AI-Based Prediction of Visual Performance in Rhythmic Gymnasts Using Eye-Tracking Data and Decision Tree Models

Abstract

Background/Objective: This study aims to evaluate the predictive performance of three supervised machine learning algorithms—decision tree (DT), support vector machine (SVM), and k-nearest neighbors (KNN) in forecasting key visual skills relevant to rhythmic gymnastics. Methods: A total of 383 rhythmic gymnasts aged 4 to 27 years were evaluated in various sports centers across Madrid, Spain. Visual assessments included clinical tests (near convergence point accommodative facility, reaction time, and hand–eye coordination) and eye-tracking tasks (fixation stability, saccades, smooth pursuits, and visual acuity) using the DIVE (Devices for an Integral Visual Examination) system. The dataset was split into training (70%) and testing (30%) subsets. Each algorithm was trained to classify visual performance, and predictive performance was assessed using accuracy and macro F1-score metrics. Results: The decision tree model demonstrated the highest performance, achieving an average accuracy of 92.79% and a macro F1-score of 0.9276. In comparison, the SVM and KNN models showed lower accuracies (71.17% and 78.38%, respectively) and greater difficulty in correctly classifying positive cases. Notably, the DT model outperformed the others in predicting fixation stability and accommodative facility, particularly in short-duration fixation tasks. Conclusion: The decision tree algorithm achieved the highest performance in predicting short-term fixation stability, but its effectiveness was limited in tasks involving accommodative facility, where other models such as SVM and KNN outperformed it in specific metrics. These findings support the integration of machine learning in sports vision screening and suggest that predictive modeling can inform individualized training and performance optimization in visually demanding sports such as rhythmic gymnastics.