A fine-grained attention and geometric correspondence model for musculoskeletal risk classification in athletes using multimodal visual and skeletal features

Abstract

Musculoskeletal disorders pose significant risks to athletes, and early risk assessment is essential for prevention. However, most existing methods are designed for controlled settings and fail to reliably assess risk in complex environments due to their reliance on a single type of data. This research introduces ViSK-GAT (Visual-Skeletal Geometric Attention Transformer), a novel multimodal deep learning framework that classifies musculoskeletal risk using both visual and skeletal coordinate-based features. A custom multimodal dataset (MusDis-Sports) was created by combining images and skeletal coordinates, with each sample labeled into eight risk categories based on the Rapid Entire Body Assessment (REBA) system. ViSK-GAT integrates two innovative modules: the Fine-Grained Attention Module (FGAM), which refines intra-modal features through self-attention before fusion, and the Multimodal Geometric Correspondence Module (MGCM), which enhances cross-modal alignment between image features and coordinates. The model achieved robust performance, with all key metrics exceeding 93%. Probability distribution error metrics also showed a low Root Mean Squared Error (RMSE) of 0.1205 and a Mean Absolute Error (MAE) of 0.0156. ViSK-GAT consistently outperformed state-of-the-art (SOTA) deep learning backbones and showed its potential to advance artificial intelligence-driven musculoskeletal risk assessment and enable timely interventions in sports.