ResearchResearch paperMultimodal Models · Large Language Models · Robotics & Embodied AI1 source · Oct 13, 2026

Why Do VLMs Fail at Remote Physiological Measurement? Rethinking with Physiological Grounding and Numerical Alignment

Video-based remote physiological measurement (RPM) has broad applications, while Vision-Language Models (VLMs) provide a promising opportunity to enable end-to-end physiological monitoring for future human-aware intelligent systems.

Key points

  • However, existing RPM methods rely on task-specific models and cannot be seamlessly integrated with the multimodal understanding and interaction capabilities of VLMs. We revisit RPM with VLMs and provide empirical evidence for two major bottlenecks: generic visual semantic representations fail to preserve fine-grained physiological cues; while discrete token prediction in autoregressive generation is inherently misaligned with continuous numerical measurement.
  • To address these challenges, we propose VITAL (Visual-physiological Token Alignment for Language Models), a visual-physiological token alignment framework for RPM and preserving general vision tasks.
  • VITAL retains the original visual pathway for semantic understanding and introduces an independent physiological pathway to jointly model semantic and physiological information.
  • Moreover, we propose a structured numerical alignment approach to improve the reliability of generative heart rate estimation by enhancing numerical relationship modeling.

Sources (1)

  • [1]Why Do VLMs Fail at Remote Physiological Measurement? Rethinking with Physiological Grounding and Numerical Alignment
    arXiv (AI, ML, NLP, CV, robotics, multi-agent) · Oct 13, 06:50 PM
    Video-based remote physiological measurement (RPM) has broad applications, while Vision-Language Models (VLMs) provide a promising opportunity to enable end-to-end physiological monitoring for future human-aware intelligent systems.
    However, existing RPM methods rely on task-specific models and cannot be seamlessly integrated with the multimodal understanding and interaction capabilities of VLMs. We revisit RPM with VLMs and provide empirical evidence for two major bottlenecks: generic visual semantic representations fail to preserve fine-grained physiological cues; while discrete token prediction in autoregressive generation

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