Evaluation of Fall and Seizure Detection with Smartphone and Smartwatch Devices

Epilepsy and falls incur a great social and economic cost globally. Automatically detecting their occurrence would help mitigate the myriad of issues that arise from not receiving assistance after such an event. Despite existing research showing the potential advantages in using the ever-improving sensor technology incorporated within commercially available smartphone and smartwatch devices for human activity recognition, most available solutions for fall and seizure detection are still offered with dedicated hardware, which is often more expensive and less practical. This paper presents a comparison and evaluation of algorithms for detecting convulsions and falls, separately and combined, using smartphone and smartwatch devices. With a dataset of ordinary activities and simulated falls and convulsions, recorded by 15 test subjects, we found the devices a viable option for the successful detection of the activities, achieving accuracy rates between 89.7% and 98.5% with C4.5 decision tree algorithms.

[1]  J. H. Cross,et al.  ILAE Official Report: A practical clinical definition of epilepsy , 2014, Epilepsia.

[2]  Adil Mehmood Khan,et al.  Activity Recognition on Smartphones via Sensor-Fusion and KDA-Based SVMs , 2014, Int. J. Distributed Sens. Networks.

[3]  M. Laffoy,et al.  Hospitalisations due to falls in older persons. , 2005, Irish medical journal.

[4]  Nadeem Javaid,et al.  Evaluation of Human Activity Recognition and Fall Detection Using Android Phone , 2015, 2015 IEEE 29th International Conference on Advanced Information Networking and Applications.

[5]  Zhenyu He,et al.  Activity recognition from acceleration data based on discrete consine transform and SVM , 2009, 2009 IEEE International Conference on Systems, Man and Cybernetics.

[6]  Jussa Klapuri,et al.  Epileptic Seizure Detection Using a Wrist-Worn Triaxial Accelerometer , 2013 .

[7]  Falin Wu,et al.  Development of a Wearable-Sensor-Based Fall Detection System , 2015, International journal of telemedicine and applications.

[8]  C. Todd,et al.  World Health Organisation Global Report on Falls Prevention in Older Age , 2007 .

[9]  J. Claassen,et al.  Neurocritical care: status epilepticus review. , 2014, Critical care clinics.

[10]  Holly Hedegaard,et al.  Deaths from unintentional injury among adults aged 65 and over: United States, 2000-2013. , 2015, NCHS data brief.

[11]  Eduardo Casilari-Pérez,et al.  Analysis of Android Device-Based Solutions for Fall Detection , 2015, Sensors.

[12]  A McIntosh,et al.  The design of a practical and reliable fall detector for community and institutional telecare , 2000, Journal of telemedicine and telecare.

[13]  Susan P Baker,et al.  An Explanation for the Recent Increase in the Fall Death Rate among Older Americans: A Subgroup Analysis , 2012, Public health reports.

[14]  D. Farina,et al.  Dynamics of muscle activation during tonic–clonic seizures , 2013, Epilepsy Research.

[15]  Heinz Jäckel,et al.  SPEEDY:a fall detector in a wrist watch , 2003, Seventh IEEE International Symposium on Wearable Computers, 2003. Proceedings..

[16]  Seok-Won Lee,et al.  Exploratory Data Analysis of Acceleration Signals to Select Light-Weight and Accurate Features for Real-Time Activity Recognition on Smartphones , 2013, Sensors.

[17]  Sergei Kochkin,et al.  MarkeTrak VII: Obstacles to adult non‐user adoption of hearing aids , 2007 .

[18]  L. Rubenstein Falls in older people: epidemiology, risk factors and strategies for prevention. , 2006, Age and ageing.

[19]  Siv Sadigh,et al.  Falls and Fall-Related Injuries Among the Elderly: A Survey of Residential-Care Facilities in a Swedish Municipality , 2004, Journal of Community Health.

[20]  Xing Gao,et al.  Pre-impact and Impact Detection of Falls Using Built-In Tri-accelerometer of Smartphone , 2014, HIS.

[21]  E. So,et al.  The Cost of Epilepsy in the United States: An Estimate from Population‐Based Clinical and Survey Data , 2000, Epilepsia.

[22]  S. Huffel,et al.  Non-EEG seizure detection systems and potential SUDEP prevention: State of the art Review and update , 2016, Seizure.

[23]  G. Demiris,et al.  Fall Detection Devices and Their Use With Older Adults: A Systematic Review , 2014, Journal of geriatric physical therapy.

[24]  P. F. Adams,et al.  Summary health statistics for the U.S. population: National Health Interview Survey, 2007. , 2008, Vital and health statistics. Series 10, Data from the National Health Survey.

[25]  Sabine Van Huffel,et al.  Feature selection methods for accelerometry-based seizure detection in children , 2016, Medical & Biological Engineering & Computing.

[26]  Sándor Beniczky,et al.  Patterns of muscle activation during generalized tonic and tonic–clonic epileptic seizures , 2011, Epilepsia.

[27]  P. Corso,et al.  The acute medical care costs of fall-related injuries among the U.S. older adults. , 2005, Injury.

[28]  Roger O. Smith,et al.  A multi-sensor approach for fall risk prediction and prevention in elderly , 2014, SIAP.

[29]  Philip S. Yu,et al.  Top 10 algorithms in data mining , 2007, Knowledge and Information Systems.

[30]  G. Bergen,et al.  Falls and Fall Injuries Among Adults Aged ≥65 Years - United States, 2014. , 2016, MMWR. Morbidity and mortality weekly report.

[31]  Maarit Kangas,et al.  Comparison of low-complexity fall detection algorithms for body attached accelerometers. , 2008, Gait & posture.