Artificial Intelligence for General Movement Assessment (GMA)
The early diagnosis of cerebral palsy is an area which has recently seen significant multi-disciplinary research. Diagnostic tools such as the General Movements Assessment (GMA), have produced some very promising results. However, the prospect of automating these processes may improve accessibility of the assessment and also enhance the understanding of movement development of infants. Previous works have established the viability of using pose-based features extracted from RGB video sequences to undertake classification of infant body movements based upon the GMA. In this project, we propose a series of new and improved features, and a feature fusion pipeline for this classification task. We also introduce the RVI-38 dataset, a series of videos captured as part of routine clinical care. By utilising this challenging dataset we establish the robustness of several motion features for classification, subsequently informing the design of our proposed feature fusion framework based upon the GMA. We also implement several other methods from the literature for direct comparison using two independent datasets.
While machine learning-based frameworks have obtained excellent performance in a wide range of visual understanding tasks, most of the existing frameworks can be considered black-box approaches since most of the classification frameworks only output the predicted label without specifying exactly what influences the classification decision. Whilst this is acceptable in typical computer vision tasks, it is less preferable in healthcare applications, since it is essential for the clinicians to verify the prediction as well. In order to make our proposed framework more interpretable, we include a visualization module as well as making deep learning models more interpretable by highlighting the body-parts that are contributing to the classification decision.
Our Research
News
Attending the 2nd CP360 meeting on AI and GMA in Heidelberg
Edmond had a great time at the CP360 meeting in Heidelberg this week! It is good to catch up with ot…
Read MorePresenting at Healthcare Innovation (HI) Scotland Innovation Showcase Day
Sameer, Edmond and Ben gave a talk on the ‘BrAInwaves’ project at the Healthcare Innovat…
Read MoreInvited to attend a summit on AI and GMA in Pisa
Edmond was honoured to be invited to attend a summit on AI and General Movements organised by CP360.…
Read MorePPI – Visiting Doune Primary School
On 1st November 2023, Edmond, Sameer, Neil and Isla co-organized a workshop in collaboration with th…
Read MoreInviated Talk at University of Glasgow
Edmond was invited to give a talk titled “Video-based Prediction and Classification of Neurolo…
Read MoreInvited Talk at University of Strathclyde
Edmond was invited to give a talk titled “Early Prediction and Classification of Neurological …
Read MoreSelected Publications

Luo et al., “UDF-GMA: Uncertainty Disentanglement and Fusion for General Movement Assessment”, IEEE Journal of Biomedical and Health Informatics (J-BHI), accepted, July 2025.
Estimating and disentangling aleatoric (i.e. data) and epistemic (i.e. model) uncertainty in GMA
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Spittle et al., “Towards universal early screening for cerebral palsy: a roadmap for automated General Movements Assessment”, eClinicalMedicine, vol 86, pp. 103379, Aug 2025.
A roadmap for the ongoing development and implementation of an AI-enabled GMA system for universal CP screening worldwide
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McCay et al., “A Pose-based Feature Fusion and Classification Framework for the Early Prediction of Cerebral Palsy in Infants”, IEEE Trans. on Neural Systems and Rehabilitation Engineering, vol 30, pp. 8-19, Jan 2022.
Benchmarking various automated GMA methods using a new real-world dataset – RVI-38
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Zhang et al., “Cerebral Palsy Prediction with Frequency Attention Informed Graph Convolutional Networks”, Proceedings of IEEE Engineering in Medicine and Biology Society (EMBC), pp. 1619-1625, July 2022.
Exploring the use of frequency-based features with Graph Convolutional Networks (GCNs)
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McCay et al., “Towards Explainable Abnormal Infant Movements Identification: A Body-part Based Prediction and Visualisation Framework”, Proceedings of IEEE EMBS BHI, pp. 1-4, July 2021.
Improving models’ interpretability by visualising abnormal motion patterns spatiotemporally
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Zhu et al., “Interpreting Deep Learning based Cerebral Palsy Prediction with Channel Attention”, Proceedings of the 2021 IEEE EMBS BHI, pp. 1-4, July 2021.
Using channel attention to highlight the importance of each body joint in automated GMA
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Sakkos et al., “Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-based Prediction of Cerebral Palsy”, IEEE Access, vol. 9, pp. 94281-94292, June 2021.
Detecting abnormality in each body part and combining the results for automating GMA
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McCay et al., “Abnormal Infant Movements Classification with Deep Learning on Pose-based Features”, IEEE Access, vol. 8, pp. 51582-51592, March 2020.
Improving abnormal infant movements detection using neural networks with pose-based features
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McCay et al., “Establishing Pose Based Features Using Histograms for the Detection of Abnormal Infant Movements”, Proceedings of IEEE Engineering in Medicine and Biology Society (EMBC), pp. 5469-5472, July 2019.
Evaluating the effectiveness of using pose-based motion features for automating GMA
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Our Team

Dr. Anna Basu
Clinical Senior Lecturer & Honorary Consultant Paediatric Neurologist
Newcastle University & Royal Victoria Infirmary

Claire Marcroft
Neonatal Physiotherapist & NIHR ICA Doctoral Fellow
Royal Victoria Infirmary & Newcastle University

Zeqi Luo
PhD student
University of Glasgow

Prof. Nicholas Embleton
Consultant Neonatal Paediatrician &
Honorary Clinical Professor of Neonatal Medicine
Royal Victoria Infirmary & Newcastle University

Dr. Edmond S. L. Ho
Senior Lecturer in machine learning
university of Glasgow
Past contributors: Dr. Kevin McCay (Northumbria University), Dr. Haozheng Zhang (Durham University), Dr. Dimitrios Sakkos (Northumbria University), Dr. Manli Zhu (Northumbria University), and Prof. Hubert P. H. Shum (Durham University).
Acknowledgement
We gratefully acknowledge the support of NVIDIA Corporation with the donation of the Titan Xp GPU used for this research. The project was supported in part by the Royal Society (Ref: IES\R1\191147 and IES\R2\181024), NIHR Fellowship (Ref: ICA-CDRF-2018-04-ST2-020) and The RS Macdonald Charitable Trust (Ref: GA-03567). In addition, we acknowledge funding support from a Conference, Training & Travel Grant awarded by Cerebral Palsy Alliance!
Contact Us
email: contact@aim-hai.org

