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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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/

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.

Human Activity Recognition (HAR) from wearable sensors supports applications in healthcare, rehabilitation, fitness tracking, and smart environments. Yet, existing deep learning approaches require dataset-specific training, large labeled corpora, and repeated adaptation to new sensor settings or activity taxonomies. Retrieval-Augmented Generation for Human Activity Recognition (RAG-HAR) addresses this by framing HAR as a training-free, retrieval-augmented task, in which statistical descriptions of sensor windows are used to retrieve similar labeled examples that guide LLM-based classification. We introduce RAG-HAR+, a retrieval-first and cost-optimized extension that strengthens retrieval while reducing dependence on LLM-based inference. RAG-HAR+ uses an offline Retrieval Designer Agent to design dataset-specific feature groups from a diverse pool of motion descriptors, enabling sensor windows to be compared using features better aligned with dataset-specific activity patterns. During inference, RAG-HAR+ uses majority voting over retrieved neighbors for samples with strong retrieval evidence and defers only uncertain cases to an LLM-based Ambiguity Resolver Agent. Across six HAR benchmarks, RAG-HAR+ maintains competitive or improved performance while reducing LLM usage, token consumption, and inference time. We further extend the RAG-HAR mobile prototype to demonstrate the practical feasibility of retrieval-first, LLM-assisted HAR in mobile sensing scenarios.

Traditional approaches to wearable health signal analysis, such as smartwatches, are constrained by rigid analytical frameworks and limited personalisation. The emergence of LLM agents creates a new opportunity for Personal Health Agentic Analysis, where health insights can be generated adaptively and in context. However, currently there is no open-source locally deployable platform capable of processing personal health data in real time while preserving privacy. We present HiMe, a locally deployable, privacy-first agent platform that is fully compatible with real-time health data ecosystems across a wide range of wearable devices. HiMe is guided by three design principles. The database is treated as a first-class component. Effectiveness and efficiency are jointly optimised to achieve a low-cost Pareto-optimal balance. Data are processed in real time while the user is modelled over the long term. Together, these principles make it practical for individuals to harness Personal Health Agents for continuous, personalised health monitoring for better wellbeing.

Short-term Heart Rate Variability (HRV) forecasting could provide clinicians with actionable lead time for detecting autonomic dysfunction and adverse cardiac events. Consumer wearable devices generate fragmented, artifact-rich HRV signals that challenge conventional forecasting approaches. In this study, we evaluated the forecasting ability of three Time Series Foundation Models (TSFMs), TimesFM, Chronos, and MOIRAI, against traditional baselines (Mean, Exponential Smoothing, and Exponentially Weighted Moving Average) on real-world wearable data collected from 49 healthy individuals. To address data fragmentation, we introduce a variability-preserving imputation method that augments linear interpolation with locally adaptive stochastic noise, retaining physiological dynamics essential for accurate forecasting. The results show that TSFMs outperformed all baselines without fine-tuning, achieving average Mean Absolute Scaled Error (MASE) between 0.81 and 0.87 across TSFMs and both context lengths (32 and 64 time steps), with Chronos and TimesFM as the top models, though MOIRAI showed limited gains over baselines. With up to a 2-hour forecast horizon, the results establish a baseline for TSFMs' performance on a real-world dataset, highlighting domain-specific fine-tuning as a promising direction for clinical deployment.

Reliable and continuous human tracking is essential for natural human-robot interaction, particularly for companion robots. However, many existing approaches rely on wearable tags or fixed cameras with limited fields of view, which reduces system flexibility and often causes tracking failures when the target moves outside the sensing range. In this paper, we present a human tracking approach based on a gimbal-mounted camera integrated into a mobile robot. By actively controlling the gimbal mechanism, the camera can dynamically adjust its viewing direction to maintain the target within the field of view, even under substantial relative motion between the robot and the human. Furthermore, a continual learning strategy is applied to the person re-identification (ReID) task to adapt to changes in appearance and environmental conditions during long-term tracking. Experimental results demonstrate that the proposed system significantly improves the stability and continuity of human tracking, enables real-time re-identification, and provides responsive feedback for reliable tracking of human motion from walking to running. User studies further indicate that the proposed approach enhances user comfort by eliminating the need for wearable tags.

Automatic pain localization, which involves identifying the anatomical origin of pain from peripheral physiological signals without patient self-report, is a clinically critical but largely unaddressed problem, particularly for non-verbal patients. This paper presents a systematic comparison of classical feature engineering and deep sequence learning for subject-independent three-class pain localization using the AI4Pain 2026 Challenge dataset, which comprises four synchronously recorded wearable modalities: electrodermal activity, blood volume pulse, respiration, and peripheral oxygen saturation recorded from 65 participants under controlled TENS-induced pain. A 115-dimensional hand-crafted feature set spanning time-domain, frequency-domain, modality-specific, and cross-modal descriptors is benchmarked against end-to-end deep architectures. Extremely Randomized Trees achieves the highest macro-F1 of 0.539, outperforming the best deep model by 7.4 percentage points, with EDA spectral features emerging as the dominant discriminators. A consistent 26-point gap between pain detection (F1,=,0.815) and localization (F1,=,0.552) across all models points to a fundamental ceiling imposed by the anatomical diffuseness of peripheral autonomic pathways at 10-second resolution.

Hearables are wearable computers worn on the ear. Bone conduction microphones are used with air conduction microphones in hearables for multimodal speech enhancement in noisy conditions. Despite this potential, current models largely fail to explore how jointly reducing sampling bit resolution and sampling frequency in analog-to-digital converters (ADCs) of hearables impacts both power usage and audio quality. Furthermore, current frameworks cannot do sub-Nyquist sampling in hearables because they lack a method to reconstruct wideband signals from narrowband components. We therefore propose CAPS, which (i) intentionally employs sub-Nyquist sampling and low bit resolution in ADCs, achieving a 3.3x reduction in power consumption in hearables, and (ii) supports streaming operation on mobile platforms with an inference time of 1.36 ms and a memory footprint of 11.04 MB. CAPS ensures robust speech intelligibility in real-world settings, bridging the gap between efficiency and power savings.

Cardiovascular diseases are the leading cause of death worldwide, and conditions such as arrhythmia often require long-term monitoring for effective detection and diagnosis. However, current wearable monitoring devices are bulky, uncomfortable, and typically rely on clinicians to manually evaluate electrocardiograms (ECGs). While Deep Learning (DL) algorithms have shown superior performance in arrhythmia detection and classification, their computational complexity coupled with high power consumption limit deployment in wearable devices. To address this challenge, this paper investigates the use of approximation techniques to reduce the power and energy consumption of DL architectures while maintaining acceptable classification performance. Specifically, techniques such as data precision reduction and approximate multiplication are investigated in a state-of-the-art DL model and its corresponding hardware architecture. The model is trained and validated using the MIT-BIH Arrhythmia Database, and hardware implementations employing various approximate multipliers are synthesized and evaluated. Compared with the state-of-the-art 8.75 μW (and 2.08 μJ) reference architecture, our proposed architecture consumes 3.07 μW (and 2.17 μJ) at 12 kHz, showing 64.9% reduction in power consumption while providing an acceptable output quality, i.e., 93.7% classification accuracy and 92.1% sensitivity. At 100 MHz, our proposed architecture consumes 9.45 mW (and 0.8 μJ), showing 61.5% reduction in energy consumption as compared to the state-of-the-art architecture. These results demonstrate that our proposed approximations significantly extend wearable device battery life while preserving the required arrhythmia classification performance.

Deploying humanoid robots in unstructured terrain remains an open problem. While classic reinforcement learning struggles with the sheer complexity of real-world interactions, more promising methods leveraging human priors remain limited to models lacking contextual awareness. The restricted motion synthesis is a direct consequence of existing dataset pipelines failing to capture human-scene sequences in challenging environments. To bridge this gap between humanoid learning and scene reconstruction, we introduce the Egocentric Human-Terrain Reconstruction (EgoHTR) dataset. We develop and open-source a reconstruction pipeline capturing 55 scene-aligned 4D human motion sequences in diverse, complex environments using a multi-sensor setup of egocentric wearables and a portable 3D scanner. The resulting dataset comprises over 150k frames, which we evaluate against motion-capture ground truth, demonstrating state-of-the-art accuracy and establishing a rigorous benchmark for human motion analysis and synthesis. Further, we leverage this data to train perceptive locomotion policies, demonstrating hardware deployment on a Unitree G1 for reconstructed reference motions. Our pipeline enables community-driven dataset extensions and factors the problem to help researchers build foundational, context-aware robots that reliably traverse uneven terrain.

Detecting muscle fatigue via surface electromyography (sEMG) is essential for applications in sports, rehabilitation, and wearable health monitoring. Accurate and timely detection of fatigue is crucial for preventing injuries, optimizing physical performance, and ensuring user safety during prolonged activity. However, existing deep learning models are often unsuitable for this task due to their high computational cost and dependence on large-scale data. In this work, we propose an energy-efficient framework for muscle fatigue detection based on Spiking Neural Networks (SNNs), which exploit sparse, event-driven computation and temporal modeling. We further introduce a quantization-compatible training scheme (SDH) that combines multiple regularization terms to improve robustness under noisy conditions. Evaluated on two public sEMG datasets against a broad set of baselines and under seven noise conditions including physically motivated perturbations, our quantized SNNs match or exceed strong baselines while remaining more stable under diverse noise and reducing estimated energy consumption by up to 201.77x. These results demonstrate the framework's strong potential for real-time deployment in low-power wearable systems.

Deploying deep learning models for automated electrocardiogram classification on resource-constrained wearable devices remains challenging due to high computational costs. To address this, we propose LSTrans, a lightweight hybrid model designed for efficient and sensitive ECG analysis. LSTrans introduces a specialized 1D convolutional backbone with an interleaved layer architecture to capture both macroscopic rhythmic trends and microscopic morphological variations. This backbone is cascaded with a Transformer encoder to model long-range temporal dependencies, incorporating Low-Rank Adaptation across critical layers to compress the model and reduce the trainable parameter space. We further employ homogeneous and heterogeneous knowledge distillation to transfer diagnostic expertise from high-capacity teacher models to the student. Experimental results on multiple benchmark datasets demonstrate that LSTrans achieves a competitive balance between diagnostic sensitivity and resource efficiency, substantially reducing peak memory footprints and training latency during downstream adaptation. The source code is available for review at https://github.com/zyee00128/LSTrans4BIBM.

The modern-day surge in popularity of wearable devices poses a fundamentally unique motion capture problem: reconstructing full-body movement from any set of sensing hardware worn at a given moment. Yet, most research efforts assume fixed sensor configurations (e.g. IMU suits or HMD-centric rigs) and cannot generalize across them. In contrast, we argue that motion capture should prioritize unobtrusive and lightweight devices such as smartphones, smartwatches, smart glasses, and smart insoles, and study the interplay between them. To this end, we make three contributions. First, we present a large-scale multi-modal dataset synchronizing these consumer-grade sensors with ground-truth 3D motion, spanning 50 diverse activities including everyday tasks, sports, and social interactions. Second, we propose WHIP, a baseline generative model that reconstructs motion from arbitrary subsets of available sensors, robustly handling missing modalities and producing physically plausible motions. Third, we conduct a systematic study of sensor complementarity, quantifying how different modalities complement one another. Code and dataset are available at https://vcai.mpi-inf.mpg.de/projects/WHIP/

Wearable motion sensing provides a continuous and scalable window into human behavior and health, making it a natural fit for foundation models, yet its pretraining and scaling principles remain poorly understood. Prior work studies isolated design choices, such as sensor placement or sampling frequency, often under fixed settings and narrow downstream tasks that fail to capture real-world sensing diversity. We introduce Inertia-1, a fully open exploration of wearable motion foundation models. Using massive corpora of accelerometer data from global sources spanning more than 18.2M hours, we build a controlled framework for studying the full lifecycle of wearable motion foundation models, covering data choices such as sensor modality, device placement, sampling rate, window length; model choices such as architectures and model size; and training choices such as pretraining objective and data scale. Extensive evaluations across 15 datasets spanning human activity recognition, freezing-of-gait detection, and disease prediction reveal intriguing findings for building motion foundation models that generalize across tasks and sensing conditions. Collectively, Inertia-1 not only presents state-of-the-art recipes for diverse downstream tasks, but also serves as a comprehensive, practical, and open cookbook for wearable motion representation learning.

As haptic interfaces integrate more seamlessly into wearables and everyday environments, they increasingly require actuators that are soft, thin, silent, and energy efficient. However, conventional motors and temperature-responsive polymers often struggle to deliver these properties due to their bulky form factors and high power consumption. High-Voltage Electrostatic Actuators (HVEAs), which generate force by applying an electric field to localized charge concentrations using high voltages and ultra-low currents, have recently emerged as a compelling alternative due to their fast, silent, and low-power operation within highly customizable and compliant form factors. This paper presents a focused review of HVEAs for haptics, examining four major classes: electrostatic switchable adhesives, dielectric elastomer actuators, soft electrohydraulic actuators, and electrokinetic pumps. For each class, we describe their mechanisms that enable haptic output; characterize their bandwidths, force densities, and spatial scalability; and evaluate their versatility for rendering cutaneous and kinesthetic feedback across wearable and world-grounded interfaces. Through this cross-technology analysis, we identify common design constraints and emerging strategies for improving ergonomics, streamlining fabrication, and integrating self-sensing. We conclude by outlining where HVEAs are uniquely positioned to advance haptic interaction and highlighting key research directions needed to translate these technologies into practical systems.

WiFi-based human pose estimation (HPE) enables the detection and interpretation of human body positions and movements without the need for wearable devices while preserving individual privacy concerns. Implementing this solution requires enhancing model performance and maintaining efficiency, especially on resource-constrained devices. This paper introduces a novel framework, WiLHPE, for lightweight and efficient human pose estimation using WiFi CSI signals. Empowered by a camera-based model during training, WiLHPE processes raw WiFi signals directly to estimate human poses in the testing phase. It employs a novel neural network architecture to dynamically learn convolutional kernels and apply attention mechanisms across channel and frequency spaces. This innovative method diversifies the kernels to improve the recognition capabilities of WiFi signals without adding complexity, ensuring efficiency. Additionally, the Tree-Structured Parzen Estimator algorithm is employed to optimize the critical hyperparameters of the neural network efficiently, minimizing the time required for optimal hyperparameter search compared to heuristic methods. Results from experiments on both the MM-Fi and WiPose datasets highlight the superiority of WiLHPE over state-of-the-art approaches, achieving 85.96% and 94.27% at PCK50, respectively, with minimal computational overhead. Notably, WiLHPE performs impressively even under challenging conditions, maintaining around 80% at PCK50 under AWGN noise with an error variance of 0.5.

Quantitative 3D spatial reasoning from egocentric RGB-D video is a critical capability for next-generation wearable assistants. Yet existing benchmarks do not reflect the challenges of handling (1) natural egocentric video, (2) posed RGB-D video inputs, and (3) challenging quantitative 3D spatial reasoning Q&A. To fill this gap, we introduce R3D-Bench (Reasoning in 3D), a benchmark of 3,033 quantitative spatial reasoning questions across 15 types -- spanning multiple-choice, distance-based, and volumetric reasoning questions -- built on top of 57 egocentric video sequences from Aria Digital Twin. To set a strong baseline on this dataset, we introduce R3D, a model-agnostic spatial tool-calling framework. In contrast to existing approaches that directly embed 3D information into the model's input representation, R3D constructs a 3D scene from video using segmentation and depth-lifted object representations. It provides this information to an LLM through eight composable spatial tools. On R3D-Bench, R3D with Qwen3-VL 235B achieves 73.5% mean relative accuracy, substantially outperforming the best depth-enabled baseline (CuTR+Tools, 61.9%) and the best RGB-only baseline (Gemini 3 Flash, 46.5%).

As wearable devices enable continuous first-person recording, AI assistants must reason across long time horizons to recall past experiences-a capability known as episodic memory. Current benchmarks often rely on offline evaluation with access to entire video files, failing to simulate the streaming reality of wearable intelligence. We introduce S-EMBER (Streaming Egocentric Memory Benchmark for Episodic Retrieval), a large-scale benchmark comprising 3,141 videos totaling 388 hours of organic activity captured via Ray-Ban Meta smart glasses. S-EMBER formalizes grounded streaming episodic retrieval, a paradigm shift from global offline search to causal, active recall triggered by visual events in a continuous stream. We provide 9,448 QA pairs requiring manual visual proof through precise temporal localization and supporting flexible response lengths to simulate natural human-AI interaction. Our extensive benchmarking of frontier models uncovers a localization paradox: while semantic reasoning improves with parameter scale, temporal grounding precision remains a stagnant architectural bottleneck that does not benefit from brute-force increases in model size, resolution, or frame density. S-EMBER establishes a hardware-authentic foundation for developing grounded, reliable episodic memory in the next generation of wearable AI agents.

Wearable devices produce large, high dimensional training logs for everyday runners, and interpretation rather than data collection is now the limiting step. This paper evaluates five dimensionality reduction models, three autoencoder variants, PCA, and a Variational Autoencoder, on their ability to compress nine sensor runner profiles into a single scalar performance indicator, the latent score. Because the setting is fully unsupervised, model quality is assessed along two complementary axes: reconstruction error (Mean Squared Error) and latent score interpretability, measured via Spearman and Kendall rank correlations, Mutual Information, and Permutation Importance. These are combined into a composite selection criterion that prevents selecting models on reconstruction accuracy alone. Feature rankings from the four metrics are aggregated via a modified Borda count, and their stability is confirmed by bootstrap validation. A two feature linear baseline is included to anchor the comparison. Deep autoencoder achieved the lowest reconstruction error and the highest composite score. Once the PCA hidden layers were widened, the deeper variants became closely competitive with Deep AE on the composite criterion, indicating that the limiting factor was hidden layer capacity rather than the one dimensional bottleneck. Running pace, aerobic decoupling, and average heart rate emerged as the dominant latent score drivers across all models and resampling runs, consistent with established physiology.

Wearable devices and Internet of Things (IoT) sensors require on-sensor processing of biosignals and environmental data, including computationally demanding operations such as nonlinear activation functions for neural network inference, sensor calibration curves to map raw readings to physical units, and signal preprocessing functions like logarithmic compression and power operations for feature extraction. These functions exhibit significant complexity, often involving transcendental operations and multivariate dependencies that are costly to implement digitally. Analog function approximation provides a power-efficient alternative by performing these computations in the analog domain, thereby reducing the energy overhead associated with analog-to-digital conversion and subsequent digital processing. Flexible Electronics (FE) present a particularly attractive platform for wearable applications due to mechanical flexibility and low-cost fabrication, but impose strict constraints on circuit density and power consumption, making efficient analog implementations critical but challenging. This work introduces Analog Kolmogorov-Arnold Networks (AKANs), developed via hardware-software co-optimization, to approximate these complex multivariate functions accurately under hardware imperfections. Our method incorporates circuit-level error modeling during training and applies pruning at both software and hardware levels to reduce area and power. Validation across multiple benchmarks demonstrates that our proposed pruning methodology not only reduces hardware cost but can also improve approximation accuracy by regularizing spline parameters. Results show up to 55% area and 50% power savings, with average reductions of nearly 30% across datasets, highlighting AKANs as a robust and generalizable framework for low-power analog function approximation in FE.

Recent advances in Human Activity Recognition (HAR) from wearable sensors have shown that multi-modal deep learning models consistently outperform their uni-modal counterparts. Modalities can include IMUs, RGB cameras, audio signals, and others. One important aspect of multi-modal deep learning is the sensor fusion approach we apply. Over recent years, multiple fusion paradigms have been proposed for multi-modal HAR. However, to the best of our knowledge, no head-to-head comparison of these paradigms exists on a common multi-modal HAR benchmark dataset. To address this research gap, we systematically compare seven state-of-the-art sensor fusion methods on the recently released HARMES dataset, which comprises 61 hours of fully labeled IMU, audio, and ambient humidity data. The chosen dataset focuses on 15 household and personal hygiene activities of daily living (ADLs). By applying the seven different fusion techniques to a state-of-the-art multi-modal model architecture, we show that Gated Multi-modal Fusion achieves the highest macro F1-score (0.82), surpassing the concatenation-based late fusion HARMES paper baseline of 0.76 by +6pp under leave-one-participant-out evaluation. All code used in our experiments is made publicly available on GitHub.

Respiratory acoustic foundation models (FMs) are benchmarked exclusively on smartphone recordings, yet clinical deployment increasingly targets body-coupled (BC) wearables whose sensors attenuate high-frequency content through tissue and bone, leaving FM reliability uncharacterised. We introduce BCoughBench, evaluating five FMs (OPERA-CT/CE/GT, HeAR, M2D+Resp) on nine classification tasks (AUROC, sensitivity at 95% specificity, Expected Calibration Error) and three age regression tasks (MAE vs. a mean-predictor baseline) across five EBEN-simulated BC sensor conditions on five labeled cough datasets. Mean AUROC declines from 0.785 (smartphone) to 0.689-0.723, degrading most under temple vibration pickup ($Δ$ = -0.096) and least under the soft in-ear ($Δ$ = -0.062). No FM meets the clinical sensitivity threshold (Se@Sp95 $\geq$ 0.20) on most disease tasks under any BC sensor. Sex classification on the CIDRZ cohort collapses (AUROC 0.954 to 0.596-0.628, $Δ$ = -0.341) while COVID detection is nearly unaffected ($Δ$ = -0.004). Age regression is robust, improving under the forehead accelerometer on CoughVID (MAE 9.61 to 8.97 yr); HeAR leads on regression and demographic tasks, M2D+Resp on disease and characteristic tasks. BCoughBench provides a reproducible framework for FM evaluation under wearable conditions.

Language models are remarkably capable at medical question answering, in some cases surpassing the accuracy of general physicians. However, answering questions about wearable health data remains challenging and understudied, as these ubiquitous sensors produce continuous, high-dimensional, and longitudinal data, which is non-trivial to align with text-centric distributions in LLM pretraining. The diversity of sensor modalities and user intents cannot be effectively handled by a fixed reasoning workflow or a single pretrained foundation model. To address these challenges, we propose WEQA, a query-adaptive agent framework that unifies LLM reasoning with specialized wearable analytical and modeling tools. An LLM controller is employed to synthesize execution plans and dynamically route each query to the appropriate combination of sensor analysis and pretrained models, and perform grounded response auditing with external knowledge. We also curate a benchmark spanning four open wearable datasets comprising analytic and predictive tasks in three different health domains. Experiments show that our framework is 24% more accurate than LLM and agentic baselines, and a blinded study with 12 medical experts and 8 users shows substantial gains in usefulness and clinical soundness.

A robot's flash endurance is a non-renewable stock: every persisted write spends one of a few thousand program/erase cycles and never refills, yet no fielded robot memory system prices which memories are worth an erase cycle. We treat embodied memory as depreciating capital and price that stock with a single endurance shadow price $η$, which makes cost-minimizing placement across a RAM / on-board NVM / cloud hierarchy a threshold in a wear-augmented per-byte index. The index is cost-optimal whatever the sign of the value-write association $χ$; only when $χ> 0$ does the optimum turn non-monotone, sending a robot's most valuable memories off its flash. The pivot is thus empirical, and we measure $χ$ on real robot logs at a pre-specified gate: its sign is a property of the deployment regime -- positive on recurrent long-horizon manipulation ($\hatχ \approx +1.0 \times 10^{-3}$, replicated at full power), null on a shorter-horizon suite, and negative on non-recurrent teleoperation. Two boundaries scope the result. The endurance budget is dormant on premium 3,000-P/E TLC at datasheet prices and binding on the commodity QLC/eMMC ($\sim$1,000 P/E) that cheaper edge robots run. And where it binds, a learned wear-aware controller only ties price-based routing on task value, because realized value is tier-invariant across RAM, NVM, and cloud: the rent governs device lifetime and cost, not task performance. Whether wear-aware placement improves task value remains open -- $χ$ is measured against a value proxy, and the non-monotone optimum, while proven, is not yet observed in data.

Personal health data from wearables are typically presented through dashboards of charts and summary statistics, requiring users to actively interpret patterns and implications. We explore an alternative interaction paradigm: engaging with personal health data through an embodied conversational agent that facilitates objective data reflection in dialogue with the user. We present a system that combines lightweight preprocessing of wearable data with a Unity-based embodied character. Internally, the system follows a dual-agent design in which an Observer agent extracts descriptive statistics and temporal trends, and a Presenter agent communicates these findings through "spoken statistics," intentionally refraining from clinical advice to isolate the impact of the interaction modality. We evaluate this approach through a simulated-self user study (N=5) using a within-subject design. Participants adopted health personas and goals derived from the LifeSnaps dataset to compare traditional dashboard exploration with embodied conversational reflection. Our evaluation focuses on perceived understanding, the specificity of generated actions, and the cognitive shift from passive viewing to active sensemaking. The paper contributes a functional prototype, a design pattern for objective health data narrative generation, and early empirical insights into how embodiment affects the interpretation of personal health metrics.

Embedded devices from wildlife monitoring stations to clinical wearables require local AI inference due to latency, communication, or privacy constraints. Optimizing models for heterogeneous microcontrollers (MCUs) requires simultaneously satisfying hard physical constraints on memory, power, and temperature while preserving accuracy, a multidimensional optimization that is today performed manually by experts. We ask whether an LLM agent can autonomously navigate this complex, multi-turn pipeline guided by real hardware feedback, and introduce a hardware-in-the-loop agent arena in which the agent iteratively refines both model and firmware -- compiling, flashing, and measuring on real hardware -- to enable closed-loop optimization. Frontier models, including Claude Opus 4.7 and Gemini 3.1 Pro, fail entirely without hardware feedback (0% deployment success), whereas our hardware-in-the-loop formulation achieves the first successful deployment within three iterations and can surpass human expert results within seven. This agentic co-optimization achieves 250x compression for vision models with <3.3% accuracy loss and 400x for audio with <6% Feature Error Rate loss, enabling battery-free operation on a commercial MCU via solar harvesting. We demonstrate practical impact in two real-world systems: an elk-detection camera trap (96.7% accuracy) and a phonetic-transcription wearable (8.44% FER) for child development research.

Diabetes and extreme blood sugar levels are some of the major health problems faced by humans today across the world. While Continuous Glucose Monitoring (CGM) has emerged as an effective technology for management of diabetes as well as for monitoring blood sugar levels, this technology has traditionally been invasive (that is, requiring the piercing of the skin) and carries the risk of irritation, induration, etc. This highlights the need for accurate and non-invasive CGM methods that can be deployed at scale. With the emergence of various sensing technologies and their integration in wearables like the smart-watch, we now have the capability to continuously monitor body signals like the Photoplethysmogram (PPG) in a non-invasive manner. Having the ability to continuously monitor blood glucose through CGMs and continuously monitor PPG signals through a smart-watch offers an opportunity to get dense data on these two, opening the possibility of building machine learning and deep learning based models to estimate blood glucose level from PPG signals. In this work, we first present a paired dataset comprising continuous PPG signals from a smartwatch along with glucose values recorded using a CGM device. We also present the results of some preliminary experimental explorations performed on our dataset. These preliminary results suggest that some predictive signals may exist, though more exploration is needed with more data from a larger number of individuals. The dataset can be accessed at https://zenodo.org/records/20577959

Continuous cardiac monitoring in wearable devices demands classifiers that are simultaneously accurate, energy-efficient, and deployable on resource-constrained hardware. While deep neural network approaches have demonstrated high classification accuracy for electrocardiogram (ECG) arrhythmia detection, their substantial parameter counts and reliance on multiply-accumulate-intensive operations make them impractical for low-cost edge platforms. In this work, we propose ECG-LDC, a hardware-software co-design framework that adapts Low-Dimensional Computing (LDC) for real-time ECG arrhythmia classification. ECG-LDC employs a dual-encoder architecture with dedicated value and feature codebooks to independently encode morphological waveform features and RR-interval temporal features, enabling effective capture of both intra-beat and inter-beat cardiac dynamics. The framework encompasses data preprocessing, model training, and a hardware accelerator architecture prototyped on the Pynq-Z2 platform. Implemented using binary representations and XOR/XNOR-based operations, ECG-LDC achieves $97.18\%$ accuracy with a memory footprint of only $3.86\ \text{kB}$. ECG-LDC sacrifices approximately $1.8\%$ accuracy versus SOTA TinyML classifiers but achieves $11$~$570\times$ reduction in memory usage; among FPGA-based five-class arrhythmia classifiers, it delivers the highest accuracy with up to $2.4\times$ fewer LUTs and zero DSP block utilization, affirming its suitability for real-time arrhythmia detection on resource-constrained wearable platforms.

Wearable devices and smartphones generate rich behavioural time series that can support proactive health interventions, yet systematic comparisons of modern forecasting architectures for these data are lacking. In particular, it remains unclear how models generalise across populations, how different architectures respond to participant-level fine-tuning and how forecasting accuracy degrades across multi-day horizons. We benchmark six deep learning architectures, two zero-shot Foundation Models (FM) and statistical baselines on three public datasets encompassing over 800 participants, reporting per-feature metrics for step counts, screen time and sleep duration across 1-8 day horizons. We further conduct a per-feature personalisation study across all six architectures and assess FM transferability across dataset sizes and temporal granularities. Our key findings are: (i) no single architecture dominates, PatchTST leads among trained models while the three runners-up (TCN, MLP, Transformer) show no meaningful performance difference; (ii) the FM TimesFM matches or exceeds trained models zero-shot, especially in low-data regimes and (iii) participant-level fine-tuning reduces per-feature RMSE by 16-60%, with sleep benefiting most and step counts least. These results provide practical guidance on architecture selection, FM applicability and personalisation strategies for mobile health forecasting. To the best of our knowledge, this is the first study to jointly evaluate modern deep learning, FMs and personalisation for multi-horizon behavioural forecasting from wearables.

Post-traumatic stress disorder (PTSD) in veterans is characterized by persistent hyperarousal and comorbid anxiety and depressive symptoms that are difficult to monitor and manage outside clinical settings. Thirteen veterans participating in a Project Hero cycling event in Texas were randomized by computer-generated sequence in a naturalistic setting to two arms: (1) digital intervention plus physical activity, or (2) physical activity only, plus a third at-home monitoring control cohort consisting of 7 veterans selected from the broader Project Hero veteran community. Continuous smartwatch sensing combined heart rate and accelerometer features to detect hyperarousal events, which were confirmed in real time by participants. Weekly self-report measures of anxiety, depression, and PTSD severity were collected. Generalized additive mixed models characterized nonlinear trajectories over time. Baseline-normalized hyperarousal trajectories differed significantly across conditions, with the digital intervention group (n=7) showing structured stabilization compared to late-study escalation in the physical-only group (n=3). Both cycling groups exhibited acute symptom improvements during the endurance event; however, the digital intervention group demonstrated a higher overall maintenance of gains. The at-home control group (n=4) showed gradual symptom declines. Perceived precision of ML detections varied substantially across individuals and was positively associated with symptom severity, with higher-severity participants confirming a greater proportion of detected events. These results suggest that coupling wearable detection with digital self-management tools may support stabilization of hyperarousal and symptom improvement while emphasizing the importance of personalization and human-centered design in wearable mental health systems.

Wearable healthcare devices are the fastest-growing Internet of Things (IoT) sector. Many automated healthcare services rely on two crucial biological signals, namely ECG and EEG, which reflect the activity of the heart and brain, respectively. Although deep neural networks are considered the primary way to process and analyze these signals, the very tight energy and computational power constraints in wearable devices are far below the computational, energy, and memory bandwidth demands of DNN models, thereby impeding the deployment of deep learning in many practical wearable services. This paper investigates the feasibility of deploying state-of-the-art DNN models in resource-constrained wearable devices. Notably, we explore the trade-off between accuracy and computational complexity of DNNs when parameter quantization and electrode reduction methods are used. Our investigation centers on several state-of-the-art DNN models designed for EEG signal analysis, specifically for detecting epileptic seizures. Our findings demonstrate that, when applied judiciously, these techniques can significantly reduce the complexity of the DNNs under consideration with minimal adverse effects on accuracy. These results reveal the explicit trade-offs between accuracy and complexity reduction encountered when adapting DNN-based online EEG analysis for wearable devices.

Type 2 Diabetes (T2D) poses an increasing global health threat, demanding effective glycemic assessment to support personalized and improved diabetes care. Wearable sensors such as continuous glucose monitors (CGM) and fitness trackers offer many valuable insights for glycemic assessment. However, effectively analyzing these data requires integration with essential individual-level context. Existing methods are often based on traditional machine learning (ML) and rely primarily on historical blood glucose measurements and overlook personalized information, which limits their performance across diverse diabetes populations. Recent advances in large language models (LLMs) have demonstrated their ability to integrate diverse data modalities while modeling sequential dependencies, motivating the exploration of their potential for personalized glycemic assessment. In this paper, we propose GlyLLM, an LLM-powered framework for modeling CGM-based glycemic dynamics through the integration of wearable sensor data and structured metadata. GlyLLM can leverage the extensive prior knowledge of pre-trained LLMs and achieve sensor-text semantic abstraction at decision time. Experiments on two related tasks on the AI-READI dataset demonstrate that our model outperforms traditional ML methods by an average of 13.66% in Root Mean Squared Error (RMSE) for glucose forecasting and 13.08% in Area Under the Receiver Operating Characteristic (AUROC) for diabetes categorization. Additionally, our ablation study shows that diabetes surveys and biometric tests are more critical than other health information for glycemic assessment. Our work presents a promising step toward harnessing the power of LLMs to advance personalized glycemic assessment in T2D care.