Boosting Automatic Exercise Evaluation Through Musculoskeletal Simulation-Based IMU Data Augmentation

Automated evaluation of movement quality can enhance physiotherapeutic treatment and sports training by providing objective, real-time feedback. However, deep learning models that assess movements captured by inertial measurement units (IMUs) are often limited by data scarcity, class imbalance, and label ambiguity. We present a data augmentation method that generates IMU data using musculoskeletal simulations integrated with systematic modifications of movement trajectories. The approach enforces anatomically plausible kinematic constraints and enables automatic labeling by combining inverse kinematic parameters with a knowledge-based evaluation strategy. Across four datasets of varying complexity, augmented variants closely resemble real-world data and contribute to gains in classification accuracy, generalization to unseen subjects, and patient-specific fine-tuning from few examples. The magnitude of these gains varies with dataset properties, in particular class balance and label ambiguity. These findings indicate that musculoskeletal simulation-based augmentation can address common challenges faced by deep learning applications in physiotherapeutic exercise evaluation.