arXiv subjects

Hyeokhyen Kwon

Publications and source records attributed to Hyeokhyen Kwon.

At least 19 recordsLinked to original sources

arXiv2026

TAMI: Temporally Aligned, Missingness-Aware, and Interpretable Multimodal Fusion for Mental Health Assessment in Older Adults with Mild Cognitive Impairment

Depression and anxiety in older adults with Mild Cognitive Impairment (MCI) are frequently underdiagnosed due to limited access to care. Multimodal analysis of remote clinical interviews is a scalable screening approach, but existing methods have three limitations. First, they do not correct temporal misalignment across multimodal features extracted at different resolutions, inducing spurious cross-modal associations. Second, remote recordings exhibit uneven modality dropout, but missing values are often zero-filled, making them indistinguishable from valid near-zero measurements. Finally, they do not jointly attribute predictions to modalities, questions, and interview moments, limiting fine-grained clinical interpretation. We propose a Temporally-Aligned, Missingness-Aware, Interpretable (TAMI) multimodal fusion framework. TAMI aligns speech, language, facial, and physiological features within question-answer segments on a shared timeline, encodes modality-level missingness over time, and conditions fusion on question context. In interviews with 49 older adults with MCI, TAMI achieved area under the receiver operating characteristic curve (AUROC) scores of 0.68 (depression) and 0.69 (anxiety). Fine-grained temporal alignment of multimodal features produced the largest performance gain ($Δ{\geq}0.1$). Multi-level interpretability analysis revealed that depression classification relied on eyegaze and open-ended questions, while anxiety classification depended on eyegaze and head pose, with attribution uniformly distributed across questions. Using only responses to the open-ended questions (5.1min), the depression model achieved an AUROC score of 0.67, which was not significantly different from using the full interview (19min) ($p>0.05$). Our findings support designing interview protocols centered on open-ended questions for depression screening in older adults with MCI.

cs.CV↗

arXiv2026

Quantifying Rodda and Graham Gait Classification from 3D Markerless Kinematics derived from a Single-view Video in a Heterogeneous Pediatric Clinical Cohort

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

cs.CV↗

arXiv2026

AIGaitor: Privacy-preserving and cloud-free motion analysis for everyone, using edge computing

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

cs.CV↗

arXiv2026

An explainable hierarchical self attention-based approach for tremor detection in the time domain

Tremor is a common movement disorder associated with conditions like Parkinson's disease and Essential tremor, traditionally diagnosed through expert clinician assessment. Current automated detection methods rely on frequency-domain features informed by clinical expertise. In this work, we present an explainable, two-stage hierarchical framework for tremor detection in the time domain that learns tremor patterns directly from 3D kinematic marker time-series data across entire tremor-provoking trials. Our framework combined a deep convolutional and long short-term memory network to learn tremor representations from short, discrete, non-overlapping time segments of kinematic time series data from trials, which are then processed by a vision transformer that models their long-term temporal dynamics of time segment features for trial (session) level classification. Evaluated across nine body parts, the framework achieved F1-scores of 0.594 - 0.947 depending on body parts (average: 0.765), falling short of the frequency-domain state-of-the-art performance (0.909) while requiring minimal preprocessing. Attention weights and gradient-based class activation maps (Grad-CAM) identified time-domain features of tremor across body parts. This proof of concept demonstrated the feasibility of data-driven time-domain modeling for tremor detection across anatomically diverse body parts, while reducing reliance on expert-engineered spectral features and providing posthoc interpretability of temporal and anatomical patterns of tremor.

cs.CV↗

arXiv2026

Prediction of Challenging Behaviors Associated with Profound Autism in a Classroom Setting Using Wearable Sensors

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

cs.AI↗

arXiv2026

Visual Accessibility in a Virtual Kitchen: Effects of Open Shelving on Performance, Cognitive Load, and Experience in Older Adults with and without MCI

This study examines how visual accessibility through cabinet design influences task performance, cognitive load, physical activity level, motivation, and user experience in a virtual kitchen among older adults with and without mild cognitive impairment (MCI). Seventeen older adults (7 with MCI, 10 without) completed a repeated-measures item retrieval task under two conditions, closed cabinets and open shelving, using a counterbalanced within-subjects design. Measures included task duration, physical activity level (ENMO), cognitive load (NASA-TLX and gaze entropy), intrinsic motivation (IMI), and post-task interviews. Open shelving significantly reduced task duration (beta = -291.20, p < .001) and physical activity level (beta = -0.00615, p = .008). Gaze entropy increased (beta = 1.29, p = .001), with a significant Setting x MCI interaction (p = .009) and moderation by MoCA score (p < .001). NASA-TLX and intrinsic motivation did not differ significantly between conditions. Qualitative findings indicated reduced reliance on memory-based search and highlighted themes related to independence, aesthetics, safety, and adoption. Overall, visual accessibility improved efficiency and reduced movement demands while altering visual-search organization, with divergence between subjective and objective indicators of cognitive load. These findings support visually accessible design strategies to enhance functional performance and inform cognitively supportive built environments for aging populations.

cs.HC↗

arXiv2026

Evidence for Phenotype-Driven Disparities in Freezing of Gait Detection and Approaches to Bias Mitigation

Freezing of gait (FOG) is a debilitating symptom of Parkinson's disease (PD) and a common cause of injurious falls. Recent advances in wearable-based human activity recognition (HAR) enable FOG detection, but bias and fairness in these models remain understudied. Bias refers to systematic errors leading to unequal outcomes, while fairness refers to consistent performance across subject groups. Biased models could systematically underserve patients with specific FOG phenotypes or demographics, potentially widening care disparities. We systematically evaluated bias and fairness of state-of-the-art HAR models for FOG detection across phenotypes and demographics using multi-site datasets. We assessed four mitigation approaches: conventional methods (threshold optimization and adversarial debiasing) and transfer learning approaches (multi-site transfer and fine-tuning large pretrained models). Fairness was quantified using demographic parity ratio (DPR) and equalized odds ratio (EOR). HAR models exhibited substantial bias (DPR & EOR < 0.8) across age, sex, disease duration, and critically, FOG phenotype. Phenotype-specific bias is particularly concerning as tremulous and akinetic FOG require different clinical management. Conventional bias mitigation methods failed: threshold optimization (DPR=-0.126, EOR=+0.063) and adversarial debiasing (DPR=-0.008, EOR=-0.001) showed minimal improvement. In contrast, transfer learning from multi-site datasets significantly improved fairness (DPR=+0.037, p<0.01; EOR=+0.045, p<0.01) and performance (F1-score=+0.020, p<0.05). Transfer learning across diverse datasets is essential for developing equitable HAR models that reliably detect FOG across all patient phenotypes, ensuring wearable-based monitoring benefits all individuals with PD.

eess.SP↗

arXiv2025

Feasibility of Detecting Cognitive Impairment and Psychological Well-being among Older Adults Using Facial, Acoustic, Linguistic, and Cardiovascular Patterns Derived from Remote Conversations

The aging society urgently requires scalable methods to monitor cognitive decline and identify social and psychological factors indicative of dementia risk in older adults. Our machine learning (ML) models captured facial, acoustic, linguistic, and cardiovascular features from 39 older adults with normal cognition or Mild Cognitive Impairment (MCI), derived from remote video conversations and quantified their cognitive status, social isolation, neuroticism, and psychological well-being. Our model could distinguish Clinical Dementia Rating Scale (CDR) of 0.5 (vs. 0) with 0.77 area under the receiver operating characteristic curve (AUC), social isolation with 0.74 AUC, social satisfaction with 0.75 AUC, psychological well-being with 0.72 AUC, and negative affect with 0.74 AUC. Our feature importance analysis showed that speech and language patterns were useful for quantifying cognitive impairment, whereas facial expressions and cardiovascular patterns were useful for quantifying social and psychological well-being. Our bias analysis showed that the best-performing models for quantifying psychological well-being and cognitive states in older adults exhibited significant biases concerning their age, sex, disease condition, and education levels. Our comprehensive analysis shows the feasibility of monitoring the cognitive and psychological health of older adults, as well as the need for collecting largescale interview datasets of older adults to benefit from the latest advances in deep learning technologies to develop generalizable models across older adults with diverse demographic backgrounds and disease conditions.

cs.HC↗

arXiv2025

CARE-PD: A Multi-Site Anonymized Clinical Dataset for Parkinson's Disease Gait Assessment

Objective gait assessment in Parkinson's Disease (PD) is limited by the absence of large, diverse, and clinically annotated motion datasets. We introduce CARE-PD, the largest publicly available archive of 3D mesh gait data for PD, and the first multi-site collection spanning 9 cohorts from 8 clinical centers. All recordings (RGB video or motion capture) are converted into anonymized SMPL meshes via a harmonized preprocessing pipeline. CARE-PD supports two key benchmarks: supervised clinical score prediction (estimating Unified Parkinson's Disease Rating Scale, UPDRS, gait scores) and unsupervised motion pretext tasks (2D-to-3D keypoint lifting and full-body 3D reconstruction). Clinical prediction is evaluated under four generalization protocols: within-dataset, cross-dataset, leave-one-dataset-out, and multi-dataset in-domain adaptation. To assess clinical relevance, we compare state-of-the-art motion encoders with a traditional gait-feature baseline, finding that encoders consistently outperform handcrafted features. Pretraining on CARE-PD reduces MPJPE (from 60.8mm to 7.5mm) and boosts PD severity macro-F1 by 17 percentage points, underscoring the value of clinically curated, diverse training data. CARE-PD and all benchmark code are released for non-commercial research at https://neurips2025.care-pd.ca/.

cs.CV↗

arXiv2024

Classifying Simulated Gait Impairments using Privacy-preserving Explainable Artificial Intelligence and Mobile Phone Videos

Accurate diagnosis of gait impairments is often hindered by subjective or costly assessment methods, with current solutions requiring either expensive multi-camera equipment or relying on subjective clinical observation. There is a critical need for accessible, objective tools that can aid in gait assessment while preserving patient privacy. In this work, we present a mobile phone-based, privacy-preserving artificial intelligence (AI) system for classifying gait impairments and introduce a novel dataset of 743 videos capturing seven distinct gait patterns. The dataset consists of frontal and sagittal views of trained subjects simulating normal gait and six types of pathological gait (circumduction, Trendelenburg, antalgic, crouch, Parkinsonian, and vaulting), recorded using standard mobile phone cameras. Our system achieved 86.5% accuracy using combined frontal and sagittal views, with sagittal views generally outperforming frontal views except for specific gait patterns like Circumduction. Model feature importance analysis revealed that frequency-domain features and entropy measures were critical for classifcation performance, specifically lower limb keypoints proved most important for classification, aligning with clinical understanding of gait assessment. These findings demonstrate that mobile phone-based systems can effectively classify diverse gait patterns while preserving privacy through on-device processing. The high accuracy achieved using simulated gait data suggests their potential for rapid prototyping of gait analysis systems, though clinical validation with patient data remains necessary. This work represents a significant step toward accessible, objective gait assessment tools for clinical, community, and tele-rehabilitation settings

cs.CV↗

arXiv2024

Feasibility of assessing cognitive impairment via distributed camera network and privacy-preserving edge computing

INTRODUCTION: Mild cognitive impairment (MCI) is characterized by a decline in cognitive functions beyond typical age and education-related expectations. Since, MCI has been linked to reduced social interactions and increased aimless movements, we aimed to automate the capture of these behaviors to enhance longitudinal monitoring. METHODS: Using a privacy-preserving distributed camera network, we collected movement and social interaction data from groups of individuals with MCI undergoing therapy within a 1700$m^2$ space. We developed movement and social interaction features, which were then used to train a series of machine learning algorithms to distinguish between higher and lower cognitive functioning MCI groups. RESULTS: A Wilcoxon rank-sum test revealed statistically significant differences between high and low-functioning cohorts in features such as linear path length, walking speed, change in direction while walking, entropy of velocity and direction change, and number of group formations in the indoor space. Despite lacking individual identifiers to associate with specific levels of MCI, a machine learning approach using the most significant features provided a 71% accuracy. DISCUSSION: We provide evidence to show that a privacy-preserving low-cost camera network using edge computing framework has the potential to distinguish between different levels of cognitive impairment from the movements and social interactions captured during group activities.

cs.AI↗

arXiv2024

Explainable Artificial Intelligence for Quantifying Interfering and High-Risk Behaviors in Autism Spectrum Disorder in a Real-World Classroom Environment Using Privacy-Preserving Video Analysis

Rapid identification and accurate documentation of interfering and high-risk behaviors in ASD, such as aggression, self-injury, disruption, and restricted repetitive behaviors, are important in daily classroom environments for tracking intervention effectiveness and allocating appropriate resources to manage care needs. However, having a staff dedicated solely to observing is costly and uncommon in most educational settings. Recently, multiple research studies have explored developing automated, continuous, and objective tools using machine learning models to quantify behaviors in ASD. However, the majority of the work was conducted under a controlled environment and has not been validated for real-world conditions. In this work, we demonstrate that the latest advances in video-based group activity recognition techniques can quantify behaviors in ASD in real-world activities in classroom environments while preserving privacy. Our explainable model could detect the episode of problem behaviors with a 77% F1-score and capture distinctive behavior features in different types of behaviors in ASD. To the best of our knowledge, this is the first work that shows the promise of objectively quantifying behaviors in ASD in a real-world environment, which is an important step toward the development of a practical tool that can ease the burden of data collection for classroom staff.

cs.CV↗

arXiv2024

IMUGPT 2.0: Language-Based Cross Modality Transfer for Sensor-Based Human Activity Recognition

One of the primary challenges in the field of human activity recognition (HAR) is the lack of large labeled datasets. This hinders the development of robust and generalizable models. Recently, cross modality transfer approaches have been explored that can alleviate the problem of data scarcity. These approaches convert existing datasets from a source modality, such as video, to a target modality (IMU). With the emergence of generative AI models such as large language models (LLMs) and text-driven motion synthesis models, language has become a promising source data modality as well as shown in proof of concepts such as IMUGPT. In this work, we conduct a large-scale evaluation of language-based cross modality transfer to determine their effectiveness for HAR. Based on this study, we introduce two new extensions for IMUGPT that enhance its use for practical HAR application scenarios: a motion filter capable of filtering out irrelevant motion sequences to ensure the relevance of the generated virtual IMU data, and a set of metrics that measure the diversity of the generated data facilitating the determination of when to stop generating virtual IMU data for both effective and efficient processing. We demonstrate that our diversity metrics can reduce the effort needed for the generation of virtual IMU data by at least 50%, which open up IMUGPT for practical use cases beyond a mere proof of concept.

cs.CV↗

arXiv2023

A Feasibility Study on Indoor Localization and Multi-person Tracking Using Sparsely Distributed Camera Network with Edge Computing

Camera-based activity monitoring systems are becoming an attractive solution for smart building applications with the advances in computer vision and edge computing technologies. In this paper, we present a feasibility study and systematic analysis of a camera-based indoor localization and multi-person tracking system implemented on edge computing devices within a large indoor space. To this end, we deployed an end-to-end edge computing pipeline that utilizes multiple cameras to achieve localization, body orientation estimation and tracking of multiple individuals within a large therapeutic space spanning $1700m^2$, all while maintaining a strong focus on preserving privacy. Our pipeline consists of 39 edge computing camera systems equipped with Tensor Processing Units (TPUs) placed in the indoor space's ceiling. To ensure the privacy of individuals, a real-time multi-person pose estimation algorithm runs on the TPU of the computing camera system. This algorithm extracts poses and bounding boxes, which are utilized for indoor localization, body orientation estimation, and multi-person tracking. Our pipeline demonstrated an average localization error of 1.41 meters, a multiple-object tracking accuracy score of 88.6\%, and a mean absolute body orientation error of 29\degree. These results shows that localization and tracking of individuals in a large indoor space is feasible even with the privacy constrains.

cs.CV↗

arXiv2023

On the Benefit of Generative Foundation Models for Human Activity Recognition

In human activity recognition (HAR), the limited availability of annotated data presents a significant challenge. Drawing inspiration from the latest advancements in generative AI, including Large Language Models (LLMs) and motion synthesis models, we believe that generative AI can address this data scarcity by autonomously generating virtual IMU data from text descriptions. Beyond this, we spotlight several promising research pathways that could benefit from generative AI for the community, including the generating benchmark datasets, the development of foundational models specific to HAR, the exploration of hierarchical structures within HAR, breaking down complex activities, and applications in health sensing and activity summarization.

cs.CV↗

arXiv2023

Indoor Localization using Bluetooth and Inertial Motion Sensors in Distributed Edge and Cloud Computing Environment

Spatial navigation of indoor space usage patterns reveals important cues about the cognitive health of individuals. In this work, we present a low-cost, scalable, open-source edge computing system using Bluetooth Low Energy (BLE) and Inertial Measurement Unit sensors (IMU) for tracking indoor movements for a large indoor facility (over 1600 m^2) that was designed to facilitate therapeutic activities for individuals with Mild Cognitive Impairment. The facility is instrumented with 39 edge computing systems with an on-premise fog server, and subjects carry BLE beacon and IMU sensors on-body. We proposed an adaptive trilateration approach that considers the temporal density of hits from the BLE beacon to surrounding edge devices to handle inconsistent coverage of edge devices in large spaces with varying signal strength that leads to intermittent detection of beacons. The proposed BLE-based localization is further enhanced by fusing with an IMU-based tracking method using a dead-reckoning technique. Our experiment results, achieved in a real clinical environment, suggest that an ordinary medical facility can be transformed into a smart space that enables automatic assessment of the individual patients' movements.

cs.HC↗

arXiv2023

Generating Virtual On-body Accelerometer Data from Virtual Textual Descriptions for Human Activity Recognition

The development of robust, generalized models in human activity recognition (HAR) has been hindered by the scarcity of large-scale, labeled data sets. Recent work has shown that virtual IMU data extracted from videos using computer vision techniques can lead to substantial performance improvements when training HAR models combined with small portions of real IMU data. Inspired by recent advances in motion synthesis from textual descriptions and connecting Large Language Models (LLMs) to various AI models, we introduce an automated pipeline that first uses ChatGPT to generate diverse textual descriptions of activities. These textual descriptions are then used to generate 3D human motion sequences via a motion synthesis model, T2M-GPT, and later converted to streams of virtual IMU data. We benchmarked our approach on three HAR datasets (RealWorld, PAMAP2, and USC-HAD) and demonstrate that the use of virtual IMU training data generated using our new approach leads to significantly improved HAR model performance compared to only using real IMU data. Our approach contributes to the growing field of cross-modality transfer methods and illustrate how HAR models can be improved through the generation of virtual training data that do not require any manual effort.

cs.CV↗

arXiv2022

Fine-grained Human Activity Recognition Using Virtual On-body Acceleration Data

Previous work has demonstrated that virtual accelerometry data, extracted from videos using cross-modality transfer approaches like IMUTube, is beneficial for training complex and effective human activity recognition (HAR) models. Systems like IMUTube were originally designed to cover activities that are based on substantial body (part) movements. Yet, life is complex, and a range of activities of daily living is based on only rather subtle movements, which bears the question to what extent systems like IMUTube are of value also for fine-grained HAR, i.e., When does IMUTube break? In this work we first introduce a measure to quantitatively assess the subtlety of human movements that are underlying activities of interest--the motion subtlety index (MSI)--which captures local pixel movements and pose changes in the vicinity of target virtual sensor locations, and correlate it to the eventual activity recognition accuracy. We then perform a "stress-test" on IMUTube and explore for which activities with underlying subtle movements a cross-modality transfer approach works, and for which not. As such, the work presented in this paper allows us to map out the landscape for IMUTube applications in practical scenarios.

cs.CV↗