Video-Based Markerless Motion Capture for Clinical and Rehabilitation Biomechanics: A PRISMA-ScR Scoping Review of Validated Architectures, Clinical Readiness, and Emerging Methods

This scoping review examined 117 studies on video-based markerless motion capture, most published from 2024 onward and focused on healthy adults walking in laboratories. The studies identified five main pipeline architectures, but most reported only raw joint angles without biomechanical refinement, achieving sagittal lower‑limb agreement of about 5–6°, which falls short of clinical acceptability. Validation of out‑of‑plane kinematics, kinetics, and performance in older or pathological populations was rare, and emerging computer‑vision techniques such as foundation‑model mesh recovery and differentiable inverse kinematics were largely absent from validated work.

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