Wearable Sensing

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.

Galvanic skin response (GSR) is widely used for stress detection, but wrist-based GSR remains challenging because its absolute amplitude can differ substantially from laboratory-grade palmar measurements. In this paper, we propose a unit-independent low-rate wrist GSR processing pipeline to extract the number of skin conductance responses per minute (nSCR/min) as a stress-related feature. We collect paired wrist and palmar GSR recordings from 31 participants during sitting baseline, standing baseline, neutral speaking, and the Trier Social Stress Test (TSST), a laboratory social stressor task. The proposed pipeline cleans the raw GSR signal, decomposes it into tonic skin conductance level (SCL) and phasic skin conductance response (SCR), applies robust z-score normalization, and detects phasic SCR peaks to compute nSCR/min. Using random forest on 25Hz We-Be GSR, nSCR/min achieved balanced accuracies of 0.823 and 0.871 for binary classification between TSST and the sitting and standing baselines, respectively. Moreover, the 25Hz We-Be GSR features achieved comparable balanced accuracy to the original 100Hz features across the evaluated tasks. These results suggest the feasibility of low-rate, unit-independent wrist GSR processing for wearable stress detection.

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.

Motor impairments, including tremor, bradykinesia, gait abnormalities, and postural instability, are common across many neurological and movement-related conditions. Conventional clinical assessments are often intermittent and may fail to capture subtle temporal variations in motor behavior. While wearable IMUs and third-person video have shown promise for objective motor assessment, third-person recordings raise privacy concerns and require constrained acquisition setups. In contrast, egocentric vision provides a more naturalistic and privacyaware alternative. In this work, we introduce EgoInertia-MI, a multimodal benchmark dataset combining synchronized egocentric video and wearable IMU signals for motor impairment analysis. The dataset contains 19 upper- and lower-body activities performed by healthy volunteers simulating varying levels of motor impairment severity levels: no impairment, mild impairment, and severe impairment. We establish two benchmark tasks: action recognition and motor impairment severity estimation, and evaluate multiple unimodal and multimodal baselines. Experimental results show that egocentric video provides strong cues for motor impairment assessment, while multimodal fusion achieves the best overall performance, reaching 0.78 Macro-F1 for severity estimation and 0.93 Macro-F1 for action recognition. These findings highlight the potential of combining egocentric vision and wearable sensing for ecologically valid and privacy-aware motor assessment. Code and data are available at:https://fatemah-alh.github.io/EgoInertia-MI-Page/.

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.

Quantitative measurement of the golf swing is critical for evaluating technique and enabling individualized feedback. However, existing methods are impractical to use on the golf course: optical motion capture is laboratory-bound, camera-based methods require impractical camera placement, and multi-sensor inertial measurement unit (IMU) systems require multi-segment setup and calibration. We thus propose a single wrist-worn IMU approach for estimating full-body joint angles during golf swings. The proposed Wrist-IMU Temporal Kinematic Network (WIT-KinNet) leverages modality-specific IMU embeddings and temporal kinematic encoding to learn wrist-to-body motion dependencies and estimate full-body joint angles during golf swings. Thirty-six golfers spanning beginner and skilled players, performed full, half, and quarter swings using seven club types: driver, 3-wood, 5-hybrid, 5-iron, 7-iron, 9-iron, and sand wedge. The proposed WIT-KinNet was evaluated under subject-wise cross-validation using synchronized smartwatch IMU data and ground-truth kinematics derived from an optical motion capture system. The proposed approach achieved a mean absolute error of 8.11 $\pm$ 1.84$^\circ$ across full-body joint angles. High temporal correlation was observed for pelvic rotation and upper torso rotation (r = 0.98 and 0.97, respectively), with X-factor and S-factor also showing strong correlation (r = 0.96 and 0.96). Linear mixed-effects models of the error revealed that swing amplitude, skill level, and club type all significantly affected measurement differences (p $<$ 0.05). The results establish the first single wrist-worn IMU approach for estimating full-body golf swing kinematics, enabling practical swing analysis during real gameplay.

A-mode ultrasound (US) has emerged as a promising modality for hand and wrist motion tracking. Prior works have mainly addressed static gesture classification or regression of a few degrees of freedom (DoFs), typically relying on non-wearable systems and external computing devices, and highlight the need for strategies to ensure robustness to sensor repositioning. In this work, we propose a framework for robust whole-hand and wrist kinematic tracking via wearable A-mode US using the WULPUS platform, tackling the regression of 23 DoFs directly on the probe. First, we introduce a compact (11285 parameters) multi-output convolutional neural network combined with an incremental training strategy, which improves inter-session generalization and reduces mean absolute error by more than 17% compared to a non-incremental approach. Second, we demonstrate, for the first time, the feasibility of end-to-end hand and wrist kinematic tracking entirely on-device. We deploy the model on the WULPUS nRF52832 microcontroller, achieving 0.73 mJ per inference, 29.1 ms latency, and showing the feasibility of full operation (data acquisition, online inference, and BLE streaming of results) within 33 mW, enabling up to 36 hours of continuous use and an 88% reduction in wireless bandwidth compared to raw data transmission.

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.

We present ART-Glove, an articulated tactile glove designed to capture contact-grounded dexterous demonstrations while preserving human dexterity. ART-Glove makes hand-side contact geometry explicit with 16 rigid functional surfaces covering the fingers, thumb, and palm. Twenty-two anatomically aligned joints connect these surfaces and allow them to follow human hand motion during dexterous manipulation. Encoder-based sensing tracks surface motion, while dense piezoresistive tactile sensing records contact over the same surfaces. The complete system captures synchronized 22-DoF joint measurements and 2048-taxel tactile measurements at 120 Hz. We evaluate ART-Glove across experiments on motion freedom, joint sensing, tactile sensing, and contact-rich interaction capture, demonstrating its ability to preserve human dexterity while recording contact-grounded information that can support downstream dexterous robot learning.

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

Artificial dynamic tactile sensing requires sensitivity, robustness, and compliance, yet existing technologies face trade-offs when scaling to large-area arrays, compounded by wiring complexity and cost. Here, we report a passive distributed paradigm using deep sub-wavelength acoustic waveguides that decouples performance from structural flexibility. Elastic-membrane-capped Helmholtz resonators interconnected by spring-reinforced microtubes form an enclosed network with invariant acoustic transmission under macroscopic bending. By sparsely embedding microphones, the system achieves real-time localization (4 mm highest spatial resolution; >99% accuracy in a 4 microphones 64-node sensing array) and waveform reconstruction of low-frequency signals (<100 Hz). Fast Continuous Wavelet Transform and a lightweight neural network enable inference within 5.5 ms. We demonstrate conformable prototypes-fingertip arrays, a tactile glove, and large-area skins-detecting stimuli from single-hair contact to 5-mg particle impacts, arterial pulse waves, feather touches, and finger contact. This establishes a scalable, flexible, low-cost paradigm for next-generation human-machine interfaces.

Pain is assessed differently by patients, nurses, and clinicians, yet most computational approaches assume a single ground-truth label - effectively ignoring who is doing the rating. We introduce a rater-aware, event-aligned framework that converts sparse, rater-specific pain ratings into discrete pain-change events and aligns continuous wearable physiological signals to these events, preserving rater identity throughout. Applied to multimodal wearable data collected during spine-related pain procedures, the framework identifies substantial disagreement across rater groups and provides preliminary, exploratory evidence of rater-dependent physiological differences preceding reported pain increases. These findings suggest that pain-physiology relationships may not be rater-invariant, and that aggregating assessments across raters may mask meaningful physiological patterns. A rater-aware, event-aligned perspective is therefore a promising direction for interpreting wearable data in real-world clinical pain assessment.

Force and tactile sensing are indispensable in contact-rich manipulation. However, force-aware robot learning faces critical challenges due to the incompatible assembly of tactile and force sensors in handheld or wearable devices. To address these limitations, we first introduce AetheRock for gripper-force, vision, and tactile data collection, which is an arm-worn device featuring a modular and easily manufactured visuo-tactile sensor, GelSlim-MiniFab, at the fingertip, a resistive pressure sensor at the human finger contact region, a customized PCB module, and a wearable kit for comfortable and robust collection. Building on this, we propose ForceVT, a representation learning framework that uses force and vision to guide fidelity-agnostic tactile learning, enabling robust inference in any tactile situation. Real-world experiments show that AetheRock achieves qualified data efficiency and that ForceVT effectively alleviates inefficiencies when visuo-tactile sensors exhibit manufacturing and utilization inconsistencies. Overall, our work mitigates the limitations of gripper-force vision-tactile robot learning through innovative hardware design and algorithms.

Smart eyewear enables unobtrusive, context-aware interaction through multimodal sensors and on-device intelligence, but is severely limited by power, memory, and compute constraints in a compact form factor. Open-hardware platforms supporting event-based vision and embedded ML at this scale are rare. This work introduces an open-source smart glasses platform for rapid prototyping of novel sensors and algorithms. Its modular design uses a flexible FPC interposer to support both event-based and frame-based cameras without full PCB redesign. A hardware-software co-designed power management system combines a configurable PMIC with event-driven wake-up via an nRF5340 coordinator, keeping the GAP9 RISC-V SoC powered down between inferences. The prototype achieves up to 11.5 hours of continuous on-device ML from a 200 mAh battery. As a demonstration, an egocentric hand gesture recognition pipeline was evaluated on the LynX dataset using polarity-separated event histograms from a Prophesee GENX320 camera. R(2+1)D achieved the best cross-subject accuracy of 83.94% (macro F1 = 0.781) under leave-two-subjects-out validation, with 78.3 ms end-to-end inference latency on the GAP9. Temporal augmentation and removal of ambiguous classes provided the largest gains (+8.9 pp). All hardware designs, firmware, and models are released open source.

Wearable and mobile sensing technologies enable continuous monitoring of human behavior and health in real-world settings. However, predictive modeling in longitudinal multimodal data remains challenging, particularly when targeting complex or clinically derived outcomes. In this work, we present a longitudinal multimodal study of 66 older adults conducted in real-world conditions and combining wearable sensing, behavioral monitoring, and clinical assessments. This setting provides a rare opportunity to study an underrepresented population in long-term, into-the-wild conditions. Building on this dataset, we investigate how the alignment between sensed signals and target variables affects predictive performance across health-related tasks. We design a unified evaluation framework spanning tasks with increasing levels of observability, including Activity Levels prediction, Sleep Duration estimation, and Sleep Apnea Severity classification. Our results reveal a clear gradient of predictability: highly observable behavioral targets achieve robust performance (macro-F1 65%), while more abstract outcomes remain challenging despite consistent improvements over baseline models. Moreover, through explainability analysis, we show that historical features consistently emerge as the most informative predictors, highlighting the central role of longitudinal information.

Intelligent wearable technology plays an increasingly important role in human-computer interaction, motion, and health monitoring. To ensure comfort and practicality of use, one common form for motion monitoring is to utilize soft wearable sensors. However, many research applications regarding wearable sensors are simplistic and difficult to adapt to different situations. This study proposes a system for estimating the angle of the wrist joint using a customized wristband based on an online incremental learning approach. It is a two-stage estimation method: the first stage updates the model based on the wearer's wrist movement characteristics using online learning, integrating real-time data from an IMU as ground truth. The second stage utilizes the updated model for estimation of wrist joint angle solely with the wristband. In other words, model training is completed during data acquisition, allowing the trained model to be used for subsequent angle estimation. This method offers advantages in adapting to data drift caused by variations in different testing configurations, such as the left and right wrists of the same subject, deviations in the wearing position on the same wrist, and even differences among various subjects. The results indicate that the sensors exhibit good performance under strain variations, and the wrist joint trajectory estimation of the proposed system has an approximate error of 15 degree in different scenarios.

Background: Infant cry acoustics provide a promising window into early neurodevelopment and may serve as scalable biomarkers for neurodevelopmental disorders. However, conventional microphone-based recordings are highly susceptible to environmental noise and raise privacy concerns in real-world clinical settings. Chest-surface accelerometers may offer a robust alternative by capturing vibrations directly from the larynx. Methods: We evaluated the validity of a chest-mounted accelerometer (ACC) for infant cry analysis by comparing acoustic features derived from ACC and simultaneously recorded microphone (MIC) signals during routine vaccination visits. The final sample included 85 infants (41 at 4 months; 44 at 12 months) from a diverse pediatric population. Seven vocal measures were extracted from both modalities, including fundamental frequency (F0), jitter, shimmer, cepstral peak prominence (CPP), and harmonics-to-noise ratio (HNR). Agreement and consistency between modalities was assessed using intraclass correlation coefficients (ICCs). Results: F0 demonstrated excellent agreement between ACC and MIC recordings (ICC > 0.94). Jitter measures also showed good-to-excellent agreement, while CPP demonstrated moderate agreement. Shimmer and HNR showed lower absolute agreement and systematic bias between modalities, reflecting possible differences in signal transmission and noise sensitivity. Conclusion: In summary, chest-surface accelerometers can reliably capture several clinically relevant acoustic features of infant cry, particularly temporal measures of F0 and jitter. This approach offers a noise-robust and privacy-preserving alternative to microphone-based recordings, supporting its potential use in scalable clinical and developmental research applications.

AR smart glasses need continuous behavioral context to offer proactive assistance, yet their most practical always-on sensor, the head-mounted Inertial Measurement Unit (IMU), detects only motion primitives such as walking or standing. We push beyond motion primitives to behavioral-level recognition, defining five categories that balance AR application need with sensor observability. To this end, we construct a 160K-sample Ego4D dataset with a four-tier quality assurance framework spanning 8 activity scenarios, and propose HiT-HAR, a 703K-parameter hierarchical model that outperforms prior head-mounted IMU models on five-class action and eight-class scenario recognition. We further map the observability frontier of head-mounted IMU through per-class separability analysis, identifying which behavioral categories are reliably observable (Locomotion), which benefit from temporal context (Object Transfer, Task Operation), and where scenario-dependent signal overlap poses remaining challenges. Our results indicate that architectural choices exploiting temporal context and scenario structure outperform simply scaling model size. The code and dataset are publicly available at https://github.com/Harvard-AI-and-Robotics-Lab/HiT-HAR.

Human cognitive performance is constrained by limited mental resources, yet continuous computational estimation of cognitive capacity dynamics remains an open challenge. We propose a theory-driven multimodal learning framework that models capacity-related cognitive state as a two-dimensional physiological representation defined by voluntary resource allocation (mental effort) and overload-related strain (stress). The proposed architecture combines dual-stream encoding of cardiac (IBI/HRV) and electrodermal (EDA) signals with late fusion and task-specific output heads that independently estimate probabilistic effort and stress states. Evaluation on the SWELL-KW dataset using strict leave-one-subject-out cross-validation demonstrates cross-individual generalization (stress: 70.0% balanced accuracy; effort: 72.2%), with significant gains from multimodal integration and theory-guided supervision. Rather than collapsing physiological dynamics into a single workload label, the proposed effort--stress state-space enables structured differentiation between distinct cognitive regimes, including productive engagement and overload-related strain. Predicted state trajectories exhibit significant demand-sensitive shifts under controlled workload manipulations, with effort and stress responding differentially across interruption and time-pressure conditions. These results suggest that physiologically grounded multidimensional state representations may provide a foundation for adaptive systems capable of continuous capacity-aware monitoring and human-centered interaction.

Alcohol-impaired driving remains a major yet preventable cause of road traffic injury and death, with many drivers underestimating their level of intoxication. Compared to in-vehicle systems, mobile drunk-driving detection using consumer smartwatches offers a scalable way to trigger preventive interventions and increase awareness without additional in-vehicle hardware. We introduce a system that leverages wrist accelerometer data and heart rate variability-derived physiological signals to detect alcohol-related driving impairment. We collected data in a randomized, controlled three-arm test-track study (n=54) and trained both logistic regression models with window-aggregated features and a two-tower 1D convolutional neural network (CNN), to detect alcohol-impaired driving. The CNN achieved a participant-averaged area under the receiver operating characteristic (AUROC) of 0.88 for detecting any alcohol intoxication and 0.86 for detecting driving above the WHO-recommended limit of 0.05 g/dL. To the best of our knowledge, this is the first work to (1) demonstrate drunk-driving detection using consumer smartwatches, (2) develop and evaluate such a system in a real vehicle on a closed test track, and (3) rigorously assess generalization to unseen participants. Together, these findings highlight the potential of wearable-based sensing to support scalable, measurement-driven prevention of alcohol-related traffic harm.

As wearable and mobile devices become increasingly embedded in daily life, they offer a practical way to continuously sense human motion in the wild. But inertial signals are highly dependent on the sensing setup, including body location, mounting position, sensor orientation, device hardware, and sampling protocol. This setup dependence makes it difficult to learn motion representations that transfer across devices and datasets, and limits the broader use of wearable IMUs beyond closed-set recognition. We introduce AnyMo, a geometry-aware framework for setup-agnostic human motion modeling. AnyMo uses physics-grounded IMU simulation over dense body-surface placements to generate diverse and plausible synthetic signals, pre-trains a graph encoder from paired synthetic placement views and masked partial observations, tokenizes multi-position IMU into full-body motion tokens, and aligns these tokens with an LLM for motion-language understanding. We evaluate AnyMo on three complementary tasks: zero-shot activity recognition across 14 unseen downstream datasets, cross-modal retrieval, and wearable IMU motion captioning, where it improves average Accuracy/F1/R@2 by 11.7%/11.6%/22.6% on HAR, increases zero-shot IMU-to-text and text-to-IMU retrieval MRR by 15.9% and 28.6%, respectively, and improves zero-shot captioning BERT-F1 by 18.8%. These results support AnyMo as a generalist model for wearable motion understanding in the wild. Project page: https://baiyuchen.com/project/AnyMo.

Existing deep learning approaches for wearable fall detection systems rely on self-attention mechanisms that impose quadratic computational overhead, distributing weights across all time steps. This global weight distribution impairs the precise localization of the brief impact signatures that characterize falls within short, fixed-length windows. To overcome this challenge, we propose Gated-CNN, a lightweight dual-stream architecture that processes accelerometer and gyroscope streams through independent one-dimensional convolutional feature extractors, followed by (i) a sigmoid gating module that selectively suppresses uninformative background activations while amplifying fall-discriminative features, (ii) a global average pooling layer that compresses each stream into a compact fixed-length descriptor, and (iii) a shared classification head that fuses both descriptors for binary fall prediction. For offline evaluation, we evaluate the model across five wrist-mounted inertial measurement unit (IMU) datasets, achieving average F1-scores of 93%, 93%, 90%, 91%, and 90% on SmartFallMM, WEDA-Fall, FallAllD, UMAFall, and UP-Fall, outperforming Transformer baselines. For real-time evaluation, we deployed the model on a Google Pixel Watch 3 and tested across 12 participants. The model achieves an average F1-score of 97% and an accuracy of 98% with zero missed falls, showing that sigmoid gating offers a more structurally aligned and computationally efficient alternative to attention for commodity smartwatch-based fall detection.

Wearables are widely used for mobile health monitoring, and photoplethysmography (PPG) is a key sensing modality for heart rate and related physiological measurements. However, public in-the-wild PPG datasets remain largely wrist-centric or limited to short, controlled studies, constraining research on emerging wearable form factors. We present Multi-site PPG, an in-the-wild physiological dataset collected from four custom-developed unobtrusive wearables: a smart earring, ring, watch, and necklace. Each device records green and infrared reflective PPG, 3-axis acceleration, and temperature with timestamps for cross-device alignment, while a Polar H10 chest strap provides reference electrocardiogram (ECG). Participants wore the devices for multiple days during daytime activities while continuing their normal routines. The dataset contains over 350 hours of raw data and 230-290 hours of modeling-ready 8-second windows per wearable. We benchmark heuristic, supervised, and self-supervised heart-rate estimation methods, showing substantial body-site differences: the best methods achieve mean absolute errors (MAEs) of 2.30 bpm on the earring, 5.13 bpm on the ring, 8.37 bpm on the watch, and 8.68 bpm on the necklace. We further analyze motion effects and evaluate multi-site and PPG-accelerometer fusion, demonstrating the dataset's value for robust physiological sensing across emerging wearable form factors.

Autism Spectrum Disorder (ASD) is characterized by challenges with social interaction and communication and by restricted or repetitive patterns of thought and behavior, with significant variability in presentation. Approximately a quarter of children with ASD are classified as having profound autism, who often exhibit challenging behaviors, such as self-injurious behavior, aggression, elopement, or pica, that pose serious safety risks and disrupt learning in educational settings. Prior work has applied wearable sensors and machine learning to detect challenging behaviors, but has been largely confined to controlled laboratory environments. This work demonstrates that predicting challenging behavior episodes is feasible in a real-world special education classroom. We collected approximately 110.7 hours of labeled multimodal wearable data comprising accelerometry, electrodermal activity (EDA), and skin temperature from 9 children and young adults aged 10 to 21 years across standard classroom sessions. We fine-tuned state-of-the-art foundation models for multimodal wearable time-series analysis and show that challenging behavior episodes can be predicted up to 10 minutes in advance with an AUC-ROC of 0.78. These results establish a concrete foundation for developing proactive in-class intervention systems that enable teachers to minimize the safety risks of challenging behaviors in special education classrooms

Gesture recognition is a cornerstone of Human-Computer Interaction (HCI) for smart eyewear, enabling natural and device-free control in augmented reality environments. Traditional vision-based approaches face significant challenges regarding power consumption, computational latency, and user privacy. This paper proposes a lightweight, privacy-preserving gesture recognition system based on the fusion of low-resolution Time-of-Flight (ToF) and Infrared (IR) thermal sensors. We used an 8 times 8 multizone ToF sensor (VL53L8CH) and an 8 times 8 IR array (AMG8833) to capture complementary depth and thermal cues. A compact Convolutional Neural Network (CNN) with a specialized grouped-convolution architecture is designed to fuse these modalities efficiently on a microcontroller (MCU). Experimental results on a custom dataset of 7 static gestures, validated via k-fold cross-validation, demonstrate that the proposed fusion strategy significantly outperforms single-sensor baselines with an accuracy of 92.3% and a macro F1-score of 0.93. Finally, on-device benchmarks on STM32F4 and STM32H7 MCUs confirm the system's suitability for resource-constrained wearables, requiring only 6,343 parameters and achieving millisecond-level inference latency with a total system power of 50 mW.

Wearable devices enable continuous health monitoring from multimodal signals, but real-world deployment is hindered by limited labeled data and pervasive sensor incompleteness. While large-scale self-supervised pretraining reduces label dependence, most existing methods assume full modality availability. Current approaches for handling modality missingness often reconstruct entire absent signals, which can encourage hallucinating modality-specific details that are not inferable from the observed sensor signals and degrade robustness. We propose VCR, a self-supervised framework that learns to extract valid representations robust to modality missingness. VCR employs an orthogonal tokenizer to enforce strict orthogonal disentanglement by rectifying latent manifolds and applying a geometric projection, separating each modality into shared semantics and modality-specific residuals. This design preserves complete information integrity while serving as a structural foundation for robust learning under modality missingness. The resulting tokens are processed by a missing-aware mixture-of-experts backbone that adapts to varying patterns of modality availability. By constraining the objective to reconstruct only the shared components of missing modalities, VCR effectively mitigates hallucinations of non-inferable modality-specific details. Across multiple health monitoring tasks, VCR consistently improves performance and robustness under full, single-missing, and multiple-missing modality settings compared with strong supervised and self-supervised baselines.

The widespread use of earphones has enabled various sensing applications, including activity recognition, health monitoring, and context-aware computing. Among these, earphone-based user authentication has become a key technique by leveraging unique biometric features. However, existing earphone-based authentication systems face key limitations: they either require explicit user interaction or active speaker output, or suffer from poor accessibility and vulnerability to environmental noise, which hinders large-scale deployment. In this paper, we propose a passive authentication system, called AccLock, which leverages distinctive features extracted from in-ear BCG signals to enable secure and unobtrusive user verification. Our system offers several advantages over previous systems, including zero-involvement for both the device and the user, ubiquitous, and resilient to environmental noise. To realize this, we first design a two-stage denoising scheme to suppress both inherent and sporadic interference. To extract user-specific features, we then propose a disentanglement-based deep learning model, HIDNet, which explicitly separates user-specific features from shared nuisance components. Lastly, we develop a scalable authentication framework based on a Siamese network that eliminates the need for per-user classifier training. We conduct extensive experiments with 33 participants, achieving an average FAR of 3.13% and FRR of 2.99%, which demonstrates the practical feasibility of AccLock.

Human Activity Recognition (HAR) from wearable sensors supports broad healthcare and behavior science applications. However, data heterogeneity and the scarcity of labeled data limit its real-world generalization. Recent advances in self-supervised learning (SSL) in vision and language domains have shown strong capability for learning generalizable representations from unlabeled data. Yet, few studies have systematically compared the generalization performance of SSL methods or explored how to adapt them for generalizable HAR. To address these gaps, we present BenchHAR, a unified framework for evaluating the generalization capability of SSL methods for sensor-based HAR on unseen target distributions. BenchHAR curates a large-scale dataset (~258K samples) and evaluates eight representative SSL methods across 12 encoder-classifier architectures. Our results reveal that existing SSL methods struggle to achieve satisfactory generalization performance. We find that: (1) For HAR models, the hybrid paradigm (combining reconstruction and contrastive pretraining) achieves the best overall performance. The CNN encoder exhibits the strongest ability to learn generalizable representations, while more expressive classifier architectures further improve generalization. (2) For data scale, increasing the amount of pretraining data from downstream activity classes consistently improves generalization, while adding more labeled data yields limited gains. Interestingly, incorporating unlabeled data from non-downstream activity classes does not improve generalization. (3) Sensor data collected from custom-grade devices generalizes better than that from research-grade devices, and data from limb transfers more effectively to trunk positions. BenchHAR provides a unified benchmark and actionable insights for generalizable sensor-based HAR systems. Our code is available at https://github.com/saiketa/HAR-Bench.

Wearable human activity recognition (WHAR) models often suffer from performance degradation under real-world cross-user distribution shifts. Test-time adaptation (TTA) mitigates this degradation by adapting models online using unlabeled test streams, yet existing methods largely inherit assumptions from vision tasks and underexploit the inherent inter-window temporal structure in WHAR streams. In this paper, we revisit such temporal structure as a feature-conditioned inference signal rather than merely an output-space smoothing prior. We derive the insight that temporal continuity and observation-induced feature deviations provide complementary cues for determining when to preserve or release temporal inertia and where to route prediction refinement during likely transitions. Building upon this insight, we propose SIGHT, a lightweight and backpropagation-free TTA framework for WHAR, enabling real-time edge deployment. SIGHT estimates predictive surprise by comparing the current feature with a prototype-based expected state, and then uses the resulting feature deviation to guide geometry-aware transition routing based on prototype alignment and stream-level marginal habit tracking. Evaluations on real-world datasets confirm that SIGHT outperforms existing TTA baselines while reducing computational and memory costs.