A multi-sensor approach for fall risk prediction and prevention in elderly

Scientific research on smartphone-based fall detection systems has recently been stimulated due to the growing elderly population and their risk of falls. Even though these systems are helpful for fall detection, the best way to reduce the number of falls and their consequences is to predict and prevent them from happening in the first place. To address the issue of fall prevention, in this paper, we propose a fall prediction system by integrating the sensor data of smartphones with a smartshoe. In our previous research, we designed and implemented a pair of sensing shoes (smartshoe) that contained four pressure sensors with a Wi-Fi communication module in each shoe to unobtrusively collect data in any environment. After assimilating the smartshoe and smartphone sensor data, we performed an extensive set of experiments in the lab environment to evaluate normal and abnormal walking patterns. In the smartphone, the system can generate an alert message to warn the user about the high-risk gait patterns and potentially save them from a forthcoming fall. We validated our approach using a decision tree with 10-fold cross validation and found 97.2% accuracy in gait abnormality detection.

[1]  Thuy-Trang Nguyen,et al.  Automatic fall detection using wearable biomedical signal measurement terminal , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[2]  Li Chen,et al.  Implementation of a Physical Activity Monitoring System for the Elderly People with Built-in Vital Sign and Fall Detection , 2009, 2009 Sixth International Conference on Information Technology: New Generations.

[3]  Joseph A. Paradiso,et al.  Design and implementation of expressive footwear , 2000, IBM Syst. J..

[4]  T. Fent Department of Economic and Social Affairs, Population Division, United Nations Expert Group Meeting on Social and Economic Implications of Changing Population Age Structures , 2008 .

[5]  S. Miaou,et al.  A Customized Human Fall Detection System Using Omni-Camera Images and Personal Information , 2006, 1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2..

[6]  Rita Cucchiara,et al.  An Intelligent Surveillance System for Dangerous Situation Detection in Home Environments , 2004, Intelligenza Artificiale.

[7]  Frank Sposaro,et al.  iFall: An android application for fall monitoring and response , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[8]  Marjorie Skubic,et al.  An acoustic fall detector system that uses sound height information to reduce the false alarm rate , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  Neil Johnson,et al.  A smart sensor to detect the falls of the elderly , 2004, IEEE Pervasive Computing.

[10]  Sheikh Iqbal Ahamed,et al.  iPrevention: towards a novel real-time smartphone-based fall prevention system , 2013, SAC '13.

[11]  Emiliano Miluzzo,et al.  A survey of mobile phone sensing , 2010, IEEE Communications Magazine.

[12]  Lorenzo Chiari,et al.  Smartphone-based applications for investigating falls and mobility , 2011, 2011 5th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.

[13]  B. Hjorth EEG analysis based on time domain properties. , 1970, Electroencephalography and clinical neurophysiology.

[14]  Jiewen Zheng,et al.  Design of Automatic Fall Detector for Elderly Based on Triaxial Accelerometer , 2009, 2009 3rd International Conference on Bioinformatics and Biomedical Engineering.

[15]  Lale Akarun,et al.  A robust multimodal fall detection method for ambient assisted living applications , 2010, 2010 IEEE 18th Signal Processing and Communications Applications Conference.

[16]  Chia-Tai Chan,et al.  Location-Aware Fall Detection System for Medical Care Quality Improvement , 2009, 2009 Third International Conference on Multimedia and Ubiquitous Engineering.

[17]  Israel Gannot,et al.  A Method for Automatic Fall Detection of Elderly People Using Floor Vibrations and Sound—Proof of Concept on Human Mimicking Doll Falls , 2009, IEEE Transactions on Biomedical Engineering.

[18]  M. Alwan,et al.  A Smart and Passive Floor-Vibration Based Fall Detector for Elderly , 2006, 2006 2nd International Conference on Information & Communication Technologies.

[19]  A K Bourke,et al.  Evaluation of a threshold-based tri-axial accelerometer fall detection algorithm. , 2007, Gait & posture.

[20]  Suhuai Luo,et al.  A dynamic motion pattern analysis approach to fall detection , 2004, IEEE International Workshop on Biomedical Circuits and Systems, 2004..

[21]  Zhihai He,et al.  Recognizing Falls from Silhouettes , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[22]  Wei Chen,et al.  A research on automatic human fall detection method based on wearable inertial force information acquisition system , 2009, 2009 IEEE International Conference on Robotics and Biomimetics (ROBIO).

[23]  Heather Knight,et al.  Chair Alarm for patient fall prevention based on Gesture Recognition and Interactivity , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[24]  Bin Huang,et al.  A method for fast fall detection , 2008, 2008 7th World Congress on Intelligent Control and Automation.

[25]  Jeffrey M. Hausdorff,et al.  Gait variability and fall risk in community-living older adults: a 1-year prospective study. , 2001, Archives of physical medicine and rehabilitation.

[26]  B.G. Celler,et al.  Falls Management: Detection and Prevention, using a Waist-mounted Triaxial Accelerometer , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[27]  M.R. Popovic,et al.  A reliable gyroscope-based gait-phase detection sensor embedded in a shoe insole , 2004, IEEE Sensors Journal.

[28]  Dong Xuan,et al.  Mobile phone-based pervasive fall detection , 2010, Personal and Ubiquitous Computing.

[29]  Gang Zhou,et al.  Accurate, Fast Fall Detection Using Gyroscopes and Accelerometer-Derived Posture Information , 2009, 2009 Sixth International Workshop on Wearable and Implantable Body Sensor Networks.