Monocular 3D Multi-Person Pose Estimation for On-Site Joint Flexion Assessment: A Case of Extreme Knee Flexion Detection

Work-related musculoskeletal disorders (WMSDs) represent a significant health challenge for workers in construction environments, often arising from prolonged exposure to ergonomic risks associated with manual labor, awkward postures, and repetitive motions. These conditions not only lead to diminished worker productivity but also incur substantial economic costs for employers and healthcare systems alike. Thus, there is an urgent need for effective tools to assess and mitigate these ergonomic risks. This study proposes a novel monocular 3D multi-person pose estimation method designed to enhance ergonomic risk assessments in construction environments. Leveraging advanced computer vision and deep learning techniques, this approach accurately captures and analyzes the spatial dynamics of workers’ postures, with a focus on detecting extreme knee flexion, a critical indicator of work-related musculoskeletal disorders (WMSDs). A pilot study conducted on an actual construction site demonstrated the method’s feasibility and effectiveness, achieving an accurate detection rate for extreme flexion incidents that closely aligned with supervisory observations and worker self-reports. The proposed monocular approach enables universal applicability and enhances ergonomic analysis through 3D pose estimation and group pose recognition for timely interventions. Future efforts will focus on improving robustness and integration with health monitoring to reduce WMSDs and promote worker health.