What the Sleeve Feels: Explainable Machine Learning for Textile Pressure-Based Postural Screening

Limon Bin Hossain, Md Sadib Rahman Ananta

Pressure-sensing smart textiles convert body-surface contact into a dense, image-like signal closely tied to posture and movement, making them a promising low-cost route to wearable posture screening. Realizing that promise, however, requires more than classification accuracy: a deployable system must generalize to wearers unseen during training, expose the physical evidence behind its decisions, and tolerate the small donning offsets that occur whenever a garment is removed and re-worn. This paper addresses these three requirements jointly using a knitted piezoresistive sleeve worn on the forearm as a testbed. We regroup fine-grained everyday activities into three coarser screening categories (neutral, potentially undesirable, and functional or transitional), engineer 29 interpretable pressure-distribution features spanning global intensity, spatial center of pressure, quadrant asymmetry, distribution complexity, and short-horizon temporal change, and evaluate under a strict subject-wise split. A tuned XGBoost classifier reaches 0.818 accuracy, 0.788 balanced accuracy, and 0.801 macro F1 on unseen test subjects, with tight frame-level bootstrap 95% intervals of about plus-minus…