Real-Time Foot Height Estimation and Activity Classification Using a Foot-Mounted IMU Implemented on a Smartphone.

Wearable sensors are transformative tools for continuous gait assessment in daily life. Tripping, a leading cause of falls, is closely linked to inadequate foot clearance, making accurate foot height measurement critical for fall risk evaluation. Inertial measurement units offer a practical solution for foot trajectory reconstruction; however, conventional drift correction methods such as zero-velocity updates fail to adequately address cumulative height errors. Recent kinematic constraint-based approaches improve height accuracy but remain limited to offline processing and lack simultaneous activity classification. To address these gaps, we developed a real-time, single-IMU system for continuous foot height trajectory reconstruction with simultaneous classification of five locomotion activities deployed on a smartphone. Twenty healthy adults were recruited for model training and independent validation. Level walking maintained ground reference (0.0 cm, 95% CI: [-1.8, 1.8] cm), cumulative height errors remained below 1.1 cm across ramp and stair negotiation with a mean absolute error of 0.42%, and obstacle clearance was quantified. The system achieved 96.08% overall classification accuracy with less than one gait cycle latency. Toe height was estimated through rigid-body transformation with comparable accuracy to the foot height. This framework provides a practical foundation for real-time gait intervention and fall prevention applications.