# Vision-Language Models for Occupational Physical Exposure Assessment: Estimating External Hand Forces in Manual Material Handling Tasks from RGB Video

arXiv: https://arxiv.org/abs/2608.22586 · HTML: https://mlsanity.com/paper/2608.22586/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Embodied and 3D vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 4 of its 33 references that are in the map.
- First posted on arXiv 23 Aug 2026.

## Placed in

- Multimodal LLMs / vision-language models / [Embodied and 3D vision-language models](https://mlsanity.com/mllm/embodied-and-3d-vision-language-models/)

## Builds on (most cited first, 4 of 4)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [PressureVision: Estimating Hand Pressure from a Single RGB Image](https://mlsanity.com/paper/2203.10385/) (2022)
- [EgoPressure: A Dataset for Hand Pressure and Pose Estimation in Egocentric Vision](https://mlsanity.com/paper/2409.02224/) (2024)
- [Open-Pose 3D Zero-Shot Learning: Benchmark and Challenges](https://mlsanity.com/paper/2312.07039/) (2023)

## Abstract (arXiv)

External hand forces are important inputs to biomechanical analyses of occupational physical exposure and injury risk, yet continuous force measurements during manual material handling (MMH) typically requires instrumented objects or specialized sensing. We evaluated a vision-language model (VLM)-based pipeline that combines task-specific textual cues, visual representations, and known box mass to estimate dynamic, triaxial, bilateral external hand forces from RGB video. Thirty-five healthy young adults performed five MMH tasks involving lifting, carrying, pushing, and pulling with box masses of 6, 9, and 12 kg. The pipeline used text-guided localization of participant and handled-object regions of interest (ROIs), pretrained vision-transformer feature extraction, and transformer-based temporal regression. Performance was evaluated using leave-one-subject-out validation across seven camera-view conditions (three single-view and four multi-view conditions) and four ROI strategies. Overall, root mean square error was ~4.7-5.6 N for the horizontal and mediolateral force components and ~10.6-11.0 N for the vertical component. Including the handled object as a second ROI generally improved force estimation, with some of the largest benefits under single-camera conditions, whereas pixel-level segmentation provided little additional improvement. Multi-camera capture provided the clearest benefit for peak-force estimation, particularly for the vertical component, whereas differences in overall frame-level error among camera configurations were comparatively modest. These findings demonstrate the feasibility of estimating continuous, bilateral, directional hand-force estimates from RGB video and known load mass without requiring sensors on the worker or handled objects as model inputs, supporting the development of more scalable occupational physical exposure and risk assessments.