Estimation of falling risk based on acceleration signals during initial gait

In an aging society, falling risk of the elderly is one of big problems. In order to improve Quality Of Life (QOL) and curb increases in the care burden and medical costs, it is desirable to estimate and ameliorate falling risk through timely rehabilitation exercise. We propose a method of estimating the falling risk based on acceleration signals during initial gait. The risk is defined by a screening tool (Berg balance scale) utilized by physical therapists. In this method, the feature values are calculated by focusing on the variation of wave trajectory and horizontal symmetry due to unstable behavior during the initial transitional phase after starting time of the gait. Finally, in an experiment to confirm the efficacy of the proposed method, we gathered acceleration data at the waist of 17 subjects while they started walking after standing still. Then, the SVM (Support Vector Machine) classifiers to estimate the label of falling risk (3 classes: safe, caution-needed, and high-risk class) were trained and it was ascertained that F-values over 70% were achieved as the estimate accuracy.

[1]  S. Ebrahim,et al.  Falls by elderly people at home: prevalence and associated factors. , 1988, Age and ageing.

[2]  Vladimir N. Vapnik,et al.  The Nature of Statistical Learning Theory , 2000, Statistics for Engineering and Information Science.

[3]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[4]  Y. Lajoie,et al.  Step Length Variability at Gait Initiation in Elderly Fallers and Non-Fallers, and Young Adults , 2002, Gerontology.

[5]  B. E. Maki,et al.  Measuring balance in the elderly: validation of an instrument. , 1992, Canadian journal of public health = Revue canadienne de sante publique.

[6]  Reinhold Haux,et al.  Assessing elderly persons' fall risk using spectral analysis on accelerometric data - a clinical evaluation study , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[7]  Takuji Suzuki,et al.  Development of a Sleep Monitoring System with Wearable Vital Sensor for Home Use , 2009, BIODEVICES.

[8]  E. Finkelstein,et al.  The costs of fatal and non-fatal falls among older adults , 2006, Injury Prevention.

[9]  J. Wee,et al.  Validation of the Berg Balance Scale as a predictor of length of stay and discharge destination in stroke rehabilitation. , 2003, Archives of physical medicine and rehabilitation.

[10]  J. Kaartinen,et al.  Human Balance Estimation using a Wireless 3D Acceleration Sensor Network , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[11]  Jorunn L Helbostad,et al.  Estimation of gait cycle characteristics by trunk accelerometry. , 2004, Journal of biomechanics.

[12]  H. Hislop,et al.  Movement therapy in hemiplegia : a neurophysiological approach , 1970 .

[13]  L. K. Boulgarides,et al.  Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. , 2003, Physical therapy.

[14]  L. Mollinger,et al.  Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. , 2002, Physical therapy.

[15]  R. Newton,et al.  Use of the Berg Balance Test to predict falls in elderly persons. , 1996, Physical therapy.

[16]  P. Cochat,et al.  Et al , 2008, Archives de pediatrie : organe officiel de la Societe francaise de pediatrie.

[17]  Kurt Hornik,et al.  kernlab - An S4 Package for Kernel Methods in R , 2004 .