FedSCS-XGB -- Federated Server-centric surrogate XGBoost for continual health monitoring

Human Activity Recognition (HAR) from heterogeneous wearable sensors is fundamental to the Internet of Health Things (IoHT), supporting rehabilitation, elderly care, and smart healthcare. Existing multimodal fusion methods often assign fixed equal weights to sensor streams, overlooking differences in modality importance, acquisition cost, and sensor quality, which can vary due to movement, incorrect placement, or temporary blockage. We propose an adaptive and cost-aware multimodal HAR framework based on multi-agent reinforcement learning for centralized HAR and extend it to federated learning as FedMHAR. In the centralized setting, multimodal fusion is formulated as a cooperative Multi-Agent Reinforcement Learning (MARL) problem, where each sensing modality is assigned a PPO-based agent that learns per-sample fusion weights, enabling the model to emphasize informative modalities while down-weighting costly sensors when cheaper alternatives provide sufficient information. In the federated setting, we introduce BiFL-PPO, a bidirectional federated optimization strategy in which a server-side PPO policy learns client-specific trust weights and feeds them back to adapt local learning rates and proximal regularization. Unlike round-level optimization, BiFL-PPO uses dense batch-level rewards for more frequent feedback and stable training under heterogeneous client data. Evaluation on the MEx Rehabilitation and UTD Multimodal Human Action datasets shows that the centralized framework achieves 87.30% and 94.98% accuracy, respectively, outperforming conventional fusion methods and state-of-the-art HAR models. FedMHAR achieves 79.74% and 77.49% in the federated setting, consistently surpassing FedAvg, FedProx, FedBN, FedNova, and AdaFedProx, while providing more stable performance and reducing sensor acquisition cost.

Sensor-based Human Activity Recognition (HAR) has attracted increasing attention in medical and healthcare monitoring, particularly with the growth of Internet of Medical Things (IoMT). However, in real-world wearable sensing scenarios, IoMT signals are often corrupted by missing measurements, sensor failures, and environmental noise, which significantly degrade the performance of conventional deep learning models that assume clean and complete inputs. To address this challenge, we propose a Manifold-Consistent Spatio-Temporal Network (MCSTN) for robust HAR under imperfect sensing conditions. The proposed framework introduces a dual-level corruption modeling mechanism that simulates realistic sensor imperfections through both physical-level corruption and diffusion-driven continuous corruption. By enforcing representation consistency across multiple corrupted views, the model learns stable and corruption-invariant semantic representations. Furthermore, we design a dual-stream spatio-temporal architecture that explicitly decouples temporal dynamics modeling and spatial correlation learning. The temporal stream captures long-term activity dynamics, while the spatial stream models inter-sensor relationships, enabling more effective spatio-temporal representation learning. Extensive experiments on three widely used HAR benchmark datasets, PAMAP2, Opportunity, and WISDM, demonstrate that the proposed MCSTN achieves competitive performance compared with existing state-of-the-art methods, particularly under imperfect sensing conditions. These results validate the effectiveness and robustness of the proposed framework for real-world wearable IoMT sensing applications.

Human Activity Recognition (HAR) from wearable sensors supports broad healthcare and behavior science applications. However, data heterogeneity and the scarcity of labeled data limit its real-world generalization. Recent advances in self-supervised learning (SSL) in vision and language domains have shown strong capability for learning generalizable representations from unlabeled data. Yet, few studies have systematically compared the generalization performance of SSL methods or explored how to adapt them for generalizable HAR. To address these gaps, we present BenchHAR, a unified framework for evaluating the generalization capability of SSL methods for sensor-based HAR on unseen target distributions. BenchHAR curates a large-scale dataset (~258K samples) and evaluates eight representative SSL methods across 12 encoder-classifier architectures. Our results reveal that existing SSL methods struggle to achieve satisfactory generalization performance. We find that: (1) For HAR models, the hybrid paradigm (combining reconstruction and contrastive pretraining) achieves the best overall performance. The CNN encoder exhibits the strongest ability to learn generalizable representations, while more expressive classifier architectures further improve generalization. (2) For data scale, increasing the amount of pretraining data from downstream activity classes consistently improves generalization, while adding more labeled data yields limited gains. Interestingly, incorporating unlabeled data from non-downstream activity classes does not improve generalization. (3) Sensor data collected from custom-grade devices generalizes better than that from research-grade devices, and data from limb transfers more effectively to trunk positions. BenchHAR provides a unified benchmark and actionable insights for generalizable sensor-based HAR systems. Our code is available at https://github.com/saiketa/HAR-Bench.