From multi-modal data capture and local de-identification to cloud-based VLM inference and real-time clinical feedback.

ChildGait-Video — the engine
powering our application.

At the core of our analysis engine is ChildGait-Video, a two-stage adaptation paradigm that injects anatomical priors and constrains attention for high-precision EVGS scoring.

Our Website

01

RGB Frame

Standard clinical video — no depth rig required.

02

Kinematic Prompts

Skeletal keypoints rendered onto the frame as token-level cues.

03

Mask-Guided Pruning

Keeps only foreground patches — the child, not the room.

04

ViT Encoder

Vision transformer aggregates pruned, prompted tokens.

05

EVGS Score

MLP head predicts per-item Edinburgh Visual Gait Scores.

04 · App Benchmark

CGV dataset & SOTA on
34 app-scored items.

Built on the Children Gait Video (CGV) dataset — 1,185 videos from 110 pediatric subjects with bilateral EVGS labels — we benchmark the GaitAgent app against fine-tuned BiggerGait and VideoMAE v2. Our application reaches 70–93% per-item accuracy, with average gains of +15% / +12% on the left / right limbs over VideoMAE v2.

SOTA Range
00%
Per-item accuracy on CGV test split.
Left-limb Gain
+0%
L-AVG over VideoMAE v2 (84% vs. 69%).
Right-limb Gain
+0%
R-AVG over VideoMAE v2 (84% vs. 72%).
Avg F1 Score
0.0
Balanced precision and recall.

Average accuracy vs. fine-tuned baselines

L-AVG / R-AVG on the CGV test split — same metrics as the detailed table below.

Left limb
BiggerGait
54%
VideoMAE v2
69%
ChildGait-Video
84%
Right limb
BiggerGait
53%
VideoMAE v2
72%
ChildGait-Video
84%

The Children Gait Video (CGV) Dataset

CGV is the first open-sourced children gait video dataset. After obtaining IRB approval from affiliated hospitals, we recorded children performing a short walking task and annotated each limb with the 17 Edinburgh Visual Gait Score (EVGS) sub-items, along with rich frame-level masks, bounding boxes and anatomical keypoints.

110
Pediatric Patients
1,185
Videos
339,236
Frames (2K)
2 × 17
EVGS Items / Subject
3–17
Age Range (yrs)

1 How the Data Was Collected

Videos are recorded at a children's hospital in Asia using smartphone and action cameras positioned simultaneously to capture two body planes. A primary camera sits at the terminus of an 8-meter walkway to record the coronal (frontal & posterior) view, while a secondary camera is oriented orthogonally toward the center of the walkway to capture the sagittal (lateral) view. The lateral camera is placed far enough that its field of view covers the middle four meters of the trial space — calibrated to guarantee 2–3 complete gait cycles per subject. In each session the child performs a brief 3–5 second walk, captured at high frame rate.

Sagittal Lateral walking view
Coronal Frontal / posterior walking view

2 How the Data Was Annotated

Every video receives detailed per-frame and per-video annotations. We first use SAM 3 to detect the subject's body bounding box and instance segmentation mask (manually selected by human annotators), and Sapiens-2B to estimate the 2D anatomical keypoints (manually adjusted by annotators). The clinical EVGS sub-items are then graded by an experienced pediatrician in the author team and reviewed by a senior pediatrician with 40 years of clinical experience, while diagnosis results are traced from each patient's follow-up records.

CGV annotation example: raw frames, bounding boxes with keypoints, and mask-guided pruning across a gait cycle
Top: An example of a raw video of a single gait cycle.   Middle: We use SAM 3 to perform instance segmentation and Sapiens-2B to perform pose estimation to obtain bounding boxes, masks, and keypoints. Video then incorporates keypoints as token-level prompts.   Bottom: We use these annotations to conduct mask-guided pruning to ignore irrelevant background noise.
  • Bounding boxes & segmentation masks from SAM 3, human-verified.
  • 2D keypoints from Sapiens-2B, manually refined for the developing body.
  • 17 EVGS sub-items per limb graded by expert pediatricians.
  • Irreversible de-identification: RetinaFace + SAM 3 mosaic on all identifiable regions.

3 The 17 EVGS Scoring Items

Each limb is assessed on 17 fine-grained gait parameters drawn from the Edinburgh Visual Gait Score, spanning the foot, ankle, knee, hip, pelvis and trunk across both the sagittal and coronal planes.

Sagittal plane Coronal plane
Child body planes: coronal and sagittal

Hover (or tap) a box / marker to zoom in and read the detailed scoring criteria.

5 State-of-the-Art Results

We compare fine-tuned BiggerGait, fine-tuned VideoMAE v2 and ChildGait-Video on the CGV test split. Toggle between the left and right limb; all values are percentages (%), with L/R-F1 the average F1-score across all items.

ChildGait-Video achieves SOTA across all baselines, reaching a 70%–93% accuracy range over all 34 scoring items — average gains of +15% / +12% on the left / right limbs over fine-tuned VideoMAE v2, with a high average F1 of 0.83. The boost stems from anatomically-grounded prompting and background-suppressed attention.
05 · App Deployment

Deploy on smartphones
and AR glasses.

GaitAgent is built for flexibility. It deploys seamlessly as a mobile application across smartphones and AR glasses, turning everyday hardware into powerful tools for parents and clinicians alike.

Universal Access

Run the full analysis pipeline on your smartphone or through AR glasses for first-person capture.

Multi-Device VLM

Chat with the AI agent on any screen to query gait anomalies or review EVGS scores in real time.

Seamless Integration

No extra setup required. Record on your device of choice and get immediate clinical feedback.

06 · App Safety Boundary

Clinical support,
not autonomous care.

The GaitAgent app analyzes walking patterns, surfaces evidence, and reduces cognitive burden while keeping human experts—parents and clinicians—in control.

Support only

GaitAgent is framed as assistance for monitoring rather than autonomous diagnosis.

Evidence remains visible

EVGS scores and insights are tied to raw video, keypoint findings, and clinical guidelines.

Local De-identification

Patient privacy is secured through on-device de-identification; sensitive data is scrubbed locally before being uploaded for cloud processing.

07 · Collaborators

Built across medical AI and clinical XR teams.

The GaitAgent application is developed with academic, clinical, and engineering collaborators across these institutions.

PediaMed AI logo
Shenzhen Children's Hospital logo

Team