Evidence map›Paper›PMID 42780256›Full record

ArticleFrontiers in public health2026

Interpretable skeleton-based movement profiles for formative feedback in school physical activity education.

Qixuan Ma, Xiao Lei, Feng Li, Chengmao Yang, Jinsui Du, Jiaxing Zhu, Dongxin Zhao, Zhenghu Jia

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Qixuan Ma *University of Macau, Taipa, Macau SAR, China.
Xiao Lei *University of Macau, Taipa, Macau SAR, China.
Feng LiInstitute of Orthopaedics, Nankai University, Tianjin, China.
Chengmao YangInstitute of Orthopaedics, Nankai University, Tianjin, China.
Jinsui DuXiguan Guangya Experimental School, Liwan District, Guangzhou, China.
Jiaxing ZhuInstitute of Orthopaedics, Nankai University, Tianjin, China.
Dongxin ZhaoShaanxi University of Technology, Hanzhong, China.
Zhenghu JiaInstitute of Orthopaedics, Nankai University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Schools are an important setting for developing movement competence and supporting physical activity PA). Teachers provide feedback on how learners move, but individualized observation is difficult to sustain and document in large classes. Existing artificial intelligence (AI) systems typically classify an action or predict one competitive-sport score. These outputs do not identify the specific movement feature that a learner might adjust during practice. Methods: Using three public human action datasets (NTU RGB+D, Penn Action, and a FineGym subset), we benchmarked five representative skeleton-sequence models-recurrent (LSTM, GRU), graph-based (ST-GCN, CTR-GCN), and a Transformer-under a unified setting, and constructed four interpretable movement-profile indicators from joint coordinates and trajectories: movement amplitude, postural stability, left-right coordination, and temporal consistency. Each indicator was normalized against the same-class reference distribution, providing a relative, interpretable description rather than an expert-certified score. Results: Over five random seeds per dataset, independent-test macro-F1 ranged from 0.76 to 0.97; CTR-GCN obtained the highest mean on every dataset (NTU RGB+D 0.970 ± 0.003). Paired tests supported its advantage over all four comparators on NTU RGB+D and FineGym, whereas on Penn Action only the comparison with LSTM remained significant after correction. In the feature ablation, the full kinematic input increased macro-F1 from 0.925 to 0.936 on 3D skeletons (Holm-adjusted Conclusion: Skeleton-only movement profiles offer a privacy-reducing, teacher-in-the-loop approach to formative feedback that could support digital PA education and health promotion in schools. As a computational proof-of-concept evaluated on public datasets, the study does not include health or learning outcomes, age-specific K-12 reference distributions, or authentic-classroom validation. Calibration on curriculum-relevant data from children and validation against teacher or movement-expert ratings are required before the profiles can be interpreted as movement-quality feedback or used to support public-health claims.

Indexed as

ExerciseFormative FeedbackPhysical Education and TrainingSchoolsArtificial IntelligenceChildHumansMovementdigital health educationformative feedbackknowledge of performancemovement competencephysical activity promotionschool physical activity educationskeleton-based action recognition

Identifiers

PMID42780256
PMCPMC13597747

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.