Reliable Wrist PPG Monitoring by Mitigating Poor Skin-Sensor Contact
Hung Manh Pham 路
Matthew Yiwen Ho 路
Yiming Zhang 路
Dimitris Spathis 路
Aaqib Saeed 路
Dong Ma
Overview
Photoplethysmography (PPG) is a widely used non-invasive technique for monitoring cardiovascular health and various physiological parameters on consumer and medical devices. While motion artifacts are well-known challenges in dynamic settings, suboptimal skin-sensor contact in sedentary conditions - an important issue often overlooked in existing literature - can distort PPG signal morphology, leading to the loss or shift of essential waveform features and therefore degrading sensing performance. In this work, we propose a deep learning-based framework that transforms contact pressure-distorted PPG signals into ones with the ideal morphology, known as CP-PPG. CP-PPG incorporates a well-crafted data processing pipeline and an adversarially trained deep generative model, together with a custom PPG-aware loss function. We validated CP-PPG through comprehensive evaluations, including 1) morphology transformation performance, 2) downstream physiological monitoring performance on public datasets, and 3) in-the-wild performance, which together demonstrate substantial and consistent improvements in signal fidelity.
Usage
Installation
pip install transformers torch
Signal Reconstruction
from transformers import AutoModel
import torch
model = AutoModel.from_pretrained("Manhph2211/CP-PPG", trust_remote_code=True)
model.eval()
x = torch.randn(1, 1, 1024)
with torch.no_grad():
out = model(x)
print(out.reconstruction.shape) # torch.Size([1, 1, 1024])
PPG Embedding Extraction
with torch.no_grad():
out = model(x, output_hidden_states=True)
print(out.last_hidden_state.shape)
print(out.pooler_output.shape) # torch.Size([1, 128])
Citation
@article{pham2025reliable,
title={Reliable wrist PPG monitoring by mitigating poor skin sensor contact},
author={Pham, Hung Manh and Ho, Matthew Yiwen and Zhang, Yiming and Spathis, Dimitris and Saeed, Aaqib and Ma, Dong},
journal={Scientific Reports},
year={2025},
publisher={Nature Publishing Group UK London}
}
@article{ho2025wf,
title={WF-PPG: A wrist-finger dual-channel dataset for studying the impact of contact pressure on PPG morphology},
author={Ho, Matthew Yiwen and Pham, Hung Manh and Saeed, Aaqib and Ma, Dong},
journal={Scientific Data},
volume={12},
number={1},
pages={200},
year={2025},
publisher={Nature Publishing Group UK London}
}
Acknowledgements
This research was supported by the Singapore Ministry of Education (MOE) Academic Research Fund (AcRF) Tier 2 grant (Grant ID: T2EP20124-0046).
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