Paperdoi:10.3390/s26196073

Sensor Modality Versus Pretraining for Recognising Bed-Exit–Relevant Postural Transitions: A Gyroscope-Focused Feasibility Study on Public Wearable-IMU Data

Venue listed2026Added Oct 19, 2026

  • YP
  • BB
  • WC

Authors: Youmi Park, Bayarbaatar Bold, Wonchul Cha (corresponding)

Sensors 2026, 26(19):6073 (MDPI; open access CC BY); received 2026-08-05, revised 2026-09-22

Open code

TL;DR

The six-axis model also needs far fewer labels than the fine-tuned FM. - The gyroscope carries the transitions. Removing it drops macro-F1 from 0.822 to 0.647 and bed-exit F1 from 0.657 to 0.351 (p < 10⁻⁴), while lying and walking are unaffected.

  • Form factor: other

Abstract

Wearable ward monitoring must eventually detect when a patient leaves the bed, yet the brief postural transitions that begin a bed exit are under-examined relative to dynamic activities. As a feasibility study, we used a public waist-worn six-axis inertial dataset (30 healthy subjects) to ask which sensor axes carry these transitions and whether a pretrained foundation model helps. We defined a ten-class task of four basic activities and six directional transitions, treating the two lie-to-upright transitions as the bed-exit-relevant classes, evaluated with subject-grouped cross-validation. Postural transitions were the weakest classes, and the weakest of these was a bed-exit transition. Removing the gyroscope reduced macro-F1 from 0.822 to 0.647 and bed-exit F1 from 0.657 to 0.351 (p < 10−4) while leaving lying and walking unaffected. The mirror ablation separated the roles: the accelerometer captured posture and the gyroscope captured every directional transition. A six-axis hand-crafted model outperformed one accelerometer-only foundation model even after full fine-tuning (0.822 vs. 0.774) with far fewer labels. Scoring windows that cross bout boundaries lowered bed-exit sensitivity from 0.937 to 0.833. Among the configurations tested, sensor choice, the gyroscope in particular, mattered more than model scale. These results concern transition recognition in scripted recordings, not bed-exit detection on a ward.

Verbatim from the publisher's DOI record (opens in a new tab) · Publisher licence: https://creativecommons.org/licenses/by/4.0/

Results on ChatPPG leaderboards · 1

All leaderboards
LeaderboardMethodResultRank
hapt macro-F1Human activity recognitionHand-crafted 6-axis (Park 2026)0.822macro-F1, higher is better#1 of 1

1 row is credited to this paper. Ranks apply within each leaderboard only, as reported by the source.

Tasks & signals

Tasks

Human activity recognitionActivity recognitionPulse arrival time

Signals

Keywords

HARpostural-transitionsbed-exitfall-riskgyroscopesensor-ablationUniMTSfoundation-model-vs-handcraftedlabel-efficiencyHAPTsamsung-medical-center

Datasets

Models

How it works

How UniMTS works: Setup → Method → TargetSetup: Signals (acc, gyro); Form factor (other). Method: UniMTS. Target: Activity recognition; Pulse arrival time.SetupSignals: acc, gyroxyzSignalsacc, gyroForm factor: otherForm factorotherMethodUniMTSTargetActivity recognitionActivity recognitionPulse arrival timePulse arrival time

Cite this paper

APA

Park, Y., Bold, B., & Cha, W. (2026). Sensor Modality Versus Pretraining for Recognising Bed-Exit–Relevant Postural Transitions: A Gyroscope-Focused Feasibility Study on Public Wearable-IMU Data. Sensors 2026. https://doi.org/10.3390/s26196073

BibTeX

@article{park2026sensor,
  title         = {{Sensor Modality Versus Pretraining for Recognising Bed-Exit–Relevant Postural Transitions: A Gyroscope-Focused Feasibility Study on Public Wearable-IMU Data}},
  author        = {Park, Youmi and Bold, Bayarbaatar and Cha, Wonchul},
  year          = {2026},
  journal       = {Sensors 2026},
  doi           = {10.3390/s26196073}
}

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