Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems

Joint segmentation of multivariate time series with hidden process regression for human activity recognition

The problem of human activity recognition is central for understanding and predicting the human behavior, in particular in a prospective of assistive services to humans, such as health monitoring, well being, security, etc. There is therefore a growing need to build accurate models which can take into account the variability of the human activities over time (dynamic models) rather than static ones which can have some limitations in such a dynamic context. In this paper, the problem of activity recognition is analyzed through the segmentation of the multidimensional time series of the acceleration data measured in the 3-d space using body-worn accelerometers. The proposed model for automatic temporal segmentation is a specific statistical latent process model which assumes that the observed acceleration sequence is governed by sequence of hidden (unobserved) activities. More specifically, the proposed approach is based on a specific multiple regression model incorporating a hidden discrete logistic process which governs the switching from one activity to another over time. The model is learned in an unsupervised context by maximizing the observed-data log-likelihood via a dedicated expectation-maximization (EM) algorithm. We applied it on a real-world automatic human activity recognition problem and its performance was assessed by performing comparisons with alternative approaches, including well-known supervised static classifiers and the standard hidden Markov model (HMM). The obtained results are very encouraging and show that the proposed approach is quite competitive even it works in an entirely unsupervised way and does not requires a feature extraction preprocessing step

Real-time human ambulation, activity, and physiological monitoring:taxonomy of issues, techniques, applications, challenges and limitations

Automated methods of real-time, unobtrusive, human ambulation, activity, and wellness monitoring and data analysis using various algorithmic techniques have been subjects of intense research. The general aim is to devise effective means of addressing the demands of assisted living, rehabilitation, and clinical observation and assessment through sensor-based monitoring. The research studies have resulted in a large amount of literature. This paper presents a holistic articulation of the research studies and offers comprehensive insights along four main axes: distribution of existing studies; monitoring device framework and sensor types; data collection, processing and analysis; and applications, limitations and challenges. The aim is to present a systematic and most complete study of literature in the area in order to identify research gaps and prioritize future research directions

Gait Velocity Estimation using time interleaved between Consecutive Passive IR Sensor Activations

Gait velocity has been consistently shown to be an important indicator and predictor of health status, especially in older adults. It is often assessed clinically, but the assessments occur infrequently and do not allow optimal detection of key health changes when they occur. In this paper, we show that the time gap between activations of a pair of Passive Infrared (PIR) motion sensors installed in the consecutively visited room pair carry rich latent information about a person's gait velocity. We name this time gap transition time and show that despite a six second refractory period of the PIR sensors, transition time can be used to obtain an accurate representation of gait velocity. Using a Support Vector Regression (SVR) approach to model the relationship between transition time and gait velocity, we show that gait velocity can be estimated with an average error less than 2.5 cm/sec. This is demonstrated with data collected over a 5 year period from 74 older adults monitored in their own homes. This method is simple and cost effective and has advantages over competing approaches such as: obtaining 20 to 100x more gait velocity measurements per day and offering the fusion of location-specific information with time stamped gait estimates. These advantages allow stable estimates of gait parameters (maximum or average speed, variability) at shorter time scales than current approaches. This also provides a pervasive in-home method for context-aware gait velocity sensing that allows for monitoring of gait trajectories in space and time

Non-Intrusive Gait Recognition Employing Ultra Wideband Signal Detection

A self-regulating and non-contact impulse radio ultra wideband (IR-UWB) based 3D human gait analysis prototype has been modeled and developed with the help of supervised machine learning (SML) for this application for the first time. The work intends to provide a rewarding assistive biomedical application which would help doctors and clinicians monitor human gait trait and abnormalities with less human intervention in the fields of physiological examinations, physiotherapy, home assistance, rehabilitation success determination and health diagnostics, etc. The research comprises IR-UWB data gathered from a number of male and female participants in both anechoic chamber and multi-path environments. In total twenty four individuals have been recruited, where twenty individuals were said to have normal gait and four persons complained of knee pain that resulted in compensated spastic walking patterns. A 3D postural model of human movements has been created from the backscattering property of the radar pulses employing understanding of spherical trigonometry and vector fields. This subjective data (height of the body areas from the ground) of an individual have been recorded and implemented to extract the gait trait from associated biomechanical activity and differentiates the lower limb movement patterns from other body areas. Initially, a 2D postural model of human gait is presented from IR-UWB sensing phenomena employing spherical co-ordinate and trigonometry where only two dimensions such as, distance from radar and height of reflection have been determined. There are five pivotal gait parameters; step frequency, cadence, step length, walking speed, total covered distance, and body orientation which have all been measured employing radar principles and short term Fourier transformation (STFT). Subsequently, the proposed gait identification and parameter characterization has been analysed, tested and validated against popularly accepted smartphone applications with resulting variations of less than 5%. Subsequently, the spherical trigonometric model has been elevated to a 3D postural model where the prototype can determine width of motion, distance from radar, and height of reflection. Vector algebra has been incorporated with this 3D model to measure knee angles and hip angles from the extension and flexion of lower limbs to understand the gait behavior throughout the entire range of bipedal locomotion. Simultaneously, the Microsoft Kinect Xbox One has been employed during the experiment to assist in the validation process. The same vector mathematics have been implemented to the skeleton data obtained from Kinect to determine both the hip and knee angles. The outcomes have been compared by statistical graphical approach Bland and Altman (B&A) analysis. Further, the changes of knee angles obtained from the normal gaits have been used to train popular SMLs such as, k-nearest neighbour (kNN) and support vector machines (SVM). The trained model has subsequently been tested with the new data (knee angles extracted from both normal and abnormal gait) to assess the prediction ability of gait abnormality recognition. The outcomes have been validated through standard and wellknown statistical performance metrics with promising results found. The outcomes prove the acceptability of the proposed non-contact IR-UWB gait recognition to detect gait

Home-based risk of falling assessment test using a closed-loop balance model

The aim of this study is to improve and facilitate the methods used to assess risk of falling at home among older people through the computation of a risk of falling in real time in daily activities. In order to increase a real time computation of the risk of falling, a closed-loop balance model is proposed and compared with One-Leg Standing Test (OLST). This balance model allows studying the postural response of a person having an unpredictable perturbation. Twenty-nine volunteers participated in this study for evaluating the effectiveness of the proposed system which includes seventeen elder participants: ten healthy elderly (68.4 ± 5.5 years), seven Parkinson’s disease (PD) subjects (66.28 ± 8.9 years), and twelve healthy young adults (28.27 ± 3.74 years). Our work suggests that there is a relationship between OLST score and the risk of falling based on center of pressure (COP) measurement with four low cost force sensors located inside an instrumented insole, which could be predicted using our suggested closed-loop balance model. For long term monitoring at home, this system could be included in a medical electronic record and could be useful as a diagnostic aid tool