Drop foot is a typical clinical condition associated with stroke. According to the World Health Organization, fifteen million people suffer a stroke per year, and one of three people’s survival gets drop foot. Functional Electrical Stimulation systems are applied over the peroneal motor nerve to achieve the drop foot problem’s dorsiflexion. An accurate and reliable way to identify in real–time the gait phases to trigger and finish the stimulation is needed. This paper proposes a new step sensor with a custom capacitive pressure sensors array located under the heel to detect a gait pattern in real-time to synchronize the stimulation with the user gait. The step sensor uses a capacitive pressure sensors array and hardware, which acquire the signals, execute an algorithm to detect the start and finish of the swing phase in real–time, and send the synchronization signal wirelessly. The step sensor was tested in two ways: 10 meters walk test and walking in a treadmill for 2 minutes. These two tests were performed with two different walk velocities and with thirteen healthy volunteers. Thus, all the 1342 steps were correctly detected. Compared to an inertial sensor located in the lower–back, the proposed step sensor achieves a mean error of 27.60±0.03 ms for the detection of the start of the swing phase and a mean error of 20.86±0.02 ms for the detection of the end of the swing phase. The results show an improvement in time error (respect to others pressure step sensors), sensibility and specificity (both 100%), and comfortability.
Step length is a fundamental parameter for gait assessment, reflecting complex neuromuscular and biomechanical behavior. Accurate step-length estimation is clinically relevant for monitoring populations with neurological or musculoskeletal conditions, as well as older adults. This study presents a novel biomechanical model, inspired by the inverted double pendulum, for step-length estimation under asymmetric gait conditions using a single inertial sensor on the lower back. Unlike models that assume symmetry, the proposed model explicitly incorporates pelvic rotation, enabling more accurate step length estimation, particularly in individuals with gait impairment. The model was validated against a gold standard OptiTrack® (Corvallis, OR, USA) system with 33 adults: 21 participants without and 12 with gait impairment. Results show that the model achieved low Median Absolute Errors (MdAE), below 0.04 m in participants without gait impairment and remaining within 0.06 m in those with impairment. Statistical validation confirmed a strong correlation with the reference system (R = 0.96, R2 = 0.93) and a clinically trivial mean bias (0.64 cm) from Bland-Altman analysis. These results validate the model’s effectiveness under various gait conditions, suggesting its technical feasibility and strong potential for clinical and real-world applications, particularly for the longitudinal monitoring of patients with functional impairments.