Gait Analysis

Three-dimensional gait analysis guides rehabilitation after spinal cord injury but depends on marker-based motion capture and force plates, which few clinics have. Monocular markerless pipelines have been established in fewer healthy adult cohorts but not in neurological cohorts. We present the SCAI SCI Gait dataset, comprising 239 adult individuals with spinal cord injury with synchronized video, motion capture, and force-plate measurements, we fitted a parametric body mesh to a single sagittal-view video, driving an anthropometrically scaled OpenSim model via virtual markers. Markerless lower-body kinematics showed state-of-the-art agreement with motion-capture measurements (r = 0.68-0.90, p < 0.001, and RMSE = 4.18-6.49 degrees), and accurate kinematics-based predicted ground-reaction forces closely matched those measured by force plates (r = 0.85-0.87, p < 0.001, and RMSE = 2.13-2.19 Newton per kg). Furthermore, conditional-dependence graph analysis with Markov blankets revealed that waveform components were conditionally associated with functional independence, and speed-stratified clustering revealed distinct mechanical strategies among individuals walking at similar speeds. These findings establish the use of monocular video as a scalable approach for clinically meaningful biomechanical assessment and data-driven phenotyping in patients with spinal cord injury. Github: https://github.com/SCAI-Lab/SCAI-SCI-Gait-Dataset

In this paper, we explore the impulsive dynamics common to single-joint, two-link models of walking and brachiating gaits with respect to slope and switching time. In particular, we investigate how the stability of a gait and bifurcations encountered within a family of gaits change under time-based and state-based switching of the impulsive dynamics.

Human-aware exoskeleton walking requires reconstructing gait, tracking diverse motions under dynamic constraints, and preserving human timing. We present PhaseSync-Exo, which combines two-IMU CNN-Transformer reconstruction, factorized amplitude-cadence retargeting with curriculum-trained recurrent control, and a human-clock-anchored adapter (HCA). HCA combines human-clock attraction with robot-relative feedback to adjust reference rate while preserving forward progression and continuity. The reconstruction module achieves a mean absolute error (MAE) of 3.24 degrees on a held-out recording, and the frozen tracking policy completes 356 of 357 amplitude-frequency trials. Two complementary dynamic comparisons isolate HCA's timing benefit without retraining. Against robot-relative correction, HCA reduces human-clock phase MAE from 95.55 degrees to 10.99 degrees, limiting reference drift. When human and delivered phases initially differ, it reduces phase MAE from 72.02 degrees to 13.90 degrees versus fixed-clock continuation. Compared with immediate phase reset, HCA reduces transient reference-tracking hip RMSE by 22.7% without reference jumps. All 420 timing rollouts complete without falls. These simulation results support continuous phase acquisition and sustained alignment to an independent human clock.

Current automated gait analysis for clinical applications relies on uninterpretable black-box classifiers. Although Vision-Language Models (VLMs) offer strong reasoning capabilities, applying them directly to gait videos often leads to hallucinations, because they struggle to measure subtle geometric deviations from raw visual contexts. To address this, we introduce DrGait, a training-free agentic framework that shifts the VLM's role from a direct visual reasoner to a clinical planner. DrGait decouples semantic reasoning from geometric perception through a structured Triage-Verification-Synthesis (TVS) workflow. Given an input video and a set of basic spatiotemporal metrics, the DrGait agent first performs a heuristic triage to propose diagnostic hypotheses, which are then verified by autonomously calling deterministic biomechanical tools that operate on reconstructed 3D mesh trajectories, segmented 2D pose tracks, and event-centered video evidence. Finally, a closed-loop mechanism recursively updates the agent's reasoning context based on the feedback. By anchoring VLM's reasoning in verifiable geometric and temporal measurements, DrGait reduces hallucinations, achieving competitive diagnostic accuracy while generating transparent and audit-ready clinical reports.

Dynamic Time Warping (DTW) is the dominant approach for measuring similarity between time series, yet standard practice discards the optimal warping path after computing a single distance value, losing local alignment information most relevant to clinical diagnosis. We introduce DiaSeg, a framework that extracts diagonal segments from DTW paths with controlled breaks, characterizing each segment by five geometric features (effective length, interruption count, cost variation, temporal position, and path context), and enabling unsupervised pattern discovery without domain-specific feature engineering. Validated on 91 subjects across six clinical conditions (healthy aging, Parkinson's, Huntington's, ALS, brain tumor, and stroke), three findings emerge. First, diagonal segments form consistent unsupervised patterns (silhouette 0.33) aligned with biomechanical phase annotations, with label-based validation confirming near-perfect separation of healthy and pathological gait (ARI up to 0.986). Second, segments discriminate pathology at 69% (supervised) and 75% (patient-level clustering), with pathology manifesting through distributional shifts in segment length; combining segment and cycle-level features further improves classification to 91.7%. Third, while cycle-based methods achieve higher accuracy (91%), diagonal segments provide phase-specific interpretability unavailable in global representations, localizing where coordination breaks down within the gait cycle. DiaSeg thus transforms DTW from a black-box distance into a source of interpretable temporal features for neurodegenerative disease assessment.

Wrist-worn IMU has been widely used for daily-life health monitoring. Yet, it does not fully represent whole-body dynamics, for which the body center of mass (COM) is considered the physiological reference standard. Therefore, this work proposes a simplified kinematic model (KM), which is designed to map the wrist IMU to the COM acceleration. It is built upon several reductive assumptions that enable the solvability of the dynamic equations based on wrist IMU measurements alone. This work further proposes three types of hybrid AI modeling methods, namely human kinematic model-based neural network (HKM-NN) models, to leverage the power of both grey-box and black-box modeling. The HKM-NN methods include serial learning (ser-) and two approaches of simultaneous learning (sim1- and sim2-). The proposed models are trained and tested using our dataset, which includes wrist IMU measurements and ground-truth COM measurements from 10 healthy volunteers during six gait activities and sit-to-stand (SS) transitional movement. The results demonstrate the feasibility of estimating COM acceleration from wrist IMU measurements. Our KM model yields satisfactory results, with an error ranging from 6.7% to 12.5% for gait activities and 5.6% for the SS. In comparison with the KM model, our HKM-NN models significantly enhance the performance, achieving 5.3% to 9.3% errors for gait activities, and the best error of 3.9% for the SS. In addition, the HKM-NN models demonstrate distinct robustness characteristics under noisy test conditions, with sim1-/sim2- generally maintaining greater robustness under Gaussian perturbations, while the KM model exhibits comparatively strong robustness under salt-and-pepper noise. These findings highlight the importance of combining biomechanical structure with data-driven learning for wearable sensing applications operating under imperfect and noisy measurement conditions.

Automated gait analysis requires accurate classification and interpretable outputs. We propose an integrated framework for classifying healthy gait and multiple musculoskeletal impairment groups using bilateral ground reaction force (GRF) and center-of-pressure (COP) signals. The signals were normalized over the stance phase and standardized using training-set statistics. The model achieved a validation accuracy of 99.00% and a test accuracy of 90.07% under a session-level split. Class-specific $\epsilon$-LRP identified positive and negative contributions across both sides, multiple signal components, and different stance phases. Separately, the processed GRF signals and model predictions were synchronized within a Blender-based 3D visualization, enabling sample-level inspection of gait trials and classification results. The proposed framework integrates classification, explainability, and 3D visualization to improve model transparency. The source code is available in the following repository: https://github.com/nyoico/grf-gait-3d-visualization.git

This study evaluated personalized gait phase estimation for stroke survivors using functional inertial measurement unit (IMU) alignment and two-stage sequential adaptation of models pre-trained on healthy gait. The estimator used signals from a thigh-mounted IMU. Heel force-sensitive resistor measurements provided reference phase labels for offline adaptation and evaluation. Stage 1 established a distillation-regularized participant-specific model, and Stage 2 performed conditional refinement using low-rank adaptation. Long Short-Term Memory (LSTM), Temporal Convolutional Network (TCN), and Transformer models were evaluated in five stroke survivors walking with a powered knee exoskeleton using leave-one-subject-out hyperparameter selection and sequential test-then-adapt Stage 2 replay. Relative to the non-adapted baselines, Stage 1+2 reduced the mean participant-wise phase root mean square error by 84.2%, 77.0%, and 60.7%, respectively. The Transformer achieved the lowest final error (2.90 +- 1.13$% of the gait cycle) and heel-strike timing error (23.7 +- 4.5ms). Policy-specific ablations showed that every-cycle updates generally produced the lowest or near-lowest error, whereas conditional updating reduced the update frequency with small accuracy differences. After personalization, alignment produced model-dependent changes in phase error while preserving or improving heel-strike detection and reducing heel-strike timing error for the LSTM and Transformer. Concurrent embedded tests showed that the TCN and Transformer maintained 100-Hz inference during Stage 2 updates without deadline misses, whereas the LSTM missed the 10-ms deadline in 6.6% of inferences. All updates completed within 0.8s. These results support the offline feasibility and embedded computational timing of the proposed framework for exoskeleton-assisted walking.

Parkinson's disease is a progressive neurodegenerative disorder characterised by gradual deterioration of movement control. Automated freezing-of-gait (FOG) detection supports the objective assessment of gait-related motor impairment. Two common approaches are used for FOG prediction: (i) analysing video recordings of the patient's movements and (ii) analysing data collected using inertial measurement unit (IMU) wearable sensors attached to the patient's lower limbs. Video-based approaches may suffer detection errors during continuous turning-in-place tasks because the lower limbs undergo substantial geometric self-occlusion, degrading pose-estimation accuracy. IMU-based approaches are generally less affected by visual occlusion; however, they are difficult to deploy outside clinical or laboratory settings, as the sensors must be attached securely and remain in place throughout the assessment. Motivated by this, we propose a cross-modal subspace distillation framework to mitigate the limitations of unimodal FOG detection by combining IMU accuracy with video-based practicality. We extract invariant latent topologies from a pre-trained kinematic oracle to structurally supervise a non-encoded visual architecture during training. To resolve periods of severe spatial occlusion, a dual-stream visual model probabilistically fuses skeletal graph nodes and continuous spatial pixels, dynamically shifting reliance to uninterrupted pixel boundaries as joint tracking confidence drops. Evaluated against a public, multi-modal sequence dataset of Parkinson's individuals executing continuous $360^\circ$ turns, empirical results demonstrate that applying sensory boundary topologies strictly mitigates tracking evaluation entropy. Our constrained optimisation confirms that highly precise FOG prediction bounds can be achieved over zero-wearable inference environments.

Monocular pose estimation enables low-cost gait analysis but is sensitive to missing keypoints caused by occlusion, detection errors, or efficiency-driven model reduction. While prior work on recovering missing joints focuses on complex learned models, the effectiveness of simple temporal methods remains underexplored. We evaluate knee-angle estimation under a missing-ankle-keypoint condition and test a first-order temporal interpolation scheme as a recovery mechanism. Across 527 frames of monocular walking video (428 with valid baseline detections), removing the ankle keypoint increased mean angular error to 23.4° +/- 46.7° and collapsed signal variance to near zero. Temporal interpolation reduced error to 1.1° +/- 6.7° and restored variance and smoothness to within a few percent of baseline. These results indicate that gait signals possess sufficient temporal redundancy for a simple, computationally trivial interpolation scheme to recover a critical missing joint, without resorting to learned reconstruction models. The findings support low-complexity, real-time-compatible designs for gait analysis in resource-constrained or occlusion-prone monocular settings.

Objective assessment of Freezing of Gait (FoG) in Parkinson's disease (PD) relies predominantly on wearable Inertial Measurement Units (IMUs). While IMUs provide optimal kinematic precision, mandatory sensor attachment restricts continuous clinical deployment. Conversely, unobtrusive vision-based alternatives suffer substantial classification errors during turning-in-place tasks, where geometric self-occlusion degrades deterministic skeletal coordinates and obscures the high-frequency precursors required for FoG detection. To resolve these physical observation limits, we propose a supervised cross-modal subspace distillation framework. During optimisation, pre-trained kinematic data from IMU sensors and contextual clinical metadata act as oracles to guide a deployable visual architecture. By incorporating joint velocity and acceleration derivatives, utilising a confidence-based gating mechanism, the visual model mitigates some of the tracking errors during occlusion events. Empirical evaluations confirm this latent alignment transfers the predictive fidelity of hardware sensors directly into the visual representation, yielding $85.5\%$ accuracy, and $82.4\%$ balanced accuracy. All the while maintaining a vision only model at inference.

Accurate estimation of clinically meaningful gait parameters from monocular video is important for scalable mobility assessment, yet progress is limited by the small scale, restricted viewpoints, and limited visual diversity of existing datasets. We introduce SynthGait-19k, a physically grounded synthetic video dataset containing 19,272 walking videos derived from 6,427 MoCap sequences across 437 subjects, with paired SMPL motion and annotations for six gait parameters. To construct the dataset, we develop Gait2Vid, which unifies heterogeneous MoCap recordings through SMPL and synthesizes diverse RGB walking videos under controllable viewpoints and scene appearances. We assess the generated videos for consistency with their conditioning gait kinematics and validate extracted gait events against force-platform measurements. Using SynthGait-19K, we benchmark direct RGB, pose-based, biomechanical, and human-mesh-recovery approaches and analyze viewpoint, training-data scale, and synthetic-to-real domain shift. We also introduce GaitXFormer as a direct RGB reference model for estimating gait parameters. Synthetic supervision transfers effectively to real videos across both GaitXFormer and a pose-based architecture, demonstrating utility across different representations. We further find that spatial gait parameters are more sensitive to visual domain shift and that improved HMR reconstruction alone does not necessarily translate to improved downstream gait estimation.

At the water-land interface, amphibious fishes encounter wet flowable substrates made of granular solid-water mixtures, which can stay solid or flow like a fluid. As these substrates become wetter or drier, their yield strength (at which solid-fluid transition occurs) and cohesion (how sticky they are) both change, challenging locomotion. Despite substantial understanding of tetrapod locomotion on flowable substrates (mostly dry sand), we know little about how amphibious fishes cope with wet flowable substrates of various wetness. Here, we studied mudskippers on clay mud of controlled, variable wetness over the range where solid-fluid transition occurs. As mud became wetter, its strength decreased by 100-fold, leading the animal to sink deeper, with larger areas of body and fins contacting mud. By contrast, mud stuck most easily at intermediate wetness. The increased sinkage and contact and stickiness change caused more mud to stick to and pull against the animal on wetter mud. We also tested dry mud, which stuck to animal fins as its mucus dried. Despite these challenges, the mudskipper predominately used a conserved crutching gait on all except the wettest mud tested, with a modest performance reduction. When normal crutching became less effective, the animal assisted it with tail thrusting, by bending and straightening it to push downward and backward to generate additional thrust and lift, or even thrusting the tail to jump. These observations suggest that mudskipper's crutching motor program is well adapted to its native muddy substrates but inflexible, with most novelty in tail use.

Understanding motion in daily living requires context beyond kinematics, because similar inertial patterns during activities of daily living (ADLs) can reflect intentional stopping, object interaction, or pathological movement impairment. Egocentric vision provides task-related context that may help disambiguate these cases. We investigate this challenge through freezing of gait (FOG) detection in Parkinson's disease (PD), a symptom strongly influenced by contextual factors during ADLs. Using synchronized egocentric video, wearable IMUs, and expert-annotated FOG labels collected from 13 PD participants in their homes, we evaluate frozen representations from pretrained ego-video and time-series foundation models, alongside an IMU-based TCN trained from scratch, under leave-one-subject-out evaluation. The IMU-based TCN achieved the strongest event-detection performance, reaching 42.3 F1 and 83.0 AUROC, compared with 32.6 F1 and 77.2 AUROC for V-JEPA2 ego-video features. Although ego-video alone did not outperform IMU-based sensing, it showed above-chance discrimination, and qualitative analyses suggest that egocentric vision may capture FOG-relevant information independent of IMUs. Together, these results support the use of pretrained ego-video representations to add contextual information to wearable-sensor-based clinical motion understanding in daily living.

The understanding of natural human adaptation during exoskeleton-assisted locomotion - particularly individual differences in adaptation behaviors and temporal progression - remains limited. In this work, we investigate temporal evolution of biomechanical variables to uncover participant-specific adaptation strategies across different exoskeleton-assisted locomotion scenarios. Nine healthy participants performed treadmill walking under three conditions: without an exoskeleton, with exoskeleton active ankle assistance, and with exoskeleton zero-torque. Lower limb kinematics, inter-joint coordination, and metabolic cost of transport (MCoT) were analyzed at both the group and individual levels. Results indicate that adaptation is gradual and highly individualized, with substantial variability in convergence timing and movement patterns across participants. Kinematic adaptation occurred asynchronously across lower limb, with larger fluctuations during the swing phase. Metabolic responses were heterogeneous and often non-convergent, highlighting the limitations of steady-state assumptions commonly adopted in the literature. These findings emphasize the importance of individual-level, temporal evolution analyses for understanding adaptation dynamics in exoskeleton use.

Accurate gait analysis in Parkinson's disease (PD) typically relies on laboratory-based systems to capture biomechanical data, such as ground reaction forces (GRFs). Estimating GRFs using inertial measurement units (IMUs) provides a feasible alternative. However, this approach remains challenging in pathological gait like PD due to its high variability and complexity. Moreover, existing monitoring approaches often require multiple body-mounted sensors, which limit practicality and reduce patient compliance. To date, no study has investigated the application of deep learning approaches to address this challenge. This study proposes, for the first time, a deep learning framework to estimate bilateral vertical GRFs (vGRFs) in PD using an optimized set of wearable IMUs. A hybrid CNN-BiLSTM model was trained separately on data from 61 PD patients and 65 healthy controls (HC) using 13 IMUs. The model achieved high intra-subject accuracy ($R^2$ = 0.98) and strong inter-subject generalization ($R^2$ = 0.93 for HC, $R^2$ = 0.91 for PD). Sensor configuration was found to significantly influence estimation accuracy, with optimal sensor placement varying between PD patients and HC. For PD patients, estimation accuracy dropped markedly when reducing to a single IMU. The optimal configuration for PD used four IMUs. We identified a minimal setup with only two IMUs still enabled robust estimation. This compact setup offers a practical and scalable solution. Overall, the proposed approach supports the development of wearable vGRF-based gait analysis systems for Parkinsonian gait and potentially other pathological conditions, enabling accessible clinical assessments, remote monitoring, and personalized rehabilitation.

We introduce a new problem domain for human action recognition: the fine-grained analysis of children's gait behaviors from standard RGB video. We specifically target the ambulatory patterns of children aged 3-17 years. Such behaviors arise naturally in the diagnosis and treatment of several critical developmental and neuromuscular disorders, such as cerebral palsy and hemiplegia. Despite their clinical value, current 3D sensor-based gait analysis systems are expensive, intrusive, and often impractical for young subjects. To address this, we introduce a new dataset comprising over 1,100 high-frame-rate (60 FPS) video sequences from 110 subjects, accompanied by synchronized, anonymized pose sequences. In each session, the child performs a 5-second "walk-around" task, capturing the gait cycle from multiple viewpoints. Crucially, we demonstrate that current state-of-the-art approaches, including gait foundation models and Multimodal Large Language Models (MLLMs), fail to effectively resolve these clinical nuances. We identify the key technical challenges in analyzing these erratic and subtle motor patterns and describe a unified end-to-end framework for decoding fundamental components of pediatric gait. Through comprehensive experimental results, we demonstrate the potential of this dataset to drive novel research questions and establish a rigorous baseline for automated child gait assessment.

The First AI Children Challenge aims to advance real-world applications of computer vision and AI in child healthcare, child education, and pediatrics. The 2026 CV4CHL edition featured the first track in this domain: Children Gait Visual Analysis. The main goal of Children Gait Visual Analysis is the fine-grained analysis of children's gait behaviors from keypoint sequences. This is still a big challenge for human action recognition. Experienced medical doctors can distinguish these subtle nuances, but none of the people test AI models in this domain. To bridge this gap, we introduce thousands of 2D children keypoint sequences walking around videos across various age groups of children (3-16 years old). There is a significant opportunity for batch analysis of these videos to provide clinically relevant insights into medical diagnosis. The Challenge will be launched with two problem tracks: Edinburgh Visual Gait Score (EVGS) Scoring and Classification of Gait Patterns in Bilateral Spastic Cerebral Palsy. Each track is chosen in consultation with board-certified pediatricians based on the value of potential solutions. With the first available dataset for such tasks and ground truth for each track, the challenge enabled participants to evaluate their solutions. Final rankings will be revealed after the competition concludes, fostering reproducibility and mitigating overfitting.

Personalizing exoskeleton assistance requires user-specific gait data across many locomotor tasks, yet collecting this data demands repeated motion capture sessions that are costly, time-intensive, and especially burdensome for clinical populations. This challenge is most acute across walking speeds, where gait changes substantially and deviates further in clinical gait. This work introduces a subject-conditioned residual diffusion framework that generates personalized lower-limb kinematics at unseen walking speeds from a subject's gait sequence at a single seen speed. Given sagittal-plane hip, knee, and ankle trajectories at a seen speed and a desired unseen speed, the model generates a residual that transforms the seen trajectory into the unseen one, using a transformer denoiser conditioned on the subject's gait and the two speeds through feature-wise linear modulation. Trained only on able-bodied data, the model achieved a mean absolute error (MAE) of 3.4° on held-out able-bodied subjects. Without any stroke-specific fine-tuning, it achieved a 6.0° MAE on out-of-training-distribution stroke subjects, retaining subject identity for clinical gait. The framework reduced the MAE by over 70% relative to supervised feed-forward baselines, and a single seen speed matched the accuracy of four speeds within 0.4°. These results demonstrate that subject-conditioned residual diffusion can synthesize personalized gait across speeds from minimal data, reducing the collection burden for downstream exoskeleton personalization.

As a prominent symptom of Parkinson's disease (PD), turning impairment is evaluated through parameters such as turning angle, duration, and particularly, the number of steps required to complete a turn, which directly reflects motor dysfunction. Accurate step counting is challenging due to variability in real-world turning movements and atypical shuffling patterns in parkinsonian gait. Existing methods are predominantly wearable-based, requiring users to wear and manage dedicated devices, which can be inconvenient for continuous daily use. To address this, we propose a passive, video-based framework that estimates step count in a coarse-to-fine manner using diverse motion representations. Specifically, an initial step count is estimated from foot movement signals derived from 3D human mesh recovery, providing high-level motion structures. To incorporate fine-grained motion details, a motion encoder learns complementary gait dynamics from mesh and optical flow to refine the initial estimate. In this process, coarse foot movement signals query the pixel-level motion cues via cross attention to capture subtle parkinsonian gait dynamics. To handle varying video lengths, we partition each video into clips and integrate clip-wise motion embeddings via multiple instance learning (MIL) for step count residual prediction. Extensive experiments show our method consistently outperforms existing step counting methods on real-world PD turning datasets.

Background: Digital health technologies allow for frequent, remote gait monitoring in people with multiple sclerosis (MS). However, to differentiate daily variability from actual disease progression in longitudinal data, established minimal clinically important differences (MCID) are required. Currently, there is limited literature defining these thresholds for digital gait metrics. Objective: To establish MCIDs for digital gait measures reflecting progression in MS. Methods: Digital gait measures were captured via daily, remote, smartphone-based Two-Minute Walk Tests in CONSONANCE (NCT03523858), a phase 3b study of ocrelizumab in progressive MS. Using an anchor-based approach, median changes from baseline at Week 96 on digital gait measures were computed for patients showing clinically meaningful worsening on either Timed 25-Foot Walk, Ambulation Score, Expanded Disability Status Scale, or 12-item Multiple Sclerosis Walking Scale. These changes were subsequently triangulated to derive the MCID estimates. Results: 243 patients with progressive MS (female: n=125 (51%); mean [SD] age: 49.3 [9.3]; mean [SD] EDSS: 4.8 [1.4]) had digital gait data available at baseline and Week 96. Median changes were generally consistent across anchors. Triangulated MCIDs are: Step Velocity = -0.16 m/s, Step Velocity Scaled to Walking Time = -0.18 m/s, Step Duration = 0.06 s, Step Length = -0.07 m, Total Number of Steps = -28, and Total Distance Walked = -24 m. Conclusion: These MCIDs provide a framework for interpreting meaningful gait changes and integrating digital measures into MS outcome evaluation. Beyond facilitating novel clinical trial endpoints to evaluate treatment efficacy, they enable objective, real-world monitoring to advance personalized patient care.

Gait-based Parkinson's disease assessment increasingly relies on heterogeneous sensors, but clinical systems rarely collect all modalities simultaneously. New sensors may arrive through device upgrades, protocol changes, or multi-center deployment, while historical patient data are often unavailable because of privacy and storage constraints. This modality-incremental setting faces three challenges: unreliable cross-modal distillation, modality-specific statistical shifts, and reduced plasticity after preservation. We propose MOSAIC, a compact continual learning framework. First, we identify the Toxic Teacher phenomenon and introduce Modality-Specific Warm-Up to stabilize newly learned modality representations before distillation. Second, we propose a statistics-decoupled MSBN architecture that isolates sensor statistics while maintaining a shared semantic backbone. Third, we design a curriculum-guided repulsive objective for Plasticity Recovery, preserving legacy knowledge while recovering modality-specific capacity. Experiments on three multimodal Parkinson's gait datasets show that MOSAIC improves final performance and mitigates forgetting. Project code is available at: https://github.com/minlinzeng/MOSAIC_Modality-Specific-Adaptation-for-Incremental-Continual-Learning-in-PD-Gait-Assessment.git

Deploying legged robots in extra-terrestrial environments includes many challenges due to complex terrain interactions, energy, and thermal constraints. For effective mechanical design of a lunar exploration quadrupedal robot, careful consideration of motor torques, energy expenditure, and cost of transport is required. The lunar surface is composed of granular regolith, which impacts the locomotion of legged robots and their performance. Locomotion algorithms trained with rigid contact assumptions are also ineffective when applied to environments with soft contacts, such as granular surfaces, which can result in instability and poor tracking. In this report, the physical modelling of the granular lunar surface-robot foot contacts is applied to a simulation environment with locomotion trained using Reinforcement Learning. A comparison is conducted between the policy trained on rigid contact and soft contact environments, analysing the gait and locomotion performance metrics. The analysis demonstrates that soft contacts simulating regolith surfaces pose additional challenges for Reinforcement Learning based training, result in a qualitatively different gait, and increase the overall energy expenditure.

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.

Cross-modal 2D-3D gait recognition is impeded by inherent domain discrepancies between 2D silhouette and 3D LiDAR range-view representations. While prior methods align only final embeddings, we propose DiffCrossGait, which reformulates cross-modal matching as trajectory-level alignment in an identity-relevant latent diffusion space, rather than assuming full equivalence between 2D and 3D observations. By driving both modalities with shared Gaussian noise within a latent space, we enable continuous alignment throughout the generative evolution. We introduce a Tri-Phase Alignment Strategy that exploits varying noise intensities to enforce identity anchoring, dynamics consistency, and cross-modal structural recoverability, thereby constraining both modalities to share denoising dynamics and bottleneck structure, which promotes modality-invariant gait features. Crucially, our framework decouples generative alignment from the discriminative backbone; the diffusion mechanism serves exclusively as a training objective, ensuring high inference efficiency by eliminating the computational overhead of iterative denoising. Extensive experiments on the SUSTech1K and FreeGait benchmarks demonstrate that DiffCrossGait achieves state-of-the-art performance.

Clinical time-series learning is routinely constrained by small, heterogeneous cohorts and protocol drift, while its downstream use spans both classification (e.g., pathology diagnosis) and regression (e.g., temporal forecasting). These constraints make foundation-model pretraining appealing, but raises an important question of which inductive biases should the pretraining objective impose so that representations transfer across task types and subjects. We study this question in pathological gait analysis for spinal cord injury (SCI) via PathoFM, an encoder-centric transformer pretrained on multivariate gait windows with three complementary objectives: Local Completion (reconstruct contiguous masked spans to enforce local structure), Temporal Continuity (predict a masked mid-horizon continuation from an observed prefix to enforce smoothness and causal consistency), and Unsupervised In-Context Dynamics (support-query reconstruction conditioned on subject exemplar windows via attention). Empirically comparing objective families (grouping/contrastive, dynamics-based, and generative reconstruction), we find that dynamics-centric mixtures produce the most balanced transfer: grouping objectives favor discriminative margins but can degrade magnitude fidelity needed for continuous targets, whereas reconstruction-only objectives preserve waveform structure but may underperform on classification. Overall, combining local reconstruction with temporal continuity, and adding in-context conditioning when exemplar access is realistic, yields robust subject-generalizing representations.

Estimating hip muscle forces and joint moments during gait typically relies on musculoskeletal simulation, which is informative but time-consuming and difficult to apply in clinical settings. This study developed a deep learning framework to predict these hip dynamics parameters directly from lower-limb gait kinematics and compared three representative sequence models under a unified protocol. Gait data were collected from 60 healthy adults under three metronome-guided cadence conditions. Ten bilateral lower-limb joint angles were used as inputs, and OpenSim-derived hip muscle forces and hip joint moments were used as reference outputs. Three deep learning models of LSTM, Transformer, and Mamba were trained and evaluated using the same subject-level split, preprocessing pipeline, and metrics. The best model was then directly tested on an external cohort of 9 patients with osteonecrosis of the femoral head (ONFH) without retraining. In the healthy-subject benchmark, Transformer achieved the best subject-level mean performance for both hip muscle force prediction (RMSE = 1.33 N/kg, MAE = 0.57 N/kg, R2 = 0.819) and hip joint moment prediction (RMSE = 0.11 Nm/kg, MAE = 0.07 Nm/kg, R2 = 0.862), with similar advantages across walking cadences. In zero-shot external validation, Transformer retained moderate predictive ability in ONFH for hip muscle force prediction (RMSE = 1.51 N/kg, MAE = 0.70 N/kg, R2 = 0.537) and hip joint moment prediction (RMSE = 0.17 Nm/kg, MAE = 0.12 Nm/kg, R2 = 0.569). These findings support the feasibility of estimating hip dynamics from gait kinematics, identify Transformer as a strong baseline, and highlight the need for broader pathological validation and improved generalization before clinical application.

Gait recognition enables non-intrusive, privacy-preserving identification but suffers in uncontrolled environments due to illumination and motion sensitivity of conventional cameras. In this work, we explore gait recognition using event cameras, which offer microsecond temporal resolution and high dynamic range, naturally capturing robust dynamic cues and suppressing static noise. Existing event-based approaches typically aggregate event streams into event images over long time windows, thereby discarding fine-grained motion dynamics critical for gait recognition. Therefore, we propose \textbf{EventGait}, an end-to-end dual-stream framework that separately models motion and shape while preserving the advantages of events. Our dynamic stream leverages a Mixture of Spiking Experts (MoSE) with diverse neuron constants for robust dynamic perception across complex motion and illumination scenes, while the static stream learns dense shape representations via Cross-modal Structure Alignment (CroSA) with large vision foundation models. To address the absence of large-scale event-based gait datasets, we introduce a synthesis pipeline and release two new benchmarks: SUSTech1K-E and CCGR-Mini-E. Extensive experiments have shown that event-based gait recognition not only achieves results comparable to camera-based gait recognition under normal conditions but also significantly outperforms it in low-light scenarios. Our approach sets a new state of the art on both synthesized and real-world event-based gait benchmarks, highlighting the robustness and potential of event-driven gait analysis. The code and datasets are released at https://github.com/QUEAHREN/EventGait.

Motion capture is the gold standard for measuring human movement, but clinical use remains limited by cost, technical complexity, and privacy concerns. AIGaitor is a privacy-preserving, cloud-free motion analysis system that runs markerless monocular motion-capture pipelines and downstream deep-learning analysis entirely on a consumer smartphone using on-device neural accelerators. To motivate its design, we surveyed 74 rehabilitation clinicians: 92 percent said they would adopt an accurate, cost-effective, easy-to-use AI gait analysis tool, while 79.7 percent cited operating cost, 68.9 percent insufficient training, and 64.9 percent privacy concerns as leading barriers. We then optimized and benchmarked mobile iOS implementations of current monocular pipeline components, including 2D and 3D pose estimation, pose optimization, skeleton-based deep-learning analysis, and a vision-language model. A Time-Priority end-to-end on-device pipeline processes a 10 s 4K 60 fps video clip in 77 s on an iPhone 14, matching or beating the same pipeline on a high-end NVIDIA H200 cloud server when network transfer is included: 94 s at global mobile-average uplink and 66 s at developed-world Wi-Fi. Lightweight models such as ViTPose-s achieve real-time keypoint extraction, and skeleton-based action-recognition models provide sub-millisecond gait classification on the same clip. To our knowledge, AIGaitor is the first monocular system to demonstrate end-to-end on-device motion capture and downstream deep-learning analysis, supporting clinically applicable movement analysis that is low-cost, private, and accessible to smartphone users.

Understanding adaptive biomechanical systems requires distinguishing observable performance, static multivariate representation, longitudinal displacement, and internal approximation of observed change. This study introduces Level 5, which examines whether the M1-M2 transformation observed in a single-subject gait dataset can be approximated within a selected PCA representation. Gait was recorded with instrumented insoles in a participant with Parkinson's disease under six occlusal observational probes during two sessions eleven weeks apart. A simplified feed-forward neural network was trained to approximate M2 PC1-PC2 coordinates from M1 coordinates, occlusal-probe descriptors, and the longitudinal-transition indicator. In the core analysis aligned with Level 4, the model preserved the Euclidean centroid-displacement hierarchy dOC3 < dONL < dOC2.5. In the extended six-probe analysis, it preserved the broad structure of the exploratory ordering. Held-out M2 and leave-condition-out analyses provided internal tests beyond the full-dataset fit, while a within-session analysis described probe positions relative to ONL. The term predictive is used only in a restricted methodological sense. The model does not provide prospective clinical prediction, patient-level forecasting, or generalization to unseen individuals. Occlusal conditions are treated as observational probes applied during measurement, not as continuous causal drivers of longitudinal evolution. The findings are exploratory, retrospective, representation dependent, and non causal. They do not establish causal occlusal effects, validated viability thresholds, therapeutic superiority, distinct physiological states, or generalizable predictive validity.