VIR Lab · UTSAISMAR 2026
IEEE ISMAR 2026  ·  Accepted TVCG Journal Paper

EgoBalanceFormer

Predicting Human Balance from Egocentric
Pose and VR-Native Motion

The University of Texas at San Antonio

Egocentric RGB from a Gemini 336L camera and HMD tracking from a VIVE Focus Vision are combined to predict Center of Pressure.
Body-aware balance sensing for immersive VR. Egocentric vision recovers the body motion that head tracking alone cannot observe, enabling continuous Center of Pressure (CoP) prediction.

The research

Abstract

Maintaining balance is important for safe interaction in immersive virtual reality (VR), where visual–vestibular conflicts can affect postural stability. Most prior works on VR-based balance analysis rely primarily on motion signals from the head-mounted display (HMD), which capture head movement but provide only limited information about full-body biomechanics. As a result, directly predicting biomechanical balance indicators, such as the Center of Pressure (CoP), from VR sensing data remains challenging. In this paper, we present EgoBalanceFormer, a multimodal framework for predicting human balance during VR interaction by leveraging egocentric pose reconstruction as a body-aware sensing modality together with VR-native HMD motion signals. Unlike prior VR balance approaches that rely primarily on sparse device motion such as HMD trajectories, our approach uses egocentric vision to reconstruct full-body pose and derive biomechanical cues—including lower-body kinematics and center-of-mass (CoM) dynamics that are critical for modeling balance control. These pose-derived biomechanical cues are fused with VR-native HMD motion signals and processed through temporal encoders to capture motion dynamics over time. We further apply bidirectional cross-attention between lower-body joint kinematics, CoM dynamics, rotational features, and HMD motion features to capture complementary biomechanical relationships. The refined multimodal representations are fused and decoded using a transformer with a learnable CoP query to regress CoPₓ and CoPᵧ . We evaluate EgoBalanceFormer against several machine learning and deep learning baselines for CoP prediction. Experimental results show improved accuracy and stronger robustness across participants, demonstrating that egocentric pose-derived biomechanical cues significantly enhance balance prediction compared with using VR-device motion signals alone.

Key Contributions

Egocentric pose becomes an intermediate sensing representation for balance, connecting visual body reconstruction to continuous biomechanical prediction.

01

Egocentric pose for balance

Estimate real-valued CoP during VR interaction using reconstructed body pose to complement the limited full-body information available from HMD motion.

02

Biomechanically grounded cues

Derive lower-body kinematics, pelvis-relative center-of-mass dynamics, and segment rotational features from egocentric 3D pose.

03

Pose-anchored multimodal fusion

Refine pose features through bidirectional cross-attention with CoM, rotation, and HMD streams. A learnable CoP query decodes the fused representation.

The method

Architecture

From first-person RGB and headset motion to a two-dimensional Center of Pressure estimate.

EgoBalanceFormer architecture: multimodal inputs, egocentric pose estimation, biomechanical feature streams, spatio-temporal refinement, and a CoP decoder.
An 11-frame synchronized window supplies four feature streams: body kinematics, CoM dynamics, rotational kinematics, and HMD motion. Temporal encoding and multimodal refinement precede query-based CoP decoding.
Inside the spatio-temporal feature refinement moduleFour temporal feature branches feed pose-centric bidirectional cross-attention, global fusion, and a transformer decoder.

Pose serves as the anchor stream. Bidirectional cross-attention exchanges information with the rotation, CoM, and HMD branches. Global self-attention fuses these tokens into a shared memory, which a learnable CoP query reads through a transformer decoder.

Dataset & Evaluation

Evaluated on VRBalance, with synchronized egocentric observations, full-body motion, VR-device tracking, and balance-board measurements.

18participants
10-foldsubject-wise evaluation
11 framesinput temporal window
~2 HzCoP supervision

Participants performed a standing rhythm-game task in VR. A Gemini 336L camera mounted on a VIVE Focus Vision HMD recorded egocentric RGB; a Vicon system and BTrackS balance board provided pose and CoP supervision. At inference, the method uses estimated egocentric pose and HMD motion. Normalization statistics are computed on each training split, and participants are kept separate across training, validation, and test sets.

Experimental findings

Main Results

Egocentric pose-derived cues improve CoP prediction over the matched HMD-only architecture and all listed HMD-based baselines.

1.54 cmCoPX RMSE
1.20 cmCoPY RMSE
87.05%accuracy within 3 cm
Method / inputCoPXCoPYThreshold accuracy (%) ↑
RMSE ↓MAE ↓r ↑RMSE ↓MAE ↓r ↑≤ 1 cm≤ 2 cm≤ 3 cm
XGBoost2.131.730.471.651.300.6220.4152.5770.75
RandomForest2.151.820.451.751.410.6119.8151.0868.40
ExtraTrees2.041.640.451.791.430.6418.8849.7269.80
Lasso Regression1.851.480.461.521.250.6419.8054.7778.33
LSTM1.821.420.411.371.120.6525.0461.0780.77
GRU1.791.390.431.391.120.6525.0361.3181.53
DeepTCN1.981.570.421.391.210.6324.5560.3280.56
CNN-LSTM1.731.350.461.431.140.6425.4761.2381.44
EgoBalanceFormer (HMD only)1.671.310.511.371.090.6527.0764.3783.52
EgoBalanceFormer (EgoPose + HMD)1.541.180.561.200.950.7331.5768.3787.05

Table 2 from the paper. RMSE and MAE are in centimeters; r denotes Pearson’s correlation. All external baselines use HMD motion only. The HMD-only EgoBalanceFormer variant isolates the architecture’s contribution; the full variant adds pose-derived biomechanical cues.

Actual and predicted CoP X and Y trajectories for a held-out test subject.

Following the dynamics of sway

The predicted trajectories track the overall drift and oscillation of a held-out subject’s CoP, with closer agreement along CoPY. Some rapid changes are attenuated.

Adding pose-derived cues raises accuracy within 1 cm from 27.07% to 31.57% and CoPY correlation from 0.65 to 0.73.

Ablation Study

Different biomechanical cues contribute differently to lateral and anterior–posterior balance prediction.

Method / inputCoPXCoPY
RMSE ↓MAE ↓r ↑RMSE ↓MAE ↓r ↑
Estimated Pose1.511.160.511.240.990.71
Pose + CoM1.531.190.491.170.920.72
Pose + HMD1.541.180.531.170.930.71
Pose + Rotation1.531.160.521.240.980.71
CoM + Rotation1.761.360.401.341.060.66
CoM + HMD1.701.350.511.341.090.66
Pose + Rotation + CoM + HMD1.541.180.561.200.950.73

Table 3 from the paper. All errors are in centimeters.

Pose is the strongest standalone modality. Pose alone gives the lowest CoPX RMSE (1.51 cm); Pose + CoM and Pose + HMD give the lowest CoPY RMSE (1.17 cm). The full combination achieves the highest correlation on both axes (0.56 / 0.73), reflecting stronger temporal agreement rather than the lowest error on every measure.

Pose normalization matters

Procrustes alignment reduces global pose variations before balance prediction. CoPX RMSE improves from 1.68 to 1.54 cm, CoPY RMSE from 1.34 to 1.20 cm, and accuracy within 3 cm from 82.65% to 87.05%.

Near-Future CoP Prediction

Forecasting experiments evaluate prediction horizons from 0.5 to 2 seconds, with gradual degradation as the horizon increases.

Forecast horizonCoPXCoPYThreshold accuracy (%) ↑
RMSE ↓MAE ↓r ↑RMSE ↓MAE ↓r ↑≤ 1 cm≤ 2 cm≤ 3 cm
0.5 seconds1.651.270.451.240.980.7129.6965.4085.01
1.0 seconds1.691.290.381.250.980.6829.2265.4484.10
1.5 seconds1.691.300.361.250.980.6728.6165.5783.38
2.0 seconds1.731.360.331.270.990.6428.1363.5383.19

Table 5 from the paper. These are forecasting results; the main results above concern time-indexed CoP estimation.

Actual and predicted CoP trajectories at one-, two-, and three-step-ahead forecast horizons.
Representative trajectories at 0.5, 1.0, and 1.5-second horizons (Figure 5).

Scope & Future Directions

The study covers 18 participants and one standing VR task on a flat, stationary surface. Broader populations and interaction scenarios remain to be evaluated. Pose-estimation errors can propagate into CoP prediction, and approximately 2 Hz supervision limits the modeling of rapid postural adjustments. This work demonstrates CoP regression; fall-risk detection, adaptive feedback, and improvements in user safety require further validation.

Citation

Accepted to IEEE Transactions on Visualization and Computer Graphics (TVCG) for IEEE ISMAR 2026. Final DOI, volume, and page numbers are not included in the supplied manuscript.

@article{azam2026egobalanceformer,
  title   = {EgoBalanceFormer: Predicting Human Balance from
             Egocentric Pose and VR-Native Motion},
  author  = {Azam, Md Mushfiqur and Anjum, Nipa and
             Quarles, John and Desai, Kevin},
  journal = {IEEE Transactions on Visualization and Computer Graphics},
  year    = {2026},
  note    = {Accepted for presentation at IEEE ISMAR 2026}
}

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