PGcGAN: Pathological Gait-Conditioned GAN for Human Gait Synthesis

Pathological gait datasets remain scarce due to privacy, recruitment, cost, and movement variability. Our work presents a multimodal LLM-guided framework for pathology-aware 3D gait data synthesis from structured textual descriptions. The proposed method generates fixed-length synthetic skeleton-based gait sequences for pathological gait classification tasks. The framework combines motion tokenisation, pathology-aware language conditioning, LLM-based semantic augmentation, and language-to-gait generation. A key contribution is the proposed pathological tokeniser, which is designed to preserve pathology-specific motion characteristics during discrete representation learning. Experiments suggest that the proposed synthetic sequences improve downstream classification for recurrent classifiers when combined with real data. The best result is obtained using a GRU classifier trained with real and synthetic samples, achieving 92.77% accuracy under a leave-one-subject-out protocol.

Generation of musculoskeletal gait trajectories conditioned on patient-specific parameters remains a key challenge for wearable robotics and rehabilitation. Assistive systems such as lower-limb exoskeletons require reference trajectories that adapt to individual morphology and therapeutic goals while preserving biomechanical realism. Traditional approaches rely on hand-crafted gait templates or optimization procedures that scale poorly across subjects and walking conditions. In this work, we explore conditional diffusion models for generating lower-limb joint-angle trajectories conditioned on gait parameters such as step length. We compare a baseline transformer diffusion model with a controllable diffusion transformer variant incorporating adaptive normalization and classifier-free guidance. Experiments on a dataset of 4,590 gait cycles show that diffusion models can generate realistic periodic gait trajectories while enabling some controllability variation in gait characteristics, highlighting their potential for personalized gait synthesis in assistive robotics.

"What I cannot create, I do not understand."Human wisdom reveals that creation is one of the highest forms of learning. For example, Diffusion Models have demonstrated remarkable semantic structure and memory in image generation, understanding, and restoration, which intuitively benefits representation learning. However, current gait networks rarely embrace this perspective, relying primarily on learning by contrasting gait samples under varying complex conditions, leading to semantic inconsistency and uniformity issues. To address these issues, we propose Origins with generative capabilities whose underlying philosophy is that different entities are generated from a unified template, inherently regularizing gait representations within a consistent and diverse semantic space to capture accurate gait differences. Admittedly, learning this unified template is exceedingly challenging, as it requires the comprehensiveness of the template to encompass gait representations with various conditions. Inspired by Diffusion Models, Origins diffuses the unified template into timestep templates for gait generative learning, and meanwhile transfers the unified template for gait representation learning. Especially, gait generative and representation learning serve as a unified framework for end-to-end joint training. Extensive experiments on CASIA-B, CCPG,SUSTech1K, Gait3D, GREW and CCGR-MINI demonstrate that Origins performs unified generative and representation learning, achieving superior performance.