Wearable Devices

Video recording on smart glasses exposes more than faces. Continuous capture reveals full-body biometric signatures, including gait, posture, and silhouette, that enable person re-identification (ReID) even after conventional face sanitization. We present MIRAGE, a three-tier architecture for privacy-preserving smart glasses that enforces full-body privacy, supports synthetic full-body replacement, and retains encrypted recovery material for consent-based restoration. We implement MIRAGE on a Raspberry Pi~5 (a CPU-only proxy for smart-glasses compute), companion phones, and a cloud generative backend. Compared to prior systems, MIRAGE achieves 0.948 AP and 0.976 AR while accurately detecting the complete visible body. Its bounding box masking reduces learned silhouette-based ReID to essentially random guessing, with 10.86% Rank-1 accuracy compared with an 11.12% measured chance level. Even against an adaptive adversary retrained on MIRAGE's sanitized pose signals, Rank-1 gait identification drops from 90.25% to 26.20%, removing 72.5% of the adversary's identification advantage.

Recent advances in artificial intelligence (AI) are reshaping smart glasses from egocentric capture and display devices into platforms for wearable intelligence. Smart glasses increasingly serve as wearable AI systems that connect first-person observation with real-time assistance under strict form-factor constraints. We frame this transition through the lens of \emph{AI smart glasses} and define them as a system-level concept in which egocentric sensing, resource-aware computing, intelligent reasoning, multimodal interaction, and real-world application constraints are co-designed for personalized assistance in the physical world. To systematically study this perspective, we organize the survey around four connected dimensions. First, we examine the hardware foundation that bounds sensing, computation, feedback delivery, and sustained deployment. Second, we study wearable intelligence, where egocentric signals are transformed into perceptual, contextual, and agentic capabilities. Third, we discuss interaction design, through which users request, receive, correct, and regulate assistance during ongoing activity. Fourth, we analyze application scenarios across healthcare, accessibility, situated learning, daily life assistance, cultural tourism, and industrial support, showing how domain requirements reshape system design and evaluation. We further identify five cross-cutting research challenges for future AI smart glasses: next-generation hardware, trustworthy egocentric intelligence, lifelong personalized memory, proactive intelligence, and embodied foundation models. By centering smart glasses as wearable-intelligence platforms, this survey provides a unified framework for organizing technologies, applications, and open challenges in this emerging area.

Falls in older adults are often preceded by changes in mobility, balance, and postural transitions. This paper presents a wireless smart insole platform and machine-learning workflow for recognizing sitting, standing, walking, and unstable walking from plantar-pressure and inertial signals. Each insole integrates 16 active pressure-sensing locations and a six-dimensional IMU stream consisting of tri-axial acceleration and angular velocity. Data were collected from 15 healthy adults at 80~Hz and segmented into overlapping windows. Window length and candidate model families were first screened with stratified 10-fold cross-validation; the primary performance estimate was then obtained with participant-independent 5-fold Stratified Group cross-validation, ensuring that all windows from a participant remained in a single fold. Under this protocol, Histogram-Based Gradient Boosting (HGB) achieved macro-F1 scores of 0.954 and 0.959 for the left and right feet, respectively, and 0.980 with bilateral sensing. A compact 1D-CNN evaluated with the same participant-independent folds did not significantly outperform HGB ($p=0.0625$). The results show that low-profile footwear sensing can infer activity state from pressure and IMU measurements for participants unseen during training, establishing a basis for activity monitoring and fall prevention in elderly care.

Time-series foundation models have demonstrated strong cross-domain transfer, yet their common architectural assumptions remain poorly aligned with wearable physiological signals, which are multichannel, irregularly sampled, noisy, and governed by coupled continuous-time dynamics spanning distinct spectral scales. We present SOTER, a generative foundation model for wearable physiological time series that unifies cross-channel coupling, spectrum-guided expert specialization, and continuous-time latent evolution within a single pre-training framework. SOTER combines a spatial feature-aware backbone that models inter-signal dependencies, a power spectral density (PSD)-guided mixture-of-experts layer that routes representations to experts associated with fixed spectral bands through an inspectable, non-learned rule, and a neural controlled differential equation decoder that supports prediction and imputation at arbitrary timestamps. We pre-train SOTER on 226 billion time points from five public physiological datasets and evaluate the same pre-trained model across out-of-distribution zero-shot forecasting, frozen-encoder linear-probe classification, and continuous-time imputation on wearable benchmarks. SOTER achieves the best RMSE on 4 of 6 datasets and the best MAE on 5 of 6 in zero-shot forecasting, the highest average Macro-AUROC in classification, and the lowest imputation error on all six datasets at 75% missingness. It further remains robust to additive acquisition noise, matching or surpassing baselines evaluated on clean inputs even under the strongest corruption. These results indicate that domain-specialized foundation models for wearable physiology benefit from jointly modeling channel structure, spectral scale, and continuous-time dynamics.

Capturing hand motion and interaction forces is critical for interactive computing, VR, and high-fidelity tactile demonstrations for robot learning. We introduce a wrist-worn pressure-sensing wristband that recovers continuous full-hand pose and distributed contact force on a single wearable. The system consists of flexible capacitive sensor arrays around the wrist, which require no electrical skin contact, and a recurrent network that maps the resulting pressure signal to hand state. Our key insight is that muscle contraction and tendon displacement produce pressure patterns, which correlate strongly with hand pose and interaction force. To validate this, we collect synchronized recordings of wrist pressure, optical motion-capture hand pose, and tactile-glove interaction force, covering isolated finger motion, fingertip-force stress tests, and natural hand-object manipulation. On isolated single-user motion the wristband attains $4.6^\circ$ mean finger-joint MAE, and across four users manipulating everyday objects it estimates per-finger contact force at $R^2=0.57$, which an external pose signal brings up to $0.75$. We see the wristband as one node in a constellation of everyday wearables -- e.g. paired with an egocentric camera -- adding the contact force that vision cannot observe and taking over when the hand is occluded.

Tokenization determines both the physiological content presented to an ECG Transformer and the sequence over which attention operates. We compare eight tokenization strategies across Transformer, Informer, Reformer, and FEDformer on the nine-label CPSC2018 classification task. The input projection and principal backbone capacity are controlled to isolate the effect of token construction. Median-beat and HeartLang tokenization achieve mean macro-AUCs of 0.893 and 0.889 across the four backbones, compared with 0.822 and 0.824 for point-wise and patch-wise tokenization. Pooling the two physiology-aware representations yields an 8.2% relative improvement in macro-AUC. They also reduce mean sequence length from 1,250 to 158 tokens and mean peak training memory from 5.21 to 0.27 GB. The results show that aligning tokens with ECG morphology can improve both predictive performance and memory efficiency without increasing backbone capacity. The source code is available on https://github.com/LeeJarvis996/ecg_tokenizer.

The introduction of human-robot collaboration (HRC) in industrial assembly operations is revolutionizing the manufacturing landscape. In this evolving environment, operators are required to seamlessly coordinate their manual tasks with real-time task information and robotic behaviors. These demands fluctuate during operation, yet conventional workload assessments depend on body-worn physiological sensors that complicate practical deployment. Here, we present a vision-based attention--action framework for continuous and interpretable workload-related assessment in HRC assembly. The framework combines RGB-D observations with robot states and calibrated task-related areas to construct a temporally confirmed representation of operator behavior. This representation identifies where task demand is concentrated and explains how it develops when attention and action diverge, the task context changes, or the operator hesitates. We evaluated the framework in a three-level collaborative gearbox assembly experiment with ten participants, using subjective ratings and synchronized physiological signals as independent references. Raw NASA-TLX ratings confirmed increasing perceived workload across conditions, with significant effects on overall workload and its mental and temporal dimensions. The vision-derived HRC-CWL output was significantly associated with ECG-derived features in seven of nine participants with complete correlation data. Synchronized interaction episodes further showed temporal correspondence between detected hesitation and physiological activity. Real-time deployment demonstrated that the framework can operate without requiring operators to wear additional sensors. These findings support HRC-CWL as an interpretable behavioral proxy for cognitive ergonomics analysis and adaptive robot assistance, rather than a direct psychophysiological measure of workload.

Affective computing has advanced wearable state inference, but on-device reasoning about whether, when, and how to intervene remains challenging. We present Affective Agent, a three-layer reference architecture for personalized intervention reasoning under uncertainty on wearable-class hardware. It combines a compact sub-billion-parameter language model with physiological evidence, context, and user history to decide whether, when, and how to intervene, without cloud dependency or per-user retraining. The architecture is organized into three interacting layers (perception, personalization, and reasoning), adapting to individual users through host-managed structured memory evolution rather than per-user weight updates. We instantiate Affective Agent in indoor environmental quality control and evaluate it on held-out, simulator-generated longitudinal scenarios spanning physiological variation, context, signal quality, and intervention history. Results show that memory-driven personalization and two-pass structured reasoning improve intervention decisions within this synthetic evaluation. By moving the decision layer on-device, this work demonstrates a path from wearable state inference toward closed-loop, personalized intervention on wearable-class hardware.

Continuous and cuffless blood pressure (BP) monitoring using photoplethysmography (PPG) is of great interest for low-cost and personalized cardiovascular health management. However, significant population heterogeneity and the "one-to-many mapping" problem, where similar waveforms across individuals correspond to different BP levels, limit the accuracy of conventional population-based models. To address this challenge, we propose a dual-path architecture termed SIFPBPNet, which separately represents steady-state and instantaneous features, through a Steady-state Feature Path (SFP) and an Instantaneous Feature Path (IFP). The SFP employs a Graph Attention Network (GAT) to extract individual-specific and long-term characteristics from multi-day historical PPG trajectories. In parallel, the IFP captures short-term dynamics from current PPG segments and incorporates the steady-state prior via a cross-attention mechanism. Experiments on a large-scale wearable dataset demonstrate that SIFPBPNet achieves a Mean Absolute Error (MAE) of 8.57 and 5.97 mmHg for systolic and diastolic BP, respectively, outperforming state-of-the-art models. Furthermore, the SFP module consistently improves performance when integrated into various backbone architectures, yielding 2.8-13.1% relative MAE reductions for systolic BP. These results highlight the strong generalizability and plug-and-play transferability of the SFP module, underscoring its great potential for accurate cuffless BP monitoring.

Recent deepfake detection studies increasingly suggest remote photoplethysmography (rPPG) signals as an authenticity cue. However, existing benchmarks lack physiological ground truth, and current detectors underexplore the cross-level relationship between facial features and physiological dynamics, often relying on late fusion or rPPG features alone. In this paper, we construct high-fidelity deepfake manipulations on established real rPPG datasets (COHFACE and UBFC-rPPG) to investigate how forgeries disrupt natural physiological signals and facial behavior at the same time. Building on this analysis, we propose a bidirectional co-attention fusion detector that jointly models rPPG and facial behavior tokens. This mechanism explicitly captures the cross-level dependencies between pulse dynamics and facial motion to learn a robust, joint authenticity representation. Extensive experiments using a subject-disjoint 5-fold evaluation demonstrate the superiority of our approach. Achieving a 92.80% AUC on constructed datasets using face swapping and 96.78% AUC on motion transfer, our model outperforms both the rPPG-only single modality baseline and the best feature-level fusion methods. Furthermore, transfer-learning result of the fusion detector on Celeb-DF-v2 while keeping both feature extractors fixed achieves 91.20% accuracy and 86.08% AUC, which suggests applicability under target-domain adaptation.

As the population ages, the number of patients with cardiovascular diseases continues to increase, highlighting the need for early detection before progression to severe and irreversible functional decline. Consequently, estimating cardiovascular biomarkers from non-invasive biosignals, such as photoplethysmography (PPG) and arterial pressure wave (APW) signals, has attracted increasing attention. These signals can be measured using wearable and cuff-type devices. Previous studies have used PPG and APW signals to estimate cardiovascular biomarkers. However, these signals exhibit strong similarities in both the temporal and frequency domains and primarily reflect peripheral and arterial pulse waveforms. Therefore, they may provide limited information about cardiac mechanical function. In contrast, the quantitative impact of additional biosignals, such as ballistocardiography (BCG), which reflect the body's minute mechanical responses to cardiac ejection, remains unclear. In this study, we generated synthetic PPG, APW, and BCG signals from a unified whole-body cardiovascular circulation model and evaluated the complementary contribution of BCG to probabilistic cardiovascular biomarker estimation. We estimated posterior distributions of cardiovascular biomarkers using neural posterior estimation and simulation-based inference. The results showed that adding BCG signals significantly improved estimation performance. Furthermore, even in ill-posed cases where PPG and APW alone produced multimodal posterior distributions, adding BCG yielded unimodal posterior distributions. These findings provide fundamental insights into signal selection for estimating cardiovascular dynamics.

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.

sEMG is vulnerable to various contaminants that distort signal morphology and spectral content. Accurate signal quality assessment (SQA) is essential for identifying such degradation and ensuring reliable clinical analyses and decisions. Recent neural network-based SQA methods achieve accurate quality estimation by learning complex contamination patterns, yet their black-box nature prevents clinicians from understanding or validating the reported scores and limits adaptability to application-specific quality definitions without retraining. To address these limitations, we propose Prism-SQA, an interpretable and adaptable neural framework that reformulates SQA as a physiology-aware source-separation and verification process. Prism-SQA decomposes each input signal into a clean sEMG component and five contaminant-specific components using a U-Net with bidirectional long short-term memory. Each separated contaminant component is examined by a Contaminant Fingerprint Verifier, which enforces physiological plausibility by comparing its temporal and spectral structure with canonical contaminant signatures. This design allows clinicians to inspect how each contaminant affects signal quality, grounding the assessment in transparent, signal-level evidence rather than opaque latent representations. Quality indices computed from the verified components further enable customization of quality criteria across clinical contexts without retraining. We evaluate Prism-SQA on continuous quality-score estimation using synthesized noisy sEMG from public Ninapro datasets and on binary quality classification using a clinical dysphagia dataset. Results show that Prism-SQA achieves competitive or better performance than contemporary black-box neural methods while providing explicit interpretability and adaptability, advancing toward practical and clinically aligned sEMG SQA.

Protein-protein interaction (PPI) databases do not faithfully reflect biological realities. Instead, they are influenced by study and technical biases that distort certain protein and interaction attributes. Machine learning models can exploit these as learning shortcuts if the negative dataset is not constructed with care. So far, the shortcuts introduced during PPI dataset construction have only been examined in isolation. Here, we systematically characterize both reported and, to our knowledge, previously unreported biases in PPI datasets that lead machine learning models to learn shortcuts instead of biological signal. We analyze HIPPIE, IntAct, and STRING, dedicated PPI databases, as well as two datasets derived from 3D-structural information in the Protein Data Bank (PDB). We show that random data splitting introduces strong topological shortcuts. When train-test protein overlap is removed, the resulting datasets still retain usable shortcuts stemming from self-interactions, taxonomic identity, and functional relatedness, whose prevalence interestingly depends on the data source. We further show that sampling negatives from a set of high-confidence non-interactors, an intuitively appealing choice, can amplify the shortcut stemming from functional relatedness. To detect and mitigate these biases, we provide an open Nextflow pipeline that combines similarity-aware, data-loss-minimizing dataset splitting with bias-minimizing negative sampling, both formulated as integer linear programs. Its key concept of quantifying biases to minimize them through optimization-based negative sampling can, in principle, be extended to any machine learning problem where the pool of negative candidates is much larger than the positives and is thus of interest also beyond PPI prediction.

Heart rate is a critical biomarker of health, and remote photoplethysmography (rPPG) enables its contactless estimation from video data for telemedicine applications. Recent advancements in deep learning based rPPG methods achieve state-of-the-art results, outperforming classical signal-processing methods in complex scenarios. However, deep learning methods depend on datasets with precise synchronization between videos and ground truth signals collected via contact sensors, whereas signal-processing-based methods do not. To address this dependence on labeled datasets, which are labor-intensive to collect, we investigate under which circumstances pseudo-labels extracted using unsupervised signal-processing methods can replace contact sensors labels for training deep learning methods. Our systematic evaluations found that for datasets with imperfect synchronization, the pseudo-label approach outperforms supervised training on contact sensors. For datasets with good synchronization, results are mixed: within-dataset evaluation shows no significant difference between training methods, while cross-dataset evaluation favors supervised training. However, removing a single outlier participant significantly improves the pseudo-label approach's cross-dataset performance, highlighting the importance of label quality. These results demonstrate that signal-processing methods can generate valid training signals for deep learning models, reducing dependency on labor-intensive dataset collection while maintaining competitive performance.

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.

Arm pose estimation enables applications in fitness, extended reality input, rehabilitation, and life logging. Prior smartwatch-based approaches rely on calibration poses and preprocessing pipelines that transform raw IMU measurements into standardized training formats. These steps hinder deployment in everyday settings and introduce errors due to imperfect calibration and sensor drift. We present ArmPoser, a calibration-free arm pose estimation system using a single smartwatch IMU. Our central contribution is training models directly in the reference frame native to consumer smartwatches, aligning learning with how IMU data is produced by deployed devices. By operating on device-native axes, ArmPoser removes the need for coordinate transformations, explicit alignment, and bone-offset calibration used in prior work. We further augment training with physically grounded variations in watch placement and arm morphology to account for user-specific variability. ArmPoser also includes a wear-configuration module that infers anterior or posterior forearm placement and crown orientation. We evaluate pose estimation on public benchmarks and on a 10-participant, 30-activity study using watchOS and Android smartwatches, where ArmPoser matches or exceeds calibrated baselines without any user calibration.

Large Language Models (LLMs) are increasingly being investigated for physiological time-series prediction, yet their effectiveness may depend not only on the model itself, but also on how physiological information is represented and presented at inference time. This study investigates prompt-based general-purpose LLMs for postprandial hyperglycemia and hypoglycemia prediction in individuals with type 1 diabetes. Using the OhioT1DM dataset, we evaluate multiple open-weight LLMs under zero-shot and few-shot inference across prediction horizons of 30, 60, and 90 minutes. The analysis varies both the textual representation of the available physiological information and the amount of information exposed to the model, ranging from glucose observations alone to derived descriptors and additional contextual variables related to insulin, meals, carbohydrates, and physical activity. Performance is compared with conventional patient-specific supervised models and with Gluco-LLM, a language-model-based architecture explicitly adapted to glucose time-series forecasting. Results show a marked task-dependent behavior. Conventional supervised models achieve the strongest performance for hyperglycemia prediction, whereas the best observed prompt-based LLM configurations improve performance for hypoglycemia across all investigated horizons. The effectiveness of prompt-based inference is also strongly influenced by how physiological information is represented, while providing additional contextual information does not lead to a systematic improvement. Overall, these findings highlight physiological information representation as a central design factor in prompt-based LLM approaches to glycemic-event prediction.

TacClip is a minimally encumbering wearable device for recording fingertip deformation caused by contact forces and vibrations. It can be combined with vision- or glove-based hand tracking systems that leave the fingertips uncovered and provides a measure of dynamic contact interactions, while leaving the finger pads exposed so that the user retains natural sensitivity to texture, friction, temperature, and fine surface features. The signal is produced by a Fiber Bragg Grating (FBG) embedded on a small plastic clip mounted over the fingernail. Optionally, for use with vision-based tracking, additional FBGs on polyimide strips can complement camera-based pose estimation. In finger pressing tests, TacClip estimates the force magnitude with typical errors below $0.5~\mathrm{N}$ over a $0$--$8~\mathrm{N}$ range. In tests of cloth handling and tape edge finding, we show that it captures the vibrations and dynamic events generated during exploratory sliding. With no electronics, TacClip can also be used submerged in water, while preserving bare finger contact.

Cardiac, neural, behavioral, and speech measurements from wearable and mobile devices provide partial, noise-sensitive views of physiological state. BioSync combines these measurements into the \textbf{BioSync Index (BSI)}, a continuous composite digital biomarker defined under the BEST framework. The model applies multi-head self-attention to modality tokens and adds a linear branch whose hypothesis class includes standard feature concatenation. This architecture is motivated by latent-variable measurement theory and by the possibility that joint observations contain information unavailable from individual modalities. We evaluated BioSync on two literature-informed synthetic cohorts: a four-modality cognitive-decline cohort using HRV, EEG, actigraphy, and speech, and a metabolic-autonomic cohort structured around the public AI-READI wearable schema. In the cognitive cohort, BioSync and concatenation obtained AUCs of 0.928 and 0.926, respectively. In the metabolic cohort, BioSync obtained accuracy/F1 of 0.764/0.766, compared with 0.756/0.758 for concatenation. The BSI correlated with latent severity in both cohorts ($r=0.91$ and $r=0.68$). A pure-attention ablation obtained cognitive-cohort AUC 0.911, locating the increase to 0.928 in the combined wide-and-deep architecture. With matched modality-dropout training, BioSync led concatenation at five of six cognitive-cohort corruption rates and at the highest metabolic-cohort rate. Its cognitive-cohort AUC was also higher than five published digital-biomarker reference values, although differences in datasets and tasks preclude a controlled benchmark claim. Comparison with single-modality, early-fusion, and late-fusion designs across six prespecified criteria identifies the model's computational properties; validation on real cohorts remains necessary.

Background. Remote photoplethysmography estimates the cardiovascular pulse from facial video, and its explanations have rested on inspecting heatmaps rather than on quantitative evidence about where a model reads it. We quantified the explanations and asked whether such explanations transfer between datasets and track model performance. Method. We trained eight condition-specific RhythmFormer models on NCKU-rPPG, recorded under three illumination levels, speaking, rotation, and cycling, estimated one heart rate per 5.12-second clip, and set them beside a UBFC-rPPG reproduction. Raw attention, rollout, attention flow, and Beyond Intuition were assessed by skin coverage and the Salience-guided Faithfulness Coefficient (SaCo). Results. Beyond Intuition ranked highest on both datasets, at median coverage 0.789 and SaCo 0.837 on Static level 3 against 0.826 and 0.917 on UBFC-rPPG; lower ranks differed. Within one participant of one condition, neither measure was related to a clip's heart-rate error, waveform correlation, or signal-to-noise ratio on either dataset: 186 of the 252 coefficients fell below $|ρ|=0.10$ and 28 reached $p<0.05$ against the 13 expected by chance. Across the eight scenarios only Beyond Intuition's coverage followed the three performance measures, at $ρ=-0.43$, $+0.57$, and $+0.43$, while the attention-only methods' SaCo ran opposite to each. It failed at 40 lux alone, its median coverage falling to 0.180 and its median SaCo to $-0.178$, whereas motion degraded the estimates far more without such a drop. Conclusions. Skin coverage and SaCo carry information complementary to the performance measures rather than a proxy for them: attributing to the skin does not guarantee an accurate estimate. What an attribution reveals about a condition is where the model looks rather than how faithfully its map is ordered.

This paper presents an experimental design for constructing a multimodal dataset to analyze user engagement in human-robot interaction (HRI). Prior studies have mainly relied on observable behavioral cues, with limited frameworks integrating physiological signals. We therefore propose a structured data-collection protocol to build a multimodal dataset that includes wearable physiological signals, behavioral data, and self-report measures under different levels of task complexity defined in this experiment.

The rising prevalence of psychological disorders necessitates effective emotion monitoring, yet current methods relying on facial or physiological signals often suffer from intrusiveness and privacy issues. This paper proposes an intelligent decision support system and pervasive edge-computing framework that leverages smart glasses and a companion smartphone to infer emotional states from microscopic visual fixation patterns. Moving beyond traditional macroscopic gaze metrics, the proposed system extracts and decomposes three distinct neurophysiological micro-movements: microsaccades, ocular drifts, and ocular microtremors. We introduce an interpretable hybrid artificial intelligence pipeline combining a multi-head attention mechanism, extreme gradient boosting, and a support vector machine to extract deep temporal features, quantify their physiological importance, and perform efficient on-device classification. Through an extensive evaluation involving 60 volunteers, we rigorously validate the framework under a strict leave-one-subject-out cross-validation protocol across both controlled and naturalistic mobile scenarios. Ablation studies unequivocally demonstrate that these fixational micro-movements are substantially more discriminative for emotion inference than traditional macroscopic features. Furthermore, aligned with contemporary affective science, the system incorporates a few-shot personalization mechanism to bridge universal physiological baselines with individual emotional heterogeneity, achieving a highly robust personalized F1-score of 83.6%. This work establishes a physiologically interpretable, unobtrusive, and deployable paradigm for continuous real-time emotion monitoring.

Cardiovascular sensing systems must preserve clinically useful information despite signal degradation, wireless losses, energy constraints, and edge-computation latency. We introduce Physiological Information Reliability (PIR), a cross-layer framework that represents physiological information value jointly with wireless, energy, and computation states and uses a contextual bandit to adapt sensing and communication decisions. We integrate multimodal ECG/PPG signal-quality estimation with physiological information value and an adaptive network-coding layer under burst-erasure conditions. Across controlled multiseed experiments, PIR-LinUCB demonstrates a promising low-energy operating point while maintaining medical latency constraints and competitive physiological estimation performance relative to fixed and heuristic policies. We analyze the resulting accuracy-energy-latency trade-offs and identify limitations of proxy PIV estimation and simulated communication dynamics. These results provide an initial computational demonstration of physiological-information-aware resource allocation and motivate future clinical and real-channel validation.

Wearable EEG systems may expose sensitive information beyond their intended health function, creating substantial risks to neuroprivacy. In this work, we show that commonly used EEG features can reveal participant identity and demographic attributes in addition to supporting the intended cognitive task. Wearable EEG is increasingly being explored for cognitive monitoring, neurological assessment, and longitudinal digital-health applications, yet many systems assume that transmitting compact spectral or spatial features instead of raw EEG provides sufficient privacy protection. Using EEGMAT as a motivating case study, we find that compact EEG features achieve a balanced accuracy of 0.788 for cognitive-state classification while enabling gender, age, and subject-identity inference with balanced accuracies of 0.858, 0.789, and 0.692, respectively. We further show that privacy-aware representation learning preserves task performance at 0.781 while reducing these inference accuracies to 0.563, 0.467, and 0.206. These findings motivate purpose-limited representations and explicit privacy auditing in wearable neurohealth systems.

The separation of cardiovascular sounds is a critical task in biomedical signal processing. In this paper, we introduce XVAE-WMT1, an unsupervised explainable generative AI algorithm combining a variational autoencoder (VAE) with explainable AI (XAI), wavelet-based inputs, a post-hoc output mask, and temporal consistency (TC) loss. Unlike existing supervised and VAE-based methods that rely on Short-Time Fourier Transform (STFT) and ignore latent interpretability, XVAE-WMT requires no paired clean recordings and integrates a Continuous Wavelet Transform (CWT) front-end for superior time-frequency localization. We assessed the latent space interpretability via different metrics, with SHAP (SHapley Additive exPlanations) enabling dimensionality reduction to the top 75% of latent features while preserving separation quality. Evaluated across two datasets using Signal-to-Distortion Ratio (SDR), Signal-to-Interference Ratio (SIR), and Signal-to-Artifacts Ratio (SAR), XVAE-WMT attains 26.8 dB SDR, 32.8 dB SIR, and 28.6 dB SAR.

Designing models that generalize effectively in low- to medium-data regimes remains a primary challenge in medical machine learning, particularly for physiological time-series classification. While tabular foundation models such as TabPFN offer an attractive alternative to conventional fine-tuning through in-context learning, they are not designed to capture the temporal dependencies inherent to physiological signals. ~In this paper, we introduce TSPFN, a foundation model that redesigns TabPFN's architecture for time series data. TSPFN integrates structured temporal representations and positional embeddings to capture intra-sample temporal and channel dependencies. To fully leverage its spatio-temporal design, the model is pretrained on 140,000 real-world physiological time series across multiple medical domains. This yields a unified, generalizable framework capable of learning the specificities of medical time series. Experiments across diverse physiological benchmarks demonstrate that TSPFN consistently outperforms standard tabular baselines and TabPFN, and achieves superior cross-domain generalization compared to specialized deep time-series models. All our experiments, ablation studies, and pre-processing scheme are publicly available at https://github.com/Jeremstym/TSPFN

Robust understanding of user input is a core requirement for voice assistants deployed in real-world environments. In practice, these systems encounter heterogeneous fallback situations caused by noisy audio input, transcription errors, ambiguous requests, incomplete utterances, or unintended activations. Existing systems typically respond with generic fallback messages, which do not resolve the underlying interaction failure and can degrade user experience. We study fallback handling in a deployed smartwatch-based voice assistant for general health support in everyday environments. Our analysis is based on six months of real-world usage data from more than 500 users, yielding a dataset of 3,030 anonymized, naturally occurring fallback-triggering utterances. We contribute (1) an operational taxonomy and the annotated VoxFallbacks dataset of these interactions, (2) a comparative evaluation of different models within a classification pipeline under practical deployment constraints, and (3) practical lessons for designing robust and cost-efficient fallback mechanisms. Results show that lightweight embedding-based classifiers outperform larger generative models on most classification tasks while requiring substantially fewer computational resources.

We present OLIVE, a framework for adapting a foundation model to provide real-time assistance in temporally demanding, high-stakes, and dynamic tasks. We show that passive EEG, fused online with behavioral evidence, can meaningfully extend the number of targets users detect and engage beyond their unaided action bandwidth. OLIVE learns from both explicit behavioral signals (the targets the user shoots down in an XR first-person shooter game) and implicit physiological signals (fixation-locked EEG) to provide timely guidance, continuously adapting a frozen vision-language model's inference on which items are task-relevant by jointly estimating per-source reliability without manual labels or offline training. Through three user studies, including two live deployments of an assistive agent driven by OLIVE in XR, we show that OLIVE Pareto-dominates prior test-time adaptation frameworks, achieving the highest convergence rate at comparable convergence speed. Combining implicit physiological and explicit behavioral signals, the OLIVE agent produces the largest and most reliable within-session improvement to a user's ability to detect and engage targets, largely independent of the individual's skill. When the target switches silently, the agent that uses both behavioral and physiological signals reconverges significantly faster than the behavior-only agent (1.27 times faster on average, p = .008), restoring trustworthy guidance at the moment the task changes, precisely when reliable assistance matters most.

Dexterous human-machine interaction requires intuitive and expressive interfaces that can be efficiently deployed on constrained edge devices. Flexible material-based neuromotor interfaces hold considerable promise, as they decode human movement intention into natural control. Although emerging flexible electronic skins enable wearable high-fidelity data acquisition, practical deployment inevitably involves trade-offs between computational resources and portability. We present a data-centric paradigm where physiological features yield fundamental separability, providing sufficient discriminative cues for recognition. A wireless, high-bandwidth system developed for collecting various electrophysiological signals, when integrated with muscle-specific electrodes, forms a surface electromyography-based interface. Exploiting highly separable data, a 2,210-parameter model achieves 94.36% accuracy across 34 gestures and can be rapidly deployed on edge devices, establishing a new thousand-parameter benchmark for dexterous decoding. The underlying data-algorithm interactions in the data-centric paradigm are further clarified, demonstrating its feasibility in real-world scenarios. This study provides a principled and validated pathway for practical deployment of reliable neuromotor interfaces.

Massage therapy is helpful for the rehabilitation of various diseases, such as headaches caused by migraines and stress. Existing robotic systems have focused on massage therapy on the torso and limbs, but performing massage motions through suitable actuation on a person's head has been a challenge. In this paper, we present MiBOT, a head-worn massage robot that actuates two soft tactors to produce touch motions mimicking human massage. A key design principle behind MiBOT is its silent actuation, which we achieve through pneumatic artificial muscles in conjunction with a controller loop to respond to contact pressure. We evaluated the effectiveness of MiBOT in a controlled study and assessed subjects' blood pressure and heart rate levels while applying MiBOT. We found that our mechanical system generated positive and conclusive quantitative outcomes that are similar to the human-administered massage, decreasing participants' mean systolic and diastolic blood pressure by 2.8 mmHg and 1.7 mmHg, respectively, as well as calming their heart rate by 8-10% on average.

Remote photoplethysmography (rPPG) enables contactless physiological measurement from facial videos, yet its subtle pulse-related variations are easily affected by illumination variation, head motion, facial blur, and region-of-interest instability. Existing methods mainly suppress interference during feature learning, while whether the learned temporal features remain affected by interference and how to further suppress such interference before rPPG estimation are rarely examined. To address this limitation, we propose PhysVR, a vision-language model guided interference-aware temporal feature refinement framework for rPPG estimation. Specifically, a physiological backbone produces global temporal features and a coarse rPPG prediction, from which signal-derived physiological reliability evidence is constructed from local temporal characteristics. In parallel, a frozen vision-language model processes sampled facial frames under an interference-oriented prompt, and an evidence head extracts visual interference evidence from the VLM output. Temporal cross-attention integrates the physiological and visual evidence with the global temporal features to construct interference-aware temporal context. Guided by this context, a shared temporal correction unit performs general refinement, while four interference-specific experts selectively suppress different interference through adaptive routing. The refined temporal features are then used for final rPPG estimation. Extensive experiments on five public benchmarks demonstrate that PhysVR consistently outperforms representative methods under both intra-dataset and cross-dataset evaluation protocols.

Objective. To develop and evaluate a cuffless continuous blood pressure (BP) estimator using temporal physiological and demographic features. We propose a hybrid Transformer framework to estimate diastolic and systolic BP from ECG/PPG-derived feature sequences. Approach. Rather than raw waveforms, the framework models 10-step sequences of six physiological descriptors and two demographic covariates. A Multi-Source Temporal Encoder Module combines Transformer, Kolmogorov-Arnold Network, and XGBoost branches to capture complementary temporal, nonlinear, and tabular information. A Dynamic Conditional Fusion-Decoder applies differential multi-head attention, token-weighted aggregation, and gated residual correction. A robust composite objective jointly optimizes DBP and SBP. Main results. Using the MIMIC-III Waveform and Clinical Databases, the source pool comprised 28,486 waveform segments from 203 subjects, and feature generation retained 53,621 observations from 166 subjects. On 2,431 segment-level held-out test windows, mean error +/- standard deviation was 0.41 +/- 3.74 mmHg for diastolic BP and -1.60 +/- 5.95 mmHg for systolic BP, with 95% limits of agreement of [-6.93, 7.74] and [-13.25, 10.06] mmHg, respectively. The proportions within 10 mmHg were 98.48% and 94.36%. The framework achieved the lowest standard deviations and narrowest limits of agreement among the locally retrained baselines. Significance. The feature-sequence fusion framework improved agreement with reference BP and fell within numerical AAMI and BHS Grade A thresholds on this split. This retrospective analysis is not formal device validation; subject-disjoint and external evaluation remain necessary before clinical use.

Clinical data sources such as electronic health records and wearable sensors record patient status repeatedly over follow-up, often at irregular times and on different schedules for different measurements. These data create opportunities for continuously updated, individualized risk prediction. Existing approaches, however, often simplify the temporal structure for model fitting. We introduce Random Hazard Forests (RHF), a survival tree ensemble that estimates how a patient's hazard changes in continuous time as new measurements become available. The method formulates the estimation problem directly through a nonparametric hazard likelihood for predictable covariate processes. An efficient working model guides tree construction, after which flexible time-varying hazards are estimated for each terminal node. Given any predictable covariate path, each tree follows the path through its terminal nodes over time and assembles the corresponding node-level hazards into a trajectory. Averaging these trajectories across trees yields the pathwise hazard estimate. Because routing at each time uses only the covariate state available immediately beforehand, the construction accommodates internal longitudinal covariates without lookahead. Simulations and an intensive care application show that the forest accurately estimates changing risk under irregular and asynchronous covariate updates.

Foundation models (FMs) trained on large-scale accelerometer data have been proposed as general-purpose feature extractors for health monitoring, but systematic evidence of their advantages is lacking. We present the first comprehensive evaluation of four open-source accelerometer FMs against supervised baselines covering 19 tasks across the domains of activity recognition including activities of daily living, clinical monitoring, and physiological inference. We find task-dependent performance results: supervised models remain competitive with FMs on human action recognition (HAR), with no consistent advantage for either, while selected FMs lead on fall and stress detection and are the most robust to sensor-placement variation. As frozen feature extractors, FMs are strongest for demographic inference, whereas sleep staging performance remains near chance level for all models. The internal FM representations show strong similarity across layers, highlighting potential for future FM improvements. Linear and frozen probing reveals that UniMTS provides the strongest representations and is the only FM that surpasses the supervised baselines without finetuning. Concept discovery analysis shows all models capture high-intensity activities clearly but struggle with sedentary, complex or ambiguous activities. We provide scenario-based deployment recommendations. Furthermore, we identify FM-derived activity profile inference-moving beyond fixed category classification-as a promising research direction.

Falls are a major health concern for older adults, and wearable sensors have been widely explored for detecting falls and enabling timely intervention. However, real-world falls are extremely rare: collecting 100 of them requires an estimated 100,000 days of monitoring, resulting in severely limited labelled data for training machine learning models. Consequently, many approaches rely on simulated datasets, often reporting high laboratory performance but limited real-world generalisation. We present a systematic evaluation of motion representations for wearable fall detection under real-world data scarcity. Using accelerometer signals, we compare interval-based, kernel-based, symbolic, and foundation model representations. As an interpretable baseline, we additionally investigate a lightweight symbolic representation that converts short motion segments into symbolic sentences augmented with physically-grounded impact descriptors. Experiments use FallAllD, a simulated falls dataset, and FARSEEING, a clinically verified real-world falls dataset. Through cross-validation, controlled data scarcity, and cross-dataset transfer, we examine how representation choices affect robustness under realistic deployment. Our results reveal that highly parameterised kernel and foundation models excel on simulated data but degrade severely under both data scarcity and domain shift. Although the interval-based representation achieves the strongest absolute real-world performance, augmenting a symbolic representation with physically-grounded impact descriptors yields the smallest degradation under domain shift and retains detection sensitivity under extreme scarcity, albeit at lower precision. These findings highlight the importance of evaluating beyond simulated benchmarks and show that representation choice is critical for deployable fall detection given the scarcity of real-world data.

Continuous physiological time series underpin modern clinical monitoring, yet many of the most informative signals are invasive, expensive, or simply unavailable for a given patient. Conditional generation offers a remedy: an absent signal can be synthesized from co-recorded signals and routine clinical variables. Existing generators, however, are built around a single conditioning modality and degrade when forced to handle the heterogeneous, irregularly missing mix of time-variant signals and static covariates seen in practice. We propose ReCoGen (Represent Conditions, then Generate), a two-stage framework that decouples multimodal condition representation from target generation. Stage I trains one masked autoencoder per modality, distilling each time-variant condition into a compact and missingness-tolerant token sequence. Stage II trains a flow-matching generator that fuses these tokens with static conditions to synthesize the target signal. Across three physiological benchmarks, including continuous glucose monitoring on AI-READI and arterial blood pressure generation on MIMIC-III and MIMIC-IV, ReCoGen attains the best downstream utility on all sixteen (dataset, task, metric) settings, surpassing six representative conditional generators; on thirteen of them its utility also reaches or exceeds the utility measured on the real signal, a reference we read as an approximate anchor rather than a ceiling. Ablations trace the gains to the conditioning path: learnable cross-attention over the frozen per-modality encoders, and a dual token-plus-AdaLN route for the static conditions. ReCoGen thus turns routinely collected signals into informative surrogates for invasive or unavailable ones, a step toward less invasive, lower-cost continuous clinical monitoring.

Arterial pulse waveform morphology evolves with age, reflecting structural and functional changes in the cardiovascular system. Thus, vascular age is a valuable surrogate marker of cardiovascular health, and premature vascular ageing can indicate increased disease risk. Pulse wave analysis could support risk stratification in otherwise asymptomatic adults. We transformed pulse wave time-series data from photoplethysmography (PPG) and arterial tonometry into images, using the Symmetric Projection Attractor Reconstruction (SPAR) method. These SPAR images were used to train a convolutional neural network to classify healthy subjects into two closely spaced age groups (35-40 and 50-55 years). The model demonstrated consistent classification performance across internal and external test sets, achieving F1 scores above 70% for both PPG and tonometry signals. These results suggest that SPAR-derived pulse wave images contain discriminative morphological features even among healthy adults close in age. This proof-of-concept lays the groundwork for future research into the use of SPAR for early risk detection using smart wearables.

Recent advances in large language models (LLMs) and multimodal LLMs (MLLMs) have created new opportunities for wearable speech interfaces, with smart glasses providing an egocentric platform for continuous audio sensing and assistance. However, speech recognition and understanding in this setting remain challenging because of dynamic acoustic conditions, speaker overlap, and the spatial ambiguity introduced by wearer-centered recording geometry. To support systematic evaluation in this setting, we introduce the IEEE SLT 2026 SmartGlasses Challenge for egocentric multi-speaker speech processing. The challenge consists of two tracks, Dyadic Dialogue Understanding and Multi-party Meeting Understanding, and jointly evaluates Time-Stamped Speaker-Attributed Automatic Speech Recognition (TSA-ASR) and Spoken Language Understanding (SLU). It is built on a 106-hour four-channel egocentric speech dataset containing 714 sessions collected in real-world scenarios. This paper describes challenge tasks, dataset construction, submissions, and summarizes the main findings from the shared evaluation. The results show that heavy speaker overlap remains a major factor affecting TSA-ASR performance, while paralinguistic acoustic understanding continues to be difficult for current audio-language models in complex SLU settings. Further details can be found on the official challenge website.

Long-horizon egocentric video is a rich substrate for wearable AI assistants, but object-centric questions such as where an item was moved, when it last changed state, or why it was relocated remain difficult because caption- and transcript-based memories rarely preserve persistent object identity or structured spatial change. Existing long-video QA methods mainly emphasize temporal grounding and clip retrieval, while prior 3D scene-graph methods typically assume stronger geometry than free-motion wearable RGB video provides, including point clouds, RGB-D input, posed views, sparse reconstruction, or reconstructed scenes. R4DSG introduces a relative 4D scene graph memory for long egocentric video. Instead of storing raw graph sequences, R4DSG converts video into compact queryable memory entries indexed by time, place, persistent objects, anchor-relative change, and local interaction context. The main idea is to separate stable anchors from dynamic objects, maintain persistent object identity across frames, and represent object state through anchor-relative transitions rather than a globally aligned world model. Built on recent RGB-only advances in promptable video segmentation, temporal propagation, and relative 3D lifting, the method produces a retrieval-ready memory directly usable for long-horizon question answering. Evaluation on a 255-question object-related subset from EgoLifeQA shows, under question-only retrieval, a 6.7-point overall gain over EgoRAG-Text and a 12.5-point gain on when questions, which highlights the value of temporally organized object memory. These results position relative 4D scene graphs as a practical memory substrate for wearable assistants, AR systems, and embodied multimedia agents. GitHub Page: https://dualtransparency.github.io/R4DSG/.

Body-focused repetitive behaviors, such as hair pulling and skin picking, are compulsive motor actions commonly associated with obsessive-compulsive and anxiety disorders. Their early, objective detection remains difficult because the movements are subtle and overlap with ordinary, non-pathological gestures. We developed and evaluated a multimodal deep learning framework to detect and classify these behaviors from wrist-worn sensor data. The data, collected by the Child Mind Institute using the Helios wrist-worn device, combine inertial measurement units, thermopile sensors, and time-of-flight sensors, capturing kinematic, thermal, and proximity information. The framework combined a convolutional neural network with a gated recurrent unit, alongside modality-specific autoencoders and a late-fusion classifier, to exploit temporal and spatial dynamics. It achieved an F1 score of 0.985 and an area under the receiver operating characteristic curve of 0.997 for binary detection, distinguishing these behaviors from other activities, and a macro-averaged F1 score of 0.700 with an area under the curve of 0.963 across a nine-class scheme that distinguished each individual behavior from a single grouped Non-Target class, improving over single-modality baselines. Post-hoc interpretability based on Shapley additive explanations showed that the time-of-flight and inertial modalities dominated discriminative power by capturing spatial proximity and dynamic movement, while hierarchical clustering indicated that misclassifications were driven primarily by the anatomical region of the gesture. These findings demonstrate that multimodal sensor fusion enables accurate, objective, and continuous behavioral monitoring. This work establishes a foundation for real-time, wearable-assisted mental health diagnostics and personalized interventions in biomedical research and clinical care.

Wireless Body Area Networks (WBANs) generate multivariate physiological time series that are highly nonstationary and must often be processed under strict computational and memory constraints. A critical yet underexplored challenge in this setting is selecting an appropriate temporal receptive field, which serves as a strong inductive bias for anomaly detection models. Existing approaches typically rely on fixed temporal contexts, which can perform inconsistently across heterogeneous signal regimes and require dataset-specific tuning. We propose ORCA, an agentically controlled anomaly detection framework that dynamically adapts the temporal receptive field at inference time based on lightweight signal statistics. Rather than introducing additional trainable parameters or learned policies, ORCA employs a supervisory controller that autonomously selects among discrete temporal contexts, enabling state-dependent inductive bias adaptation without retraining. Across a custom WBAN dataset, ORCA achieves performance comparable to the strongest fixed-context baselines (AUROC = 0.99) while eliminating the need to tune temporal horizons in advance. We further evaluate ORCA on MIMIC-IV as a challenging out-of-distribution benchmark, observing conservative generalization behavior without performance collapse under heterogeneous clinical conditions. These results highlight adaptive temporal inductive bias control as a practical and robust design principle for anomaly detection in resource-constrained, nonstationary physiological time series.

General-purpose wearable foundation models are pretrained on broad sensor streams and populations, but their representations are not organized around women's health. FemWear is a women's wearable foundation model, obtained by parameter-efficiently repurposing a pretrained general multimodal wearable backbone into a specialized representation for women's health. It keeps the pretrained patch projection and Transformer encoder frozen and trains 239,236 encoder parameters - 1.11% of a 21.54M-parameter encoder - through low-rank residual adapters and causal task-family heads, producing one shared longitudinal representation for menstrual, symptom, affective, sleep/recovery, autonomic, activity, and pregnancy outcomes. We evaluate six cohorts with 63 comparable primary metrics, 33 from women's-health cohorts, while retaining the 32-task OpenMHC ability-retention benchmark. On a fixed participant split over three seeds, FemWear improved cycle-phase macro-F1 by 8.15% and reduced mean absolute error for cramps, mood symptoms, and sleep problems by 9.32%, 5.80%, and 9.43%; 24-hour onset AUPRC decreased by 3.40%. A stricter 42-participant nested leave-one-participant-out audit retained positive changes for 24-hour onset (+2.87%), 72-hour onset (+6.35%), and cramps (+2.19%), while phase, mood, and sleep changes were neutral or negative and no endpoint had a strictly positive corrected confidence interval. Capacity-matched experiments beat a latest-day multilayer perceptron but not shared-GRU or multi-gate mixture-of-experts baselines. Train-only calibration reduced onset expected calibration error by 84.2-88.2% with zero temporal-nesting violations. FemWear is therefore a women's wearable foundation model: a reproducible, parameter-efficient specialization delivering targeted transfer across women's-health tasks and coherent probability outputs.

Continuous hemodynamic monitoring guides treatment decisions in surgery and intensive care. However, gold-standard signals are only measured in severe cases due to risks associated with invasive measurement. In this work, we introduce HIPNO (Hemodynamic Inference via Physics-informed Neural Operators) to recover hemodynamic state from ubiquitous, non-invasive signals and expand access to advanced monitoring. HIPNO addresses a problem of scale symmetry in physics-informed hemodynamic inference, where different combinations of flow, resistance, and compliance can generate the same observed pressure. We identify the symmetry group of the observation model and parameterize the network in its quotient space. For the 3-element Windkessel model, the quotient coordinates are the compliance-normalized flow $U=Q/C$, the decay time constant $τ_{WK}=R_2 C$, and the characteristic-impedance coordinate $κ=R_1 C$. Across 945499 intraoperative windows from 2562 patients, HIPNO predicts $τ_{wave}$, a proxy for vascular decay derived from pressure, with 32% lower error on the log scale than a population baseline while preserving mean arterial pressure accuracy. Because vascular decay and flow drive occupy separate coordinates, counterfactual perturbations produce the expected directional responses in at least 90% of windows in almost all prespecified scenarios, a separation unavailable to pressure-only baselines. The coordinates are also used as inputs to a calibration model for monitored cardiac output. Finally, the formulation identifies the external compliance or flow reference required to recover absolute physical scale.

Cardiovascular AI models can classify clean elec- trocardiogram (ECG) signals, but real wearable signals change because of motion, breathing, posture, sensor contact, and true clinical deterioration. This paper asks when a model should keep its prediction, change it, or flag uncertainty. We propose a physiologic stability framework, called PECS, that compares changes inside the model with measurable changes in the signal. ECG is treated as the main cardiac signal, photoplethysmography (PPG) adds pulse and vascular information, and respiration is used only when ECG and PPG disagree. We test the framework on PTB-XL at pilot and full scales and on synchronized BIDMC and MIMIC waveform cohorts. The PTB-XL pilot and full- scale analyses selected different domain pairs, and the strongest cross-modal pair also changed across BIDMC and MIMIC, showing that adding every available signal is not always the best choice. PECS outperformed the evaluated drift-detection baseline implementations, reaching drift classification accuracy (DCA) of 0.8786 on expanded BIDMC and 0.9560 on MIMIC. The MIMIC results also showed that respiration can help during disagreement cases, but it should be used selectively rather than as an automatic override. Overall, the results support PECS as a candidate monitoring framework for wearable cardiovascular AI while highlighting the need for scale-aware domain selection and interpretable trust routing

Learning disentangled representations is a key requirement for developing versatile, general-purpose, and sustainable models in multi-modal wearable computing. However, existing approaches do not operate as full-stack wearable processors, i.e., they do not simultaneously address task-specific classification performance, disentangled and interpretable representation learning, fusion, and generative modeling of highly heterogeneous multi-modal time series. To address this gap, we introduce Omni-modal Variational Decomposition Autoencoders (OmniDecVAEs), a framework that efficiently learns multi-purpose representations in a unified and scalable manner from arbitrarily many modalities. OmniDecVAEs extend DecVAEs by learning modality-conditioned time-frequency latent subspaces through a multi-view self-supervised decomposition loss and a shared asymmetric autoencoder (AE) architecture. Results on a challenging omni-modal human activity recognition (HAR) setting with up to thirty modalities, demonstrate the ability of OmniDecVAEs to learn full-stack wearable representations. When compared to transformer-based and VAE-based methods, OmniDecVAEs full-stack disentangled representation properties lead to accuracy improvements of 1.01% and 6.75% in activity and identity recognition, respectively. Furthermore, OmniDecVAEs synthesize realistic omni-modal time-frequency data that manifest with enhanced reconstructions (mean absolute error improves by 76.84%) and distributional similarity between real and synthetic data (maximum mean discrepancy improves by 13.85%). Our results highlight OmniDecVAEs potential as a lightweight model suitable for intelligent edge wearables and clinical healthcare, unifying processing requirements and abilities in a single model, through its enhanced representational capacity, modality-invariant spatial complexity (4.1M parameters), and real-time latency.

Wearable human activity recognition (HAR) is often limited by the scarcity of labeled sensor data, especially in low-resource, class-imbalanced, and subject-generalization settings. Synthetic IMU generation can reduce this dependency and enhance HAR machine learning model's performance, but existing approaches face a trade-off without addressing all factors: video-driven methods are visually grounded but sensitive to pose-estimation errors, while text-driven methods are controllable but often weakly grounded in how activities are actually performed. We present VSMP-IMU, a video-grounded framework for controllable synthetic IMU generation based on a structured Semantic Motion Program (SMP), which separates activity-defining semantics from label-preserving variation. Given an input video, VSMP-IMU extracts and augments an SMP, uses it to synthesize motion, converts the motion into virtual IMU signals, and grounds the resulting signals to the target wearable domain. We evaluate VSMP-IMU against state-of-the-art synthetic data generation methods on five public IMU-HAR datasets under leave-one-person-out evaluation. VSMP-IMU achieves an average Macro-F1 of 78.33%, improving over real-only training by 9.77% and over the strongest prior synthetic baseline by 4.04%. In low-resource settings with reduced training data-samples, it improves over real-only training by 18.54% and over the strongest prior synthetic baselines by more than 6% on average. Under long-tail evaluation in imbalanced datasets, it improves tail-class Macro-F1 by 19.86% over Real-only training and by 4.76% over SOTA. These results show that structured video-grounded semantics provide a practical foundation for controllable, wearable-relevant synthetic sensor data generation.

Respiration provides a continuously available window into physiological state and behavior. However, monitoring it outside controlled settings remains challenging because a wearable system must capture small body deformations while remaining comfortable, low power, and robust to changes in posture and motion. We present a compact non-invasive respiratory sensing system based on a force-sensitive resistor (FSR) embedded in an abdominal belt and integrated with a custom Bluetooth Low Energy acquisition board. The system combines a simple piezoresistive readout with a mechanical holder designed to transfer abdominal expansion to the sensor without analog amplification. We evaluate the complete sensing pipeline across multiple breathing patterns and body positions. In stationary settings, the recorded signals exhibit consistent amplitude changes and recurring peak-to-peak timing across breathing maneuvers; under light movement, these variations remain visible despite motion-induced baseline shifts. We further design a five-phase stress-induction protocol and collect respiratory recordings from 12 participants. Using interpretable time-domain features and standard classifiers, we examine whether the acquired signals distinguish relaxation from stress-induction phases. In this preliminary experiment, the best-performing model achieves 88.0% test accuracy, indicating that the extracted respiratory features distinguish stress-induced phases from relaxation phases in this dataset. Overall, our results show that the proposed platform enables real-time respiratory monitoring across diverse daily-life scenarios and captures respiratory changes that distinguish stress-induction from relaxation phases, supporting its potential for affective-computing applications.

Ubiquitous companion robots offer a promising avenue for immediate anxiety relief in children, yet their effectiveness relies on the ability to monitor physiological states continuously and unobtrusively. Current solutions often depend on external wearables, which impose usability barriers and limit the robot's autonomy. This paper investigates the integration of an embedded photoplethysmography (PPG) sensor directly into a pocket-sized companion robot, AffectaPocket, to enable self-contained heart rate monitoring during tactile interaction. We address the significant challenge of motion artifacts inherent in handheld usage by implementing a two-stage filtering pipeline that utilizes an onboard Inertial Measurement Unit (IMU) to reject high-variance segments and a confidence-based smoothing algorithm for recovery periods. We evaluated the system against a commonly used wrist worn sensor in a Within-Subjects Study with 26 participants. Our results demonstrate that the filtering strategy significantly reduced the Mean Absolute Percentage Error and achieved statistical equivalence to the ground truth measurements (p<0.05). Analysis of short-duration interactions shows that the sensor requires stability over longer periods to converge.

Soft wearable robots have evolved rapidly from proof-of-concept devices into promising platforms for rehabilitation, occupational assistance, and human augmentation. As the field matures, its central challenge extends beyond the development of softer materials and more capable actuators to the integration of sensing, intelligence, and human adaptation into systems that users can wear comfortably, trust, and benefit from over extended periods. This transition motivates the concept of Human-Centric Embodied Intelligence (HCEI), in which intelligence emerges from the coupled human-robot system through the interaction of morphology, multimodal sensing, adaptive cognition, compliant actuation, and the wearer's own physiological and behavioral adaptation. To organize this perspective, this review introduces the Perception-Cognition-Actuation-Augmentation (PCAA) framework, which positions perception and cognition as the primary drivers of design, shifting development beyond the conventional actuator-first paradigm. Using this framework, the review synthesizes advances in soft materials, wearable sensing, artificial intelligence, actuation, human-robot interaction, digital twins, clinical translation, manufacturing, regulation, and ethics, highlighting how these interdependent components collectively shape long-term personalization and real-world deployment. By providing a unified conceptual framework and design perspective, this review aims to guide future research, foster interdisciplinary collaboration, and accelerate the translation of next-generation soft wearable robots toward personalized, predictive, and human-centric wearable intelligence.

Commercial wearable devices continuously capture rich physiological data (e.g., heart rate, respiration), opening new possibilities for monitoring health conditions, notably around stress. Despite their promise, turning raw wearable physiological data streams into visualizations that surface stress-related insights in daily activities, and that ultimately foster reflection, awareness, and better stress management, remains a significant challenge. The data are noisy and context-dependent: the same spike in heart rate can come from sprinting, a tense presentation, or laughing with friends. To address these challenges, we propose a framework that combines user annotations with wearable data to support better stress management. We introduce a web framework offering interactive visualizations that layer daily activities, stress events, and interventions onto raw physiological streams, enabling users to reflect and identify trends. In a four-week pilot with seven university graduate and undergraduate student participants who logged 269 events, our tool revealed patterns between different types of interventions and stress: social interaction reduced average heart rate by 4.35 to 5.0 beats per minute, deliberate rest reduced average Garmin stress scores by 10.03 to 13.83 points, and mindfulness activities decreased average HRV by 6.61 to 13.22 milliseconds.

Accurate detection of sedentary behavior is important for studying health risks related to prolonged sitting, but posture-based classification remains challenging with wearable sensors, especially at the wrist. We study whether a deep learning model trained on hip-worn accelerometer data can transfer to wrist-worn accelerometer data for sitting versus non-sitting classification. We use CHAP, a CNN-BiLSTM model originally developed for hip accelerometers, and evaluate its zero-shot performance on wrist data as well as its adaptation through finetuning with varying amounts of labeled wrist data. Experiments are conducted on the iWatch dataset with ground-truth posture labels derived from wearable cameras. The hip-trained model performs strongly on hip data without retraining, but accuracy drops on wrist data due to sensor placement shift. Finetuning CHAP provides consistent advantages over transformer models trained from scratch. These findings suggest that hip-based pretraining provides a useful starting point for wrist deployment, while highlighting the need for wrist-specific adaptation to handle higher signal variability.

A wearable assistant should both answer questions about its visual history and recognize when that history is useful to the present situation. Existing video-memory systems primarily support question-conditioned recall, whereas proactive assistants typically use separate memory and control mechanisms. We introduce GROVE, a training-free framework that supports both behaviors with one memory grown causally from a continuous video stream. GROVE retains fine-grained perceptual evidence and incrementally consolidates it into time-stamped moments, coherent episodes, and recurring cross-day patterns. Each stratum is paired with a scale-native retrieval skill for locating an observation, replaying an activity, or traversing long-range regularities. Reactive QA and proactive assistance share this memory and access interface, differing in whether retrieval is initiated by a user query or the current situation. Across multiple benchmarks including the challenging MM-lifelong and EgoServe, GROVE achieves the best results among the compared methods. Controlled ablations show that the temporal strata and their access skills are complementary, with patterns providing the largest benefit when evidence spans multiple days. Code will be available at https://github.com/SitongGong/GROVE.

Non-invasive blood glucose level (BGL) estimation from photoplethysmography (PPG) holds great promise for wearable health monitoring, but results across studies are hard to compare due to inconsistent datasets, data leakage, and non-standardized evaluation metrics. We present the first reproducible, extensible evaluation pipeline and use it to reassess five representative PPG-based BGL methods on published datasets under three increasingly strict data-split protocols: random window-level, participant-aware, and leave-some-participants-out (LSPO). Models appeared competitive under random splitting but collapsed under participant-aware and LSPO evaluation, with nearly all yielding near-zero or negative R$^2$ values comparable to a mean-prediction baseline. Critically, across every model and split, over 90% of predictions fell within clinically acceptable zones (Clarke Error Grid A+B), including the baseline. This reveals a fundamental disconnect: clinical zone metrics systematically conceal model failure in this domain. Our findings demonstrate that random train-test splits substantially overestimate the generalization of PPG-based BGL models due to sample-level data leakage, and that robust ML evaluation must precede clinical validation to meaningfully assess real-world utility.

Recent advances in robot learning for manipulation have increased the importance of collecting real-world demonstration data. However, existing robotic systems primarily focus on end-effector manipulation, making it difficult to teach and execute manipulation tasks involving body-surface contact with the arms and chest. This paper presents TWINS (Tactile Wearable Isomorphic Arm Networked System), a robotic system for manipulation involving body-surface contact. TWINS consists of a Wearable Dual-Arm Device, which is worn by the operator, and an Isomorphic Robot with the same joint configuration and external dimensions. Distributed tactile sensors embedded in the chest and arms enable the measurement of body-surface contact synchronized with joint motion. Using the Wearable Dual-Arm Device, we collected demonstrations for four manipulation tasks involving body-surface contact. We then trained imitation learning policies using the collected demonstrations and deployed them on the Isomorphic Robot, enabling manipulation guided by body-surface tactile observations. Experimental results demonstrate that TWINS provides a unified robotic system for demonstration, learning, and execution of manipulation involving body-surface contact. https://mmurooka.github.io/twins-project-page/

Automated sleep staging assigns discrete stage labels to successive time epochs throughout an overnight recording; conventionally each window spans at least 30 seconds, reflecting the minimum temporal resolution of the clinical scoring standard. Wearable photoplethysmography (PPG) has attracted sustained interest as an ambulatory alternative to laboratory-based polysomnography, which relies on electroencephalography (EEG) and other recording modalities that are impractical outside clinical environments. Yet PPG-based staging trails EEG-based methods by a substantial margin, and we argue this gap largely reflects a mismatch between signal and task. Within a stable stage, PPG's inter-stage feature differences are more subtle than those in EEG; yet at stage boundaries, PPG's principal cardiovascular features, heart rate variability and pulse morphology, shift sharply within seconds. The conventional practice of assigning one label to each 30-second epoch therefore suppresses feature that is concentrated near boundaries. We address this gap in two steps. First, we develop a label expansion pipeline based on Hidden Semi-Markov Models that converts coarse epoch labels into sec-level annotations. To assess whether these expanded labels are reliable enough for downstream supervision, we validate them on a separate expert-reviewed dataset and through an auxiliary sleep-wake task whose labels are independent of the expansion pipeline. Second, we use the resulting sec-level supervision on MESA to improve conventional four-class epoch-level staging across four architecturally diverse baselines by 3.7--5.7,pp in accuracy against the original epoch labels, with supplementary zero-shot evaluation on CFS showing that the transfer benefit persists under cohort and annotation-protocol shift.

Cybersecurity is a fundamental requirement for protecting wearable devices used in healthcare Internet of Things (H-IoT) systems. Security failures in these resource-constrained systems directly compromise patient safety. Physiological data and network traffic are frequent targets of cyberattacks in H-IoT environments. To address these risks, deep learning-based cybersecurity mechanisms for H-IoT often involve complex architectures with large parameter counts. Existing datasets are also rarely assessed for quality, limiting their applicability. However, this research addresses these challenges by developing multiple realistic datasets and proposing lightweight deep learning models, namely the Temporal Convolutional Network (TCN) and Residual TCN (Res-TCN), for H-IoT. It includes two binary classification datasets for Distributed Denial of Service (DDoS) attacks and a multiclass dataset representing Selective Forwarding (SF), Man-in-the-Middle (MITM), and DDoS attacks. The datasets UL-ECE-MQTT-DDoS-H-IoT2025 and UL-ECE-UDP-DDoS-H-IoT2025 are generated in Cooja and ns-3 to capture transmission behaviours and protocol variations. The third dataset, UL-ECE-MultiAttack-H-IoT2025, integrates physiological and network features to represent multiple cyber threats in H-IoT. Building on this, the TCN model is designed to detect and mitigate DDoS attacks over the MQTT and UDP-based datasets. It incorporates a monitoring frequency-based detection mechanism and a dynamic threshold-based mitigation strategy. To enable edge deployment, the model is quantised and converted into TensorFlow Lite (TFLite) for real-time DDoS detection on Raspberry Pi 4, achieving low latency and power-efficient operation in H-IoT. This thesis establishes a deep learning-based cybersecurity defence mechanism encompassing realistic dataset generation, lightweight model design, and edge deployment for securing H-IoT systems.

Derived measurements increasingly enter large language model (LLM) pipelines as direct facts despite their instance-dependent validity. We define derived-feature over-trust (DFOT) as the failure in which a downstream LLM assigns such a measurement the epistemic status of a direct fact or uses it outside its valid scope. Using physiological sensing as a case study, D1 tests acceptance of a PPG-derived rhythm contradicted by offline ECG, whereas D2 tests rejection of an offline-confirmed reliable PPG rhythm under misleading severe history. ECG supplies training supervision and offline reference construction but is never shown to the LLM. Five estimands quantify this chain: conflict over-trust rate (COTR) and context-induced error rate (CIR) characterize D1/D2; correct repair rate (CRR) measures frozen-error repair; evidence-specific repair margin (ESRM) contrasts matched and patient-disjoint shuffled evidence; and utility harm rate (UHR) measures unnecessary verification among HIGH-reliability cases used without verification at baseline. The framework does not depend on a particular reliability generator. We demonstrate it on 50,000 paired PPG-ECG records using ECG-to-PPG privileged distillation as an illustrative baseline and PPG-only inference. On a protocol-locked 187-patient test, the baseline improves four repair and specificity endpoints by 1.82-6.69 percentage points, with all paired confidence intervals excluding zero; UHR increases by 0.67 percentage points (95% CI: -0.4 to +1.7). DFOT provides a common evaluation target for stronger mitigation methods. The code is available at https://github.com/Zongheng-Guo/When-Derived-Measurements-Mislead.

Wearable sensors continuously capture fine-grained multivariate time-series data, providing opportunities to model behavioural patterns associated with health outcomes. However, existing deep learning methods prioritise predictive accuracy over interpretability, limiting their application in health research. In this study, we present HealthCAT, a flexible framework that integrates an Encoder-only Transformer with an Attentive Class Activation Token (AttentiveCAT) to generate class-specific, time-step-level interpretations. These interpretations can be mapped back onto behavioural cycles that are relevant to the domain (e.g., time-of-day), supporting individual-level analysis of wearable sensor data. We evaluated HealthCAT using two real-world wearable sensor datasets (306 participants in total). HealthCAT outperformed deep learning baselines by up to 17% in F1-score and 12% in accuracy on both datasets ($p<0.05$). In masking experiments, the time steps identified by HealthCAT carried significantly more predictive value than random selection across all masking conditions ($p<0.05$), indicating that the identified time steps are predictively informative. By coupling predictive performance with validated time-step-level interpretability, HealthCAT moves wearable sensor analysis beyond aggregated metrics towards temporal patterns that support health monitoring, behavioural pattern analysis, and intervention design in health research. The significance of this work is that it enables accurate prediction of health indicators from wearable sensor data while providing insights into when and how physical activity patterns occur, rather than relying solely on aggregated summary measures.

Continuous cuffless blood pressure (BP) monitoring remains challenging due to motion artifacts, physiological variability, and the limited robustness of conventional pulse transit time (PTT) models under dynamic conditions. Many prior approaches rely on multi-second windows to stabilize estimation, an assumption that is frequently violated during real-world monitoring with intermittent signal corruption. Here, we show that discriminative BP-related information is preserved at the single-beat level and present a lightweight multi-modal wearable framework for continuous BP estimation. The system integrates synchronized chest electrocardiography (ECG) and ear-clip reflectance photoplethysmography, each co-located with a 6-axis inertial measurement unit to provide motion context. We introduce a hybrid learning architecture in which a one-dimensional convolutional neural network extracts a 64-dimensional embedding from individual PPG beats and fuses it with 30 physiology-grounded features, including PTT statistics and heart rate variability, followed by LightGBM regression. The method was evaluated using a multi-phase stress protocol ($n=10$) and the PulseDB public dataset with subject-disjoint validation. Across 30 independent runs, the model achieved mean absolute errors of $4.02 \pm 0.21$~mmHg for systolic BP and $1.79 \pm 0.05$~mmHg for diastolic BP, corresponding to a 28.2% reduction in combined MAE relative to baseline models. By enabling beat-wise estimation without long temporal context, this framework supports computationally efficient cuffless BP monitoring suitable for wearable deployment under practical resource constraints. The source code for this work is available at https://github.com/SYMBIOX-Lab/BP-wireless.