Gait Analysis

Conventional gait de-identification methods often encounter an inherent trade-off: they either provide insufficient identity suppression or introduce spatiotemporal distortions that impede structure-sensitive downstream applications. We propose GaitProtector, an impersonation-driven gait de-identification framework that formulates privacy protection as a unified objective with two tightly coupled components: (i) obfuscation, which repels the protected gait from the source identity, and (ii) impersonation, which attracts it toward a selected target identity. The target identity serves as a semantic anchor that biases optimization toward structurally plausible gait patterns under the pretrained diffusion prior, helping preserve dominant body shape and motion dynamics. We instantiate this idea through a training-free diffusion latent optimization pipeline. Instead of retraining a generator for each dataset, we invert each input silhouette sequence into the latent trajectory of a pretrained 3D video diffusion model and iteratively optimize latent codes with a differentiable adversarial objective to synthesize protected gaits. Experiments on the CASIA-B dataset show that GaitProtector achieves a 56.7% impersonation success rate under black-box gait recognition and reduces Rank-1 identification accuracy from 89.6% to 15.0%, while maintaining favorable visual and temporal quality. We further evaluate downstream utility on the Scoliosis1K dataset, where diagnostic accuracy decreases only from 91.4% to 74.2%. To the best of our knowledge, this work is the first to leverage pretrained 3D diffusion priors in a training-free manner for silhouette-based gait de-identification.

Cerebral Palsy (CP) is a neurological disorder of movement and the most common cause of lifelong physical disability in childhood. Approximately 75% of children with CP are ambulatory, and accurate gait assessment is central to preserving walking function, which deteriorates by mid-adulthood in a quarter to half of adults with CP. The Rodda and Graham classification system quantifies sagittal-plane gait deviations using ankle and knee z-scores derived from 3D Instrumented Gait Analysis (3D-IGA), but 3D-IGA is expensive and limited to specialized centers, while observational assessment shows only moderate inter-rater agreement. We developed a markerless gait analysis pipeline that quantifies Rodda and Graham knee and ankle z-scores directly from single-view clinical gait videos. Across 1,058 bilateral limb samples from 529 trials of 152 children (88 male, 63 female; age 12.1 $\pm$ 4.0 years; 60 distinct primary diagnoses, cerebral palsy the most common at $n=54$), the sagittal-view model achieved $R^2 = 0.80 \pm 0.02$ and CCC $= 0.89 \pm 0.02$ for knee z-scores and $R^2 = 0.57 \pm 0.02$ and CCC $= 0.72 \pm 0.02$ for ankle z-scores against 3D-IGA. Binary screening for excess knee flexion achieves AUROC $= 0.88$, correctly identifying 83% of affected children, and applying Rodda and Graham rules yields $43 \pm 1$% 7-class accuracy with macro-AUROC $= 0.78 \pm 0.01$, ankle prediction error remaining the primary bottleneck. Beyond cross-sectional screening, continuous z-scores support longitudinal trajectory tracking across visits, providing a quantitative substrate for monitoring disease progression and treatment response unavailable from observational scales. These results demonstrate the feasibility of video-based z-score estimation, excess-flexion screening, and longitudinal trajectory tracking as a path toward scalable, objective gait assessment in low-resource clinical settings.

Deep generative models provide flexible frameworks for modeling complex, structured data such as images, videos, 3D objects, and texts. However, when applied to sequences of human skeletons, standard variational autoencoders (VAEs) often allocate substantial capacity to nuisance factors-such as camera orientation, subject scale, viewpoint, and execution speed-rather than the intrinsic geometry of shapes and their motion. We propose the Elastic Shape - Variational Autoencoder (ES-VAE), a geometry-aware generative model for skeletal trajectories that leverages the transported square-root velocity field (TSRVF) representation on Kendall's shape manifold. This representation inherently removes rigid translations, rotations, and global scaling of shapes, and temporal rate variability of sequences, isolating the underlying shape dynamics. The ES-VAE encoder maps skeletal sequences to a low-dimensional latent space incorporating the Riemannian logarithm map, while the decoder reconstructs sequences using the corresponding exponential map. We demonstrate the effectiveness of ES-VAE on two datasets. First, we analyze skeletal gait cycles to predict clinical mobility scores and classify subjects into healthy and post-stroke groups. Second, we evaluate action recognition on the NTU RGB+D dataset. Across both settings, ES-VAE consistently outperforms standard VAEs and a range of sequence modeling baselines, including temporal convolutional networks, transformers, and graph convolutional networks. More broadly, ES-VAE provides a principled framework for learning generative models of longitudinal data on pose shape manifolds, offering improved latent representation and downstream performance compared to existing deep learning approaches.

In biomechanical systems, observable performance is often used as a proxy for underlying organization, although similar outputs may arise from different adaptive configurations. This study considers the vertical dimension of occlusion (VDO) as a constraint applied to an adaptive neuromechanical system. A single-case design in a patient with Parkinson's disease enabled repeated intra-individual gait observations under six occlusal probes. Three complementary analytical levels were examined: (i) an aggregated scalar score of observable performance, (ii) a conceptual dynamical systems framework, and (iii) an exploratory UMAP representation of 55 standardized biomechanical variables from 270 M1 observations. The revised Level 1 analysis showed that the relative ranking of OC2.5 and OC3 depended on score construction, while their scalar distributions remained close. The Level 3 embedding showed substantial overlap among all six probes and did not identify independently separated condition-specific clusters. OC2.5 and OC3 displayed limited centroid displacement but broad observation-level overlap. The principal result is therefore representational non-identifiability: neither the aggregated score nor the selected low-dimensional embedding uniquely identifies an occlusal-condition-specific system state. VDO is interpreted as a constraint parameter rather than a causal determinant. The findings are exploratory, model dependent, and non causal. They do not establish distinct physiological states, an optimal VDO, clinical thresholds, or diagnostic, predictive, mechanistic, or prescriptive validity.

Gait recognition has emerged as a compelling biometric modality for surveillance and security applications, offering inherent advantages such as non-intrusiveness, resistance to disguise, and long-range identification capability. However, prevailing approaches struggle to comprehensively capture and exploit the rich biometric cues embedded in human locomotion, particularly under covariate interference including viewpoint variation, clothing change, and carrying conditions. In this paper, we present a high-precision gait recognition framework that deeply extracts and synergistically fuses gait dynamics with body shape characteristics through a multi-branch architecture grounded in deep residual learning. Specifically, we first employ the High-Resolution Network (HRNet) to perform robust skeletal keypoint estimation, preserving fine-grained spatial information even under low-resolution inputs. We then construct three complementary feature branches -- body proportion, gait velocity, and skeletal motion -- from the extracted pose sequences. A 50-layer Residual Network (ResNet-50) backbone is leveraged within a deep feature extraction module to capture hierarchically rich and discriminative representations. To effectively integrate heterogeneous feature streams, we design a Multi-Branch Feature Fusion (MFF) module inspired by channel-wise attention mechanisms, which dynamically allocates contribution weights across branches through learned activation parameters. Extensive experiments on the cross-view multi-condition CASIA-B benchmark demonstrate that our method achieves a Rank-1 accuracy of 94.52% under normal walking, with the best recognition performance among skeleton-based methods for the coat-wearing condition.

Gait recognition is an attractive biometric modality for long-range and contact-free identification, but high-performing gait models often rely on deep and computationally expensive architectures that are difficult to deploy in practice. Knowledge distillation (KD) offers a natural way to transfer knowledge from a powerful teacher to an efficient student; however, standard KD is often less effective for part-structured gait models, where supervision is formed from both part-wise classification logits and part-wise retrieval embeddings. In this paper, we propose GaitKD, a distillation framework that decouples gait knowledge transfer into two complementary components: decision-level distillation and boundary-level distillation. Specifically, GaitKD aligns the teacher and student through part-calibrated logit distillation to transfer inter-class decision relations, while preserving the teacher-induced partitioning of the embedding space through an activation-boundary objective instead of direct feature regression. With a simple aligned part-wise design, GaitKD supports heterogeneous teacher-student gait models without introducing additional inference cost. Experimental results across multiple gait recognition benchmarks and teacher-student configurations show consistent improvements over strong gait baselines. Our study demonstrates that the two transfer components are complementary, and boundary-preserving distillation provides more stable performance than direct feature regression. Source code is available at https://github.com/liyiersan/GaitKD/

Wearable sensor-based human gait analysis holds great promise in healthcare, rehabilitation, clinical diagnosis and monitoring, and sports activities. Specifically, ground reaction force (GRF) provides essential insights into the body's interaction with the ground during movement and is typically measured using instrumented treadmills equipped with force plates. However, such equipment is expensive and restricted to laboratory environments. To enable a more portable solution, wearable insole sensors have been used to measure GRF. These sensors, however, are prone to noise and external interference, which reduces measurement accuracy. Deep learning methodologies could be adopted to address these issues, but they often require significant computing resources to achieve high accuracy, limiting their applicability for real-time analysis on portable devices. To overcome these limitations, we propose Selective Correlation Based Knowledge Distillation (SCKD) for estimating GRF from data collected by insole sensors. Our proposed method utilizes selected features considering temporal characteristics in the process of extracting correlation maps for knowledge transfer, enhancing interpretability and mitigating issues in high dimensional data processing. We demonstrate the effectiveness of the compact models generated by our distillation framework through comparison with existing methods. Various configurations of teacher-student architectures and training approaches are examined based on multiple evaluation criteria, utilizing data collected at different walking speeds and with different window sizes. Experimental results confirm that our approach outperforms existing methods in estimating GRF from wearable insole sensor data. Therefore, our approach offers a reliable and resource-efficient solution for human gait analysis.

Rehabilitation aims to help patients with limited mobility regain their physical abilities through targeted movements, exercises, stimulation, and other therapeutic methods. Recent advances in technology have introduced sensor-based systems into rehabilitation and clinical practices, enabling real-time monitoring and providing accurate feedback on movement accuracy. Among these sensors, LiDAR has demonstrated strong potential, offering key advantages over conventional techniques such as camera-based systems, which raise privacy concerns, and wearable sensors, which can be uncomfortable and prone to errors. In this work, we review the applications of LiDAR in rehabilitation, post-injury care, and hospital environments, focusing on studies published between 2019 and 2025. Studies across several areas have been explored: 3D body scanning and gait analysis with standalone LiDAR, LiDAR mounted on robotic systems for rehabilitation, real-time monitoring and environment scanning for safe navigation, and activity and position recognition. We also analyze processing techniques, particularly learning-based approaches, and support the discussion with statistical analysis, highlighting trends, gaps, and future research opportunities. To the best of our knowledge, this is the first comprehensive survey dedicated to LiDAR for rehabilitation applications, providing an overview of current methods, AI-based processing techniques, and open challenges.

Gait recognition has emerged as a powerful biometric technique for identifying individuals at a distance without requiring user cooperation. Most existing methods focus primarily on RGB-derived modalities, which fall short in real-world scenarios requiring multi-modal collaboration and cross-modal retrieval. To overcome these challenges, we present MMGait, a comprehensive multi-modal gait benchmark integrating data from five heterogeneous sensors, including an RGB camera, a depth camera, an infrared camera, a LiDAR scanner, and a 4D Radar system. MMGait contains twelve modalities and 334,060 sequences from 725 subjects, enabling systematic exploration across geometric, photometric, and motion domains. Based on MMGait, we conduct extensive evaluations on single-modal, cross-modal, and multi-modal paradigms to analyze modality robustness and complementarity. Furthermore, we introduce a new task, Omni Multi-Modal Gait Recognition, which aims to unify the above three gait recognition paradigms within a single model. We also propose a simple yet powerful baseline, OmniGait, which learns a shared embedding space across diverse modalities and achieves promising recognition performance. The MMGait benchmark, codebase, and pretrained checkpoints are publicly available at https://github.com/BNU-IVC/MMGait.

Gait analysis provides an objective characterization of locomotor function and is widely used to support diagnosis and rehabilitation monitoring across neurological and orthopedic disorders. Deep learning has been increasingly applied to this domain, yet most approaches rely on supervised classifiers trained on disease-labeled data, limiting generalization to heterogeneous pathological presentations. The methodological objective of this work is to develop a label-free framework for joint-level anomaly detection and kinematic correction based on a Transformer masked autoencoder trained exclusively on normative gait sequences from 150 adults, acquired with a markerless multi-camera motion-capture system. At inference, a two-pass procedure is applied to potentially pathological input sequences: first, it estimates joint inconsistency scores by occluding individual joints and measuring deviations from the learned normative prior. Then, it withholds the flagged joints from the encoder input and reconstructs the full skeleton from the remaining spatiotemporal context, yielding corrected kinematic trajectories at the flagged positions. The validation objective is to assess whether the framework preserves unseen normative gait and reduces angular deviation in simulated abnormal gait patterns. In this proof-of-concept evaluation, data from 10 held-out normative participants, who performed seven simulated abnormal gait patterns, showed a significant reduction in angular deviation across all analyzed joints with large effect sizes, and preservation of normative kinematics. The proposed approach enables interpretable, subject-specific localization of joints that are inconsistent with learned normative gait patterns and generation of an individualized normative reconstruction without requiring disease labels. Video is available at https://youtu.be/Rcm3jqR5pN4.

Motion imitation learning (IL) is increasingly used in robotics and human gait modeling, yet its ability to recover biomechanically consistent joint moments without explicit kinetic information remains unclear. In this study, we examined whether motion imitation alone can estimate reasonable biological joint moments. We compare motion-only IL (MOIL) against a kinetics-aware IL (KAIL) framework that incorporates ground reaction forces (GRF) and center of pressure (CoP) in imitation rewards, with an ablation study to examine the contribution of each kinetic term. Experiments were conducted using walking data from a non-disabled participant at three speeds (0.9, 1.2, and 1.5 m/s). While both MOIL and KAIL achieved comparable kinematic tracking accuracy, MOIL exhibited substantially larger errors in GRF, CoP, and joint moment estimates relative to inverse dynamics references. In contrast, KAIL produced kinetics more consistent with biomechanical values. These findings highlight a fundamental limitation of MOIL approaches, which may lead to erroneous interpretations of gait biomechanics and downstream applications by failing to estimate consistent human-like gait kinetics.

In this work, we introduce language-aligned motion representations for domain-generalizable UPDRS-Gait severity estimation, aiming to learn semantically structured motion features that generalize across heterogeneous clinical domains. We first learn motion representations using a Bi-GRU backbone that captures the temporal dynamics of SMPL sequences. Prior to model training, motion captions are generated offline using Qwen2.5-7B-Instruct. The backbone is then trained with both classification and text-alignment objectives to learn discriminative and semantically structured motion representations while accounting for the class imbalance present in the training data. We subsequently adapt the learned backbone independently to each source domain so that the model can capture domain-specific motion characteristics. The resulting source-specific models are then merged at the parameter level to consolidate complementary knowledge across source domains into a single domain-generalized model. To further mitigate class imbalance, we perform GPT-5.5-based pseudo labeling, and our final merged models for each site do not use any class-prior correction during inference. The resulting model is evaluated under the unseen-site setting of the MoCha Challenge, using Macro F1 as the primary evaluation metric. Our method achieves a macro-F1 of 0.57 on the hidden test set with only 637K active parameters at inference, ranking 3rd among 58 leaderboard entries in the MoCha 2026 Challenge. The challenge attracted 1,669 submissions from 112 participants and offered monetary prizes sponsored by Machine Medicine Technologies.