Direct Clinical Joint Angle Extraction from Parametric Body Model Rotation Matrices

Quantitative joint angles are rarely available in routine care because the tools are slow, costly, or confined to a laboratory. We show that clinical joint angles can be read directly from the per-segment rotation matrices a parametric body model already produces, with no inverse-kinematics or musculoskeletal-model fitting step. On the OpenCap LabValidation cohort, using the GEM-X body-model estimator on single-smartphone video, our pooled mean absolute error is 4.50 degrees over the fifteen joint angles that match the OpenCap Monocular reference set, the same accuracy range as OpenCap Monocular's 4.8 degrees on the same cohort and reference standard, from a much simpler pipeline. The step that connects a body model to clinical angles is a small calibration table rather than an optimisation, so the same procedure transfers unchanged to other body models: repeating it on SAM 3D Body, changing only the table, gives 4.66 degrees, statistically indistinguishable from GEM-X, and runs in real time from a live single-camera stream. The method needs no per-recording inputs beyond the video itself: no participant height, no camera-intrinsics database, no per-subject model scaling. This broadens where movement analysis is practical, from in-clinic and at-home recording to telerehabilitation and large-scale decentralised studies.