Radar-Based Assessment of Sit-to-Stand Transitions as Digital Biomarkers of Pain and Physical Decline.

Sit-to-stand (STS) transitions are clinically informative indicators of functional independence and are sensitive to compensatory strategies associated with physical decline and pain. This study presents a non-contact, non-visual framework for quantitative STS assessment using a 60 GHz frequency-modulated continuous-wave (FMCW) radar in a residential setting. We developed a signal-processing pipeline that converts intermediate-frequency radar data into range-time intensity (RTI) maps, tracks dominant torso motion, and extracts temporal, kinematic, and spectral features. Experiments were conducted across two sensing orientations (subject-facing and side-facing), five mounting heights (45-153 cm), and three execution speeds, with approximately 30 repeated cycles per condition. For normal non-compensated STS transitions, radar-derived metrics reflected expected biomechanical scaling: mean full-cycle duration decreased from 23.90 s (slow) to 13.95 s (medium) and 7.98 s (fast), while peak ascent velocity increased from 0.311 m/s to 0.358 m/s and dominant cadence increased from 0.0416 Hz to 0.125 Hz. Simulated abnormal transitions produced distinct and quantifiable deviations. Preparatory rocking introduced an additional oscillatory phase (mean rocking duration 2.36 s), prolonging the standing transition to 4.80 s and altering trajectory regularity. Across configurations, subject-facing mid-torso mounting provided the most continuous and separable STS signatures, whereas side-facing placement and extreme heights reduced effective radial motion or introduced clutter artifacts. These findings establish practical deployment guidelines and demonstrate that radar-derived STS metrics can serve as candidate digital biomarkers for unobtrusive, privacy-preserving detection of mobility decline, compensatory pain behaviors, and functional impairment in real-world home environments.